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DEVELOPMENT AND SUPPORT OF PROFESSIONALISM
The answers to the following questions are COMPLETELY ANONYMOUS.
The results of these questions will NOT be viewed by any member of the clerkship until ALL grades have been finalized.
Your specific comments will help us improve this educational experience.
Clerkship faculty were appropriate professional role models. *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Does Not Apply
Please provide the Faculty name and a description of the unprofessional behavior.
Faculty Name: *
Would you like to elaborate? *
Yes
No
Interns/residents were appropriate professional role models. *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Does Not Apply
Please provide the Faculty name and a description of the unprofessional behavior.
Resident Name: *
Would you like to elaborate? *
Yes
No
* = Input is required
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