{"id":1251,"date":"2025-07-01T21:34:53","date_gmt":"2025-07-01T21:34:53","guid":{"rendered":"https:\/\/www.med.unc.edu\/md\/curriculum\/?page_id=1251"},"modified":"2026-03-11T19:39:10","modified_gmt":"2026-03-11T19:39:10","slug":"common-assessment-form-guide","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/md\/curriculum\/opportunities-and-programs\/preceptor-resources\/common-assessment-form-guide\/","title":{"rendered":"Competency Assessment Form Guide"},"content":{"rendered":"<p>The UNC MD Program uses the Competency Assessment Form that allows faculty, preceptors, fellows, and residents to evaluate medical student performance in the clinical setting.\u00a0 Below is important information and instructions.<\/p>\n\n<!-- iframe plugin v.5.2 wordpress.org\/plugins\/iframe\/ -->\n<iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/8cE6K9ld-aY?si=lLDFf3dLkzZWm2cB\" title=\"UNC SOM Competency Assessment Form\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" 0=\"allowfullscreen&gt;&lt;\/iframe\" scrolling=\"yes\" class=\"iframe-class\"><\/iframe>\n\n<hr \/>\n<h2>Conflict of Interest<\/h2>\n<p><a href=\"https:\/\/www.med.unc.edu\/md\/policies\/#Conflict_of_Interest\">UNC School of Medicine &#8220;Non-Involvement of Healthcare in Student Education&#8221; policy<\/a> states that a resident or attending <u>cannot<\/u> evaluate the academic performance of any student for whom they have provided health care (including psychological and reproductive health care). If you identify a conflict of interest, please contact the course director or coordinator immediately in order to assign appropriate evaluators.<\/p>\n<h2>Competency Assessment Form Basics<\/h2>\n<ul>\n<li>Complete Competency Assessment Forms in a timely manner so that the UNC School of Medicine complies with accreditation standards.<\/li>\n<li>The school uses the One45 system to evaluate students. <a href=\"https:\/\/www.med.unc.edu\/it\/services\/student-systems-support\/one45\/\">More information on One45<\/a>.<\/li>\n<li>The forms are <u>not<\/u> anonymous.<\/li>\n<li>The Competency Assessment Form assesses student performance on each of the <a href=\"https:\/\/www.med.unc.edu\/md\/curriculum\/curriculum-overview\/md-program-competencies-and-enabling-competencies\/\">UNC SOM Core Competencies<\/a>.<\/li>\n<\/ul>\n<h2>Comments<\/h2>\n<p>Your input is very important for the student&#8217;s development and to contribute to the student&#8217;s Dean\u2019s Letter (also referred to as the Medical Student Performance Evaluation or MSPE). Please provide detailed comments, using examples when necessary. There are two sections for comments and <u>both<\/u> are visible to students.<\/p>\n<ul>\n<li><strong>For Dean&#8217;s Letter Comments: (Official comments to be included in the Dean&#8217;s Letter)<\/strong>\n<ul>\n<li>Summarize performance<\/li>\n<li>Address Knowledge, Skills, and Abilities.<\/li>\n<li>Relate to competencies and learning objectives of the clerkship.<\/li>\n<li>Cite specific positive examples.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Formative Comments (will not be included in the Dean\u2019s Letter)<\/strong>\n<ul>\n<li>Provide honest feedback for growth.<\/li>\n<li>Explain deficiencies, specific using examples.<\/li>\n<li>Provide encouragement.<\/li>\n<li>Offer behaviorally based feedback that is non-judgmental.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>The UNC MD Program uses the Competency Assessment Form that allows faculty, preceptors, fellows, and residents to evaluate medical student performance in the clinical setting.\u00a0 Below is important information and instructions. Conflict of Interest UNC School of Medicine &#8220;Non-Involvement of Healthcare in Student Education&#8221; policy states that a resident or attending cannot evaluate the academic &hellip; <a href=\"https:\/\/www.med.unc.edu\/md\/curriculum\/opportunities-and-programs\/preceptor-resources\/common-assessment-form-guide\/\" aria-label=\"Read more about Competency Assessment Form Guide\">Read more<\/a><\/p>\n","protected":false},"author":79967,"featured_media":0,"parent":1248,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-1251","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Competency Assessment Form Guide - MD Curriculum<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/md\/curriculum\/opportunities-and-programs\/preceptor-resources\/common-assessment-form-guide\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Competency Assessment Form Guide - MD Curriculum\" \/>\n<meta property=\"og:description\" content=\"The UNC MD Program uses the Competency Assessment Form that allows faculty, preceptors, fellows, and residents to evaluate medical student performance in the clinical setting.\u00a0 Below is important information and instructions. 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