Evaluation - Non-residency based

Official CORD Standard Letter Of Evaluation (SLOE) Non-Residency- Based EM Physicians

Demographic Data

Background Information


Current sum

Evaluation of Student: Part A

The following questions are a criterion-referenced assessment, meaning it pertains to the student’s overall competency compared to a set metric, which in this case is the readiness to begin an emergency medicine residency program. Please note this is NOT a comparison to peers. Indicate where this student stands in terms of readiness to be an incoming EM intern.

Evaluation of Student:

Please rate the student in the following areas using a rating scale (LEFT side = best candidate I’ve seen, RIGHT side = minimally acceptable for an EM resident)-Note: Your average ratings for the year should typically look like a bell shaped curve distribution. If you select the far left or far right of the scale, please discuss this in your narrative feedback in section D.

Exceptional EM candidate





Minimally acceptable for an EM Resident

Exceptional EM candidate





Minimally acceptable for an EM Resident

Exceptional EM candidate





Minimally acceptable for an EM Resident

Exceptional EM candidate





Minimally acceptable for an EM Resident

Exceptional EM candidate





Minimally acceptable for an EM Resident

Exceptional EM candidate





Minimally acceptable for an EM Resident

Exceptional EM candidate





Minimally acceptable for an EM Resident

Evaluation of Student: Part C

Written Student Comments

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Institution Information

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