Get Locum Tenens Exit Evaluation - Upstateedu

The locum tenens exit evaluation is a vital form for assessing the performance of temporary medical practitioners. This guide will provide you with clear, step-by-step instructions on how to complete this evaluation online accurately and efficiently.

Follow the steps to complete the locum tenens exit evaluation form.

1. Press the ‘Get Form’ button to access the evaluation form. This action retrieves the document and opens it for further editing.
2. Begin by filling in your name and the department or division in which you worked. This information is essential for identifying the reviewer.
3. Indicate the time period of your locum tenens assignment by entering the starting and ending dates. This helps provide context to your evaluation.
4. Rate the practitioner's performance across various competencies: patient care, medical/clinical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice. Use the scale provided: unable to evaluate, below expectations, satisfactory, or excellent.
5. Based on your assessment, select whether you would recommend the practitioner to return at a later date. Clearly mark your choice on the form.
6. Provide a brief review of the practitioner's performance. Although this is recommended, it is not a required section. Use this area to give constructive feedback.
7. Sign and print your name as the reviewer in the designated section to validate your evaluation.
8. If applicable, the Chief of Service should sign and print their name in the second signature section to complete the review process.
9. Once you have completed all sections, review your entries for accuracy. Save your changes, and you can choose to download, print, or share the completed form as needed.

Complete your evaluations online today to ensure timely and accurate feedback.