Step 1
In lieu of a reference letter, please complete the appropriate form. Please provide specific examples of how the applicant meets the evaluation criteria in each of the following categories.
Exemplary Patient Care - The following should be considered when answering:
- Good professional rapport with patients
- Diagnostic skills
- Appropriate use of educational resources and technology
- Ability to formulate and follow through on proper treatment
- Engages in teaching
- Uses creativity in approach to patient care
Interpersonal Relationships - The following should be considered when answering:
- Shows respect to patients
- Shows respect to peers and mentors
- Works well with colleagues and in care teams
- Embrases diversity
Demonstrated Leadership - The following should be considering when answering:
- Organized medicine - national, state, or local
- Other organizations
- Residency program
Additional Comments - The following should be considered when answering:
- What sets the applicant apart from their peers
Step 2
Please assign the applicant a numerical value in the space provided for each of the areas using the guidelines below:
- 5 - Ranks in top 50% of peers
- 6 - Ranks in top 40% of peers
- 7 - Ranks in top 30% of peers
- 8 - Ranks in top 20% of peers
- 9 - Ranks in top 10% of peers
- 10 - Exceptional, best resident I ever worked with