Exit Checklist

By the end of the clerkship, each student must submit:


________ 1 Observed H&P evaluation form (observed by an attending, chief resident, or fellow, NOT by resident/intern)

________ 5 H&Ps signed by attending (including the H&P for formal evaluation by Dr. Klipstein)

________ 1 H&P for formal evaluation

________ 1 Admission Orders form

For inpatient rotation #1:

________ at least one faculty evaluation of the student, and

________ at least one resident evaluation of the student, and

________ at least one intern evaluation of the student, and

________ one evaluation of each of the attendings, residents and interns

For inpatient rotation #2:

________ at least one faculty evaluation of the student, and

________ at least one resident evaluation of the student, and

________ at least one intern evaluation of the student, and

________ one evaluation of each of the attendings, residents and interns


All evaluations must be submitted to the clerkship office within 2 weeks after the last day of the clerkship. Evaluations turned in later than 2 weeks after the last day of the clerkship might not be accepted.