ED Pediatric End of Shift Evaluation (Pediatric Residents)

Pediatric Resident Info

This survey is for NON-Emergency Medicine pediatric residents only. If you are an EM resident, please go to www.rushemergencymedicine.org/evaluations and choose the EM Resident Eval.

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* Last Name

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* First Name

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* Shift date

Date / Time

Date

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* Shift Time

9a-6p

5p-12a

11a-8p

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* Attending Name (Last Name, First Initial)

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* What is your PGY Level?

PGY1

PGY2/3

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* How many patients did you see today?

>12

Clear

i We adjusted the number you entered based on the slider’s scale.