Course/Clerkship Assessment Form

University of Florida College of Medicine

Course or Clerkship: ______________________________

I.The Course Syllabus

A. Overview

1	2	3	4
Syllabus incomplete or not submitted.	Components are inadequately addressed, not self-explanatory, and not organized according to the curriculum committee’s policy.	Most components are addressed, self-explanatory, and organized according to the curriculum committee's policy.	All components are addressed, self-explanatory, and organized according to the curriculum committee's policy.

B. Learning Objectives

Learning objectives are not specified. Learning activities are absent or briefly described.

Learning objectives are specified but are not measurable. Some learning objectives are compliant with the competency-based curriculum.

Most learning objectives are measurable. Most objectives are compliant with the competency-based curriculum. Most learning activities relate directly to objectives.

All learning objectives are measurable. All objectives are compliant with the competency-based curriculum. All learning activities relate directly to the objectives.

C¹. Student Performance Criteria

Evaluation methods are not related to learning objectives.

Evaluation methods are partially related to learning objectives.

Most evaluation methods are related to learning objectives.

All evaluation methods are related to learning objectives.

C². Feedback to student

Formative and summative feedback method not provided or minimal.

Some summative feedback provided, formative feedback method not provided or minimal.

Some formative feedback provided, summative feedback minimal; OR strong formative feedback provided, summative feedback method not provided; OR summative and formative feedback provided but not strong.

Strong formative and summative feedback provided.

II. Director’s Written Report

A. Evaluation of student performance

Discussion of student performance in reference to course objectives not included. Sample examination not included.

Incomplete discussion of student performance in relation to course objectives. Sample examination questions do not test towards course objectives.

Student performance in relation to course objectives is appropriate. Sample examination questions test partially towards course objectives

Student performance in relation to course objectives is well stated. Sample examination questions fully tests towards course objectives.

D. Student Evaluation of course or clerkship and the director (online evaluations and debriefing) *

Synopsis of student course evaluation and course director is absent.

Synopsis of student course evaluation and course director is incomplete with little or no analysis or comment.

Synopsis of student course evaluation and course director is partially addressed with some analysis and comments.

Synopsis of student course evaluation and course director is complete and analysis and comments are insightful.

E. Evaluation of instruction

Synopsis of student evaluation on teaching is absent. Critique of overall course instruction is (strengths and weaknesses) not included.

Synopsis of student evaluation on teaching is inadequate. Critique of overall course instruction (strengths and weaknesses) is incomplete.

Synopsis of student evaluation on teaching instruction is partially addressed. Critique of overall course instruction (strengths and weaknesses) is partially addressed.

Synopsis of student evaluation on teaching instruction is very good. Critique of overall course instruction (strengths and weaknesses) is addressed.

*organized according to format of course and clerkship report.

F. Director’s evaluation of the present course or clerkship and future direction

Evaluation of course in curriculum not included. Appropriateness of course content and teaching methods not included. Strengths and weaknesses of course with plan for improvement not included. Long-term goals not included.

Statement of appropriateness of course in curriculum is incomplete. Statements of appropriateness of course content and teaching methods are incomplete. Statements of strengths and weaknesses of course with plan for improvement inadequate. Long-term goals appear superficial.

Appropriateness of course in curriculum adequately addressed. Appropriateness of course content and teaching methods noted. Strengths and weaknesses of course with plan for improvement adequate. Long-term goals adequately stated.

Appropriateness of course in curriculum appropriately addressed. Appropriateness of course content and teaching methods noted. Strengths and weaknesses of course with plan for improvement well prepared. Long-term goals well stated.

III. Course or Clerkship and Student Numerical Data supplied by the Office of Medical Education (OME).

A. Course/Clerkship Evaluation – Student year-end evaluations

B. Course/clerkship Instruction – Student year-end evaluations

C. Course/Clerkship Director – Student year-end evaluations

D. Student performance

a. NBME subject examinations

b. USMLE Steps 1 and Steps 2, if applicable.