The document contains a letter from the Elective Secretariat at the School of Medical Sciences, Universiti Sains Malaysia requesting that supervisors complete an assessment form evaluating USM medical students who completed clinical electives at their institutions. The letter provides contact information for the secretariat. It is followed by an assessment form asking supervisors to rate students on a scale of 1 to 4 in areas such as clinical and practical skills, knowledge acquisition, participation, ethics, punctuality, and attitude. Supervisors are asked to provide an overall performance judgment and any additional comments. The form is to be completed, signed, and returned with the student to the USM academic office.
The document contains a letter from the Elective Secretariat at the School of Medical Sciences, Universiti Sains Malaysia requesting that supervisors complete an assessment form evaluating USM medical students who completed clinical electives at their institutions. The letter provides contact information for the secretariat. It is followed by an assessment form asking supervisors to rate students on a scale of 1 to 4 in areas such as clinical and practical skills, knowledge acquisition, participation, ethics, punctuality, and attitude. Supervisors are asked to provide an overall performance judgment and any additional comments. The form is to be completed, signed, and returned with the student to the USM academic office.
The document contains a letter from the Elective Secretariat at the School of Medical Sciences, Universiti Sains Malaysia requesting that supervisors complete an assessment form evaluating USM medical students who completed clinical electives at their institutions. The letter provides contact information for the secretariat. It is followed by an assessment form asking supervisors to rate students on a scale of 1 to 4 in areas such as clinical and practical skills, knowledge acquisition, participation, ethics, punctuality, and attitude. Supervisors are asked to provide an overall performance judgment and any additional comments. The form is to be completed, signed, and returned with the student to the USM academic office.
The document contains a letter from the Elective Secretariat at the School of Medical Sciences, Universiti Sains Malaysia requesting that supervisors complete an assessment form evaluating USM medical students who completed clinical electives at their institutions. The letter provides contact information for the secretariat. It is followed by an assessment form asking supervisors to rate students on a scale of 1 to 4 in areas such as clinical and practical skills, knowledge acquisition, participation, ethics, punctuality, and attitude. Supervisors are asked to provide an overall performance judgment and any additional comments. The form is to be completed, signed, and returned with the student to the USM academic office.
To the supervisor of medical students from USM, Health Campus
Dear Supervisor, Thank you very much for supervising our student during her / his elective at your institution. We would be most grateful if you could fill out the attached assessment form. Please kindly hand the student the completed form. The student will bring with her/ him to the academic office of School of Medical Sciences USM.
Yours sincerely Elective Secretariat Academic Office School of Medical Sciences USM, Health campus 16150 Kubang Kerian Kelantan, Malaysia Phone:609-7676045 / 6046 Fax: 609-7653370 Email: ismaildr@kb.usm.my reeny@kck.usm.my
ASSESSMENT CLINICAL ELECTIVE FORM
Dear Supervisor Below are the statements addressing the performance of a student from school of Medical Sciences USM when working under your supervision.
Name of student:..
Date:
Please kindly circle the number for each statement based on the scale given: Very good 4
Good 3
Satisfactory 2
The statements How well the student prepared for the programme conducted under your supervision with respect to basic science knowledge?
Unsatisfactory - 1 Scale 4
How well the student prepared for the programme conducted under your supervision with respect to clinical knowledge?
How well the student prepared for the programme conducted under your supervision with respect to communication skill?
How well the student prepared for the programme conducted under your supervision with respect to practical skill?
How did the student progress when working under your supervision with respect to acquisition of relevant knowledge?
How did the student progress when working under your supervision with respect to participation in department activities?
How did the student progress when working under your supervision with respect to issues in medical ethics?
How did the student progress when working under your supervision with respect to punctuality and attendances?
How was the students attitude when interacting with patients, faculty and colleagues?
What is your overall judgment on the students performance?
