2023-2024 Interview Evaluation for Pathology Residency AP/CP Candidates 
Please submit your evaluation of the candidate you interviewed. Your evaluation is important and appreciated for this interview season. Thank you.

If you would like to provide additional information, please email Dr. Shih-Hon Li at shihhon@med.umich.edu. 
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Candidate's First and Last Name  *
Interview Date *
MM
/
DD
Evaluator's First and Last Name *
Please select from the following options for each statement
Not up to the standards of our program
Adequate to function in our program
Equivalent to the average resident in our program
Better than the average resident in our program
Excellent - equivalent to our best residents
Outstanding - potential to exceed our best performance
Could not evaluate
Accomplishments (USMLE scores, medical school, undergraduate accomplishments, other advanced degrees, AOA status, awards)
Potential for excellence in diagnostic Pathology
Commitment to patient care (letters of reference, volunteer activities, answers to directed questions)
Communication skills (verbal and nonverbal communication at dinner, group sessions, interviews, personal statement)
Ability to work as part of a team (letters of reference, interview, answers to directed questions, interactions with residents and education office, for UM students: interactions with UM residents and staff while on M4 rotation)
Clear selection
THE FOLLOWING WILL NOT BE INCLUDED IN THE AGGREGATE DATA PROVIDED TO THE RANKING COMMITTEE:
Unlikely
Likely
Cannot Predict
Potential for academic career (research experience, publications, other work experience, stated goals)
Potential for private practice career (work experiences, stated goals)
Clear selection
Overall Ranking
Do Not Rank
Rank, but not in top half
Rank in top half
Rank in top quarter
Rank in top ten, consider second visit
Stop at nothing to recruit
Overall Ranking
Clear selection
Applicant Research Potential/Experience:
Additional Comments:
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