Medical Education Grand Rounds Speaker Evaluation Form

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Full Name *

Credentials (MD, DO, PhD, LSW, etc.) *

Status *

Faculty

Resident

Medical Student

Staff

Other, if other please specify in next field

If "other" please specify

Speaker(s) *

Topic *

Date of Activity *

YYYY

The speaker: *

1: poor, inadequate

2: fair, minimally acceptable

3: satisfactory, adequate

4: good, appropriate

5: excellent, very appropriate

Provided objectives or guidelines at the beginning of the presentation and successfully met learning objectives.

presented the content in a coherent, understandable manner

provided an adequate amount of detail

presented content that was appropriate for my level of knowledge

used audiovisual that complemented, rather than detracted from the presentation

presented a program that had practical value to my teaching

1: poor, inadequate

2: fair, minimally acceptable

3: satisfactory, adequate

4: good, appropriate

5: excellent, very appropriate

Provided objectives or guidelines at the beginning of the presentation and successfully met learning objectives.

presented the content in a coherent, understandable manner

provided an adequate amount of detail

presented content that was appropriate for my level of knowledge

used audiovisual that complemented, rather than detracted from the presentation

presented a program that had practical value to my teaching

Did you detect any commercial bias in this program *

Yes

Were faculty relationships with commercial supporters disclosed? *

Yes

N/A

Comments and/or Suggestions for future topics

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