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Fellows: Evaluation Form

Fellows: Evaluation Form

* Required

Fellows: Evaluation Form

(1=unacceptable; 2=poor; 3=fair; 4=good; 5=excellent)

First Name *

Last Name *

Email Address *

Interaction with peers *

1
2
3
4
5

Interaction with patients *

1
2
3
4
5

Teaching Skills *

1
2
3
4
5

Technical Skills *

1
2
3
4
5

Clinical Skills *

1
2
3
4
5

Knowledge *

1
2
3
4
5

Participation in conference *

1
2
3
4
5

Presentation in Conference *

1
2
3
4
5

Presentation skills *

1
2
3
4
5

Overall performance *

1
2
3
4
5

Additional Comments

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2012 Atlanta Trauma Symposium: Cutting-Edge for the Community Fracture Surgeon
2012 Fellows Day
2012 Orthopaedics for the Primary Care Practitioner & Mid-Level Provider
2012 Contemporary Surgical Skills Lab for Hip and Knee Arthroplasty

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