Nurse Evaluation

How often have you worked with this physician?

1 - Rarely

2 - Sometimes

3 - Often

4 - Very Often

Does the fellow return pages?

1 - Yes

2 - No

Does the fellow act professionally with the nursing staff?

1 - Yes

2 - No

Does the fellow treat patients and their families with respect?

1 - Yes

2 - No

Does the fellow address nursing staff concerns regarding patients?

1 - Yes

2 - No

Does the fellow communicate well with the nursing staff an ancillary staff?

1 - Yes

2 - No

Does the fellow communicate disposition or discharge planning with the nursing and ancillary staff during the hospital course?

1 - Yes

2 - No

Does the fellow acknowledge when he/she needs help and asks for assistance from the faculty?

1 - Yes

2 - No

Should the fellow be allowed to continue managing patients?

1 - Yes

2 - No

Please write any additional comments about this physician.