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* Resident Name:

* Term of Rotation

* The preceptor seemed interested in teaching. 

* They created a positive learning environment, e.g., I was oriented to the schedule, I could easily join in patient care. 

* The preceptor demonstrated good interpersonal skills, e.g., I was treated with respect, there were open lines of communication. 

* I was given appropriate independence by this preceptor, e.g. allowed to evaluate patients on my own. 

* I was given meaningful feedback regarding v arious aspects of my performance including my patient presentations, evaluation of patients, history taking, and/or physical examination skills. 

* Instructions were tailored to my needs and current level of competence. 

* I was given specific information that helped me improve my knowledge and skills.

* Comments