Internal Medicine Residency Program
Feedback and Suggestions

Please use this form to submit your comments, suggestions, and concerns about all aspects of the Stillwater Medical Internal Medicine Residency Program.
 
This survey is anonymous unless you self-identify through the comments you enter. IP addresses are not recorded and you are not required to enter any personal information.

Guidelines:
 
  1. Be specific and give details on a particular situation or particular person's behavior.
  2. Please be clear, honest, and respectful.
  3. Positive comments and feedback are welcome too!
  4. Emergencies or other issues that require attention within minutes or hours should be reported to the program director or chief resident - not here.

This is not a HIPAA-compliant communication modality. Do not submit any patient-specific identification or information.
1.What is your PGY level? (optional, answer not required)
2.What topic are you addressing?
3.Please enter your comments, concerns, or suggestions:(Required.)
4.If you have an idea for a solution to a problem, please enter it here. (optional)