Get Internal Medicine Elective - Reference Form Confidential

This guide provides a comprehensive overview of how to complete the Internal Medicine Elective - Reference Form Confidential online. By following these instructions, you can ensure that your submission is accurate and complete, aiding in the assessment of the candidate's qualifications.

Follow the steps to effectively complete the form.

1. Click the ‘Get Form’ button to access the document and open it in your preferred editor.
2. Enter the student's name in the designated field provided at the top of the form.
3. Assess the student's professionalism by selecting either 'No Concern' or 'Concern' from the options provided.
4. Evaluate the student's interpersonal skills and teamwork in the same manner, marking the appropriate box.
5. Select the quartile that best represents the student's clinical skills, choosing from 'Top Quartile,' '2nd Quartile,' '3rd Quartile,' or '4th Quartile.'
6. Evaluate the student's medical knowledge using the same quartile options as in the previous step.
7. Provide your overall assessment of the student by selecting either 'Outstanding,' 'Average,' or 'Below Average.'
8. Indicate the student's 3rd year medicine clerkship grade by marking the appropriate option: 'Honors,' 'Near Honors,' 'Satisfactory,' 'Marginal,' or 'Fail.'
9. Use the comment section provided to include any additional remarks or concerns about the student that are relevant to their application.
10. Fill in the name of the school on the designated line.
11. Sign and provide your contact information, including your name, telephone number, and email address.
12. Once all fields are completed, save your changes and choose your preferred method to download, print, or share the form.

Ensure you complete and submit the Internal Medicine Elective - Reference Form Confidential online for a smooth application process.