Patient Evaluation of Gastroenterology Fellow

Name of Fellow: Acosta, Ruben D. Bassett, John T. Boger, John A. Duncan, Timothy J. Gentry, Andrew B. Lake, Jason M. Mays, Bryce C. Nguyen, Viet-Nhan Norris, William E. Perry, Joseph L. Ray, Quentin P. Skopic, Amer Veerappan, Ganesh R. Young, Patrick E. Date of Appointment: Core Competencies Interpersonal and Communications Skills 1: Showed interest in your condition and took your history of symptoms seriously. No Interaction Unsatisfactory Marginal Satisfactory Excellent Superior 0 1 2 3 4 5 2: Listened carefully and let you tell your story completely. Asked thoughtful questions, and did not interrupt you while you were talking. No Interaction Unsatisfactory Marginal Satisfactory Excellent Superior 0 1 2 3 4 5 3: Talked you through the aspects of your physical exam, and explained any findings that were identified. No Interaction Unsatisfactory Marginal Satisfactory Excellent Superior 0 1 2 3 4 5 4: Asked for your input, carefully explained your treatment and test options, and took into account your opinion before any decisions were made on your care. No Interaction Unsatisfactory Marginal Satisfactory Excellent Superior 0 1 2 3 4 5 5: Encouraged you to ask questions, and answered them clearly. No Interaction Unsatisfactory Marginal Satisfactory Excellent Superior 0 1 2 3 4 5 6: Used language that you could understand to clearly explain what you needed to know about your problems, how and why they occurred and what to expect next. No Interaction Unsatisfactory Marginal Satisfactory Excellent Superior 0 1 2 3 4 5 Secondary Competencies Humanistic Qualities 7: Greeted you warmly, and called you by the name you prefered. Was friendly and never crabby or rude. No Interaction Unsatisfactory Marginal Satisfactory Excellent Superior 0 1 2 3 4 5 8: Treated you like you were on the same level and never "talked down" to you or treated you like a child. No Interaction Unsatisfactory Marginal Satisfactory Excellent Superior 0 1 2 3 4 5 9: Showed interest in you as a person; not acting bored or ignoring what you had to say. No Interaction Unsatisfactory Marginal Satisfactory Excellent Superior 0 1 2 3 4 5 Moral & Ethical Behavior 10: Was truthful and told you everything you needed to know; being upfront and frank. Did not keep things from you that you thought you should know.. No Interaction Unsatisfactory Marginal Satisfactory Excellent Superior 0 1 2 3 4 5 Comments (Please write about Strengths, Weaknesses and Area for Improvement)