Evaluation - Sub-Specialty

Official CORD Standardized Letter of Evaluation (SLOE) - EM Sub-Specialty

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Demographic Data

Applicant Name

AAMC ERAS ID

Letter Authors (Name, Title) Please list all:

Evaluator Institution

Preferred Author Contact Individual and Method

What is your present position?

Background Information

Nature of contact with applicant (check all that apply):

Know indirectly through others/evaluations

Extended, direct observation

Advisor

Occasional Contact

Clinical Contact outside ED

Other (explain)

How long have you known the applicant?

Which EM subspecialty rotation did the student complete?

Ultrasound

Toxicology

EMS

Pediatric EM

Other

What is your grading scheme for the rotation that this student completed?

Grade received on the rotation

Indicate what % of students on this rotation received the following grades last academic year (grades from each category should add up to 100%):

Honors %

High Pass %

Pass %

Fail %

Honors %

Pass %

Fail %

Pass %

Fail %

A %

B %

C %

D %

F %

Current sum

Evaluation of Student: Part B

Please rate the student in the following areas using a visual analog 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.

1. Compassion, sensitivity, and respect towards patients and team members

Exceptional EM candidate

5

4

3

2

1

Minimally acceptable for an EM Resident

OR - Not acceptable for an EM resident

2. Receptivity to feedback and ability to incorporate feedback.

Exceptional EM candidate

5

4

3

2

1

Minimally acceptable for an EM Resident

OR - Not acceptable for an EM resident

3. Dependability, responsibility, initiative, and work ethic.

Exceptional EM candidate

5

4

3

2

1

Minimally acceptable for an EM Resident

OR - Not acceptable for an EM resident

4. Punctuality, attendance, and preparation for duty.

Exceptional EM candidate

5

4

3

2

1

Minimally acceptable for an EM Resident

OR - Not acceptable for an EM resident

5. Timeliness and responsiveness in completing administrative tasks.

Exceptional EM candidate

5

4

3

2

1

Minimally acceptable for an EM Resident

OR - Not acceptable for an EM resident

6. Interpersonal and communication skills with patients and family members.

Exceptional EM candidate

5

4

3

2

1

Minimally acceptable for an EM Resident

OR - Not acceptable for an EM resident

7. Interpersonal and communication skills with faculty, residents and healthcare professionals.

Exceptional EM candidate

5

4

3

2

1

Minimally acceptable for an EM Resident

OR - Not acceptable for an EM resident

8. Subspecialty knowledge and/or skill performance

Exceptional EM candidate

5

4

3

2

1

Minimally acceptable for an EM Resident

OR - Not acceptable for an EM resident

Evaluation of Student: Part C

The following question is norm-referenced, meaning it pertains to how the student compares to his/her/their peers who are also applying to EM residency programs. Compared to the EM candidates for whom your program wrote a SLOE last year, how much guidance do you anticipate this candidate to require to become clinically proficient and meet graduation requirements? :

Minimal: Will excel with just a little guidance and support.

Standard: No problems expected, will succeed with standard guidance and support.

Moderate: May need slightly more than the standard support from time to time, no major issues anticipated.

Most: Has the potential to succeed, but will likely require extra support throughout residency.

Written Student Comments: Part D

Please concisely summarize this applicant's overall candidacy, providing detail on strengths, explaining growth opportunities or lower ratings from above, and highlighting anything else you feel like we should know about this student. (please limit your text to 350 words or less):

Words Used: 0

Institution Information

In this section, please provide us with information about your institution and rotation, including how many sites are involved in this rotation.

Please concisely summarize any pieces of information regarding your rotation that you deem important or necessary. You may also include information regarding any special circumstances surrounding this rotation such as changes related to COVID, institutional changes, school changes etc.?(please limit your response to 350 words or less):

Words Used: 0

STUDENT HAS WAIVED RIGHT TO SEE THIS LETTER

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