Appendix M: Tool for Peer Review of Clinical Teaching

Professionalism

Demonstrates respect for patients, coworkers and students

5

4

3

2

1

Demonstrates ethical conduct and discusses ethical issues with students

5

4

3

2

1

Exemplifies professionalism

5

4

3

2

1

Demonstrates enthusiasm

5

4

3

2

1

Serves as an appropriate clinical role model

5

4

3

2

1

Comments:

Technical Competence

Demonstrates up-to-date clinical skills

5

4

3

2

1

Demonstrates up-to-date knowledge

5

4

3

2

1

Develops an appropriate treatment plan

5

4

3

2

1

Comments:

Interaction with Students

Establishes rapport

5

4

3

2

1

Encourages all students to participate

5

4

3

2

1

Asks appropriate questions

5

4

3

2

1

Encourages students to defend their opinions

5

4

3

2

1

Elicits opinions before offering a diagnosis

5

4

3

2

1

Provides appropriate feedback

5

4

3

2

1

Comments: