Prison Medicine - The College of Family Physicians Canada

Version March 12, 2008CategoryUnabletoJudgeNeedsImprovementAverageAboveAverageExceptionalCommentsTHE DOCTOR-PATIENTRELATIONSHIP IS CENTRAL TO THEROLE OF THE FAMILY PHYSICIANProfessionalism Demeanour, Timekeeping, etc.MotivationInterest, initiative, attendanceSelf Awareness Aware of limitations Appropriate confidence Functions independently1 2 3 4 5 6 7 8 9 10 Patient Centred Empathises with patient and familyTHE FAMILY PHYSICIAN ISCOMMUNITY BASEDInterpersonal Skills Works effectively with health careteam Interacts effectively with staff andancillary workers Aware of community resourcesspecific to this elective1 2 3 4 5 6 7 8 9 10THE FAMILY PHYSICIAN IS ARESOURCE TO A DEFINED PRACTICEPOPULATIONLearning Self directs learning based on patientencounters Presents effective, well researchedrounds/case presentationsE. Rotation-Specific Learning Outcomes:1 2 3 4 5 6 7 8 9 10Has the Resident demonstrated a level of competence appropriate to level of training?(see program website for rotation –specific learning outcomes)□ Yes □ No □ Unable to AssessGeneral Comments:Overall Evaluation□ Needs Improvement □ Meets Expectations □ Exceeds Expectations(Note: An unsatisfactory evaluation must be discussed with the Resident and the Site Director).□ Pass □ Fail2/3/20122/3/2012 Page 11 of 11