Preceptor Training

The forms are available in Adobe Acrobat format (pdf).  If you do not have Adobe Acrobat Reader, click here.

To obtain a form, click on the form you want in the list below:

Mid-rotation Evaluation

Oral Presentation - topic

Oral Presentation - patient case

Skill-based Competencies

Affidavit for Clerkship Hours

End-of-Block Evaluation

End-of-Rotation Evaluation

End-of-Rotation Self Evaluation

Preceptor Evaluation Form

Ambulatory Medicine Clerkship Objectives Sign-off

Inpatient Medicine Clerkship Objectives Sign-off