Residency Manual

PART III Using the following scale, respond to the questions below. 1 =Strongly Disagree 2 =Disagree 3 =No Opinion 4 =Agree 5 =Strongly Agree NA =Not Applicable Please rate your Residency Program on the following. Score Criteria

My Residency Program: 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA

1. Meets the program’s mission

2. Meets the goals and objectives for the residency program

3. Is providing a good patient experience specific to this program’s mission 4. Is providing advanced clinical training specific to the program’s mission 5. Is providing adequate scholarly development (e.g. writing, posters, research, etc.)

6. Is providing adequate didactic opportunities

7. Overall the Friday Program is a valuable component of the residency Overall how would you rate your Residency Program? 1=lowest 5=highest

PART IV Complete comment section 1. To further improve my training, I would like to have:

2. Additional comments:

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