Resident/Program Survey

Student Name:

Evaluator Name:

How long did you rotate through Rusk?
A month
A couple weeks
A few days

This program as a whole is:
Excellent
Very good
Neutral
Not great
Poor

The clinical skills of the resident I worked with most are:
Excellent
Very good
Neutral
Not great
Poor

The communication/personal skills of the resident I worked with most are:
Excellent
Very good
Neutral
Not great
Poor

The commitment to teaching of the attending I worked with most is:
Excellent
Very good
Neutral
Not great
Poor

The approachability of the attending I worked with most is:
Excellent
Very good
Neutral
Not great
Poor

I would want to join this program in the future:
Agree
Somewhat agree
Neutral
Somewhat disagree
Disagree

I would recommend this program to others interested in PM&R:
Agree
Somewhat agree
Neutral
Somewhat disagree
Disagree

Compared to other programs I have rotated in, I would rate this program as:
Excellent
Very good
Neutral
Not great
Poor

Please make any comments below about the program or any particular person/attribute that you believe are important: