PGY5 Practice Oral Exam Survey/ Examiner Evaluation

Hello PGY5s,
This survey is to be used to evaluate the frequency and quality of Practice Oral Exams being completed by staff at our academic sites. The program office will also provided examiners thank you letters and evaluations for thier teaching dossier based on surveys. Please be sure to fill one survey out for each staff, for date they provide Practice Oral Exams.

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* 1. Resident Name:

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* 2. Date of the exam:

Date

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* 3. Rotation Site for PGY5 Practice Oral Exam?

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* 4. Please Enter your Oral Examiner names

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