Every Month, Submit to
the PA Office:
| For all rotations: |
| ¨ Location
Form |
Web |
Within 3 days of start of rotation |
| ¨ Mid-Rotation Goals Worksheet |
Fax |
By 3rd Monday of rotation |
| ¨
Written Case or Pharm Note Cards* |
E-mail/bring in/postal mail/fax |
5 days before end of rotation |
| ¨ Patient
Encounter Logs |
Web |
Last day of rotation |
| ¨ Final
Preceptor Evaluation of Student |
Bring in/postal mail/fax |
By end of rotation |
| ¨ Student
Evaluation of Site |
Web |
By end of rotation |
| ¨ Exam |
On campus |
Last day of rotation |
| In addition, for Community
Medicine: |
| ¨Community Medicine Faculty Evaluation |
Bring in/postal mail/fax |
By end of rotation |
| ¨Summary
Report |
Bring in/postal mail/fax |
By end of rotation |
| ¨ Evaluation
of Blackboard |
Bring in/postal mail/fax |
By end of rotation |
| ¨ Evaluation
of Community Medicine Rotation |
Bring in/postal mail/fax |
By end of rotation |
| ¨ Event Logs |
Bring in/postal mail/fax |
By end of rotation |
Jefferson College of Health
Sciences