Below is a complete list of the information you will need in order to complete the course evaluation form.
Person Completing Form (Name, Email)
Course Director(s)
Course Evaluators
Name of the Course or Program being reviewed Department primarily involved Other Department involved
Total Contact Hours in the course
Faculty Involved (Name, Role, Contact Hours, Other Info)
*If faculty member is not Stony Brook University faculty, affiliation and contact phone also required.
Date/Time
Topic/Title/Event
Learners' Objectives (What learners will be able to do after the training.)
Obj Type
SUSB Institutional Obj & Competencies: see http://www.stonybrookmedicalcenter.org/som/EducationalCompetencies
Instructional Method
Class Size
Assessment Strategies
A. COURSE CONTENT
Have you compared your course to comparable courses at other medical schools? Yes No
To national curriculum standards, e.g. from a professional society? Yes No
To the CurrMIT online database supported by AAMC? Yes No
If not, why not?
If yes, please specify which schools or society and how your course compared:
2. Do you have your students take NBME Subject exams? Yes No
Have the results of our students on NBME Subject or Step exams been used as a reference for modifying course content? Yes No
If yes, please specify modifications that have taken place:
3. Are there subject areas not covered in your course about which you are concerned about? Yes No
If yes, please specify:
4. How does the course curriculum enable to achieve its overall institutional objectives? Please explain:
5. Do you explicitly foster communication skills - when sriiten or oral? Yes No
If yes, please specify:
6. What PROBLEM SOLVING exercises take place in your course? Please explain:
7. Are students provided the opportunity to critically examine the roles and PROFESSIONAL RESPONSIBILITIES of physicians in clinical, research, academic and administrative settings?
Clinical Yes No
Research Yes No
Academic Yes No
Administrative Yes No
8. Do you explicitly foster life-long learning skills? (EBM) Yes No
If yes, please specify:
9a. Are students explicitly exposed to ethical issues in your course? Yes No
If yes, please specify:
9b. Have you established a forum for the discussion of ethical or professional concerns by students? Yes No
B. INTERNAL REVIEW of the course Please attach to this report any evaluations done in the past two years whether done in CBase or outside of the CBase system.
1. What methods are used to assess the quality of your course,?
Please check all that apply, provide the results and the significance thereof:
2. Give your own critique of the course with reference to appropriateness of content, teaching/learning methods, participation of colleagues and students, modes of evaluation, etc.
A. What are the strengths of the course?
B. What are the current deficiencies and how do you plan to address them?
3. What were the recommendations of the Curriculum Committee the last time your course was reviewed and how have you responded to them?
4. Is there systematic training for and assessment of faculty skills pertinent to the course? Yes No
If yes, please explain:
5. What additional resources do you need to better achieve the goals of the course and who might provide them – the Dean’s office, building maintenance, a department, IT, media services? Please explain:
C. CURRICULUM COORDINATION
1. Viewed from the perspective of the entire curriculum, is the duration of this course appropriate? Yes No
If not, please explain:
2. Is the location of the course in the curriculum, (i.e., year, semester, quarter, phase, etc.) appropriate? Yes No
If not, please explain:
3. How effective is our curriculum in preparing students for your course? (Previous courses that enhance your efforts.)
Please explain:
4. What efforts do you make to coordinate the elements within your course, e.g. meetings with teaching faculty, sharing syllabus preparation, common preparation of objectives, etc.
5. What efforts do you make to coordinate your course with other courses earlier, concurrent or subsequent?
D. EVALAUTION OF STUDENTS
1. What elements are used to calculate student grades and what weight do they receive?
2. What percentage of students receive an explicit mid-course, formative evaluation during the course?
Is this evaluation formal and in writing? Yes No
3. Is a narrative description of a student’s performance included in CBase with the final grade? If so, who creates it and, if different, gives final approval the composite valuation of each student?
4. What was the distribution of grades the last time this course was taught? (H %, HP %, P %, LP %, F %, I %, PO %, Other % Explain:__________________)
E. CLERKSHIPS (or other clinical activity)
1. Do students keep a log of patients whom they have seen and evaluated? Yes No
2. Do students keep a log of clinical skills (clinical passport) that they have seen and evaluated? Yes No
3a. Are students directly observed doing H&P and by whom?
3b. What sort of feedback and evaluation do they receive?
4. What is the proportion of inpatients vs. outpatients that students see? In ____ Out ___
5. Is there opportunity for continuity of patient care during the clerkship? Yes No
6. How does the clerkship ensure and measure that the educational experience is compatible from site to site and rotation to rotation?
7. Does your clerkship revisit basic science topics or introduce new basic science information? Yes No
If yes, please explain:
8. Are basic science faculty involved in planning or teaching material in the clerkship? Yes No
If yes, please list the individuals and their disciplines:
9. How does the clerkship ensure that opportunities for clinical/translational research are available?
If you have an electronic version you will be able to upload it - if in paper format please deliver to: the Office of Medical Education. (Name of Document, Short Document Description, Upload File or Web URL)
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