Assists in developing new skills 1 2 3 4 5 (clinical, research, teaching, etc.) Comments: Clinical Support Assists with setting goals & 1 2 3 4 5 identifying potential opportunities Assists in developing new skills 1 2 3 4 5 (clinical, research, teaching, etc.) Comments: Teaching Support Assists with setting goals & 1 2 3 4 5 identifying potential opportunities Assists in developing new skills 1 2 3 4 5 (clinical, research, teaching, etc.) Comments: Psychosocial Support Promotes work-life balance 1 2 3 4 5 Respectful 1 2 3 4 5 Engaged and actively listens/ 1 2 3 4 5 participates Comments: Additional Questions Do you have a good fit with your mentor? Yes No Would you like to change mentors? Yes No Comments:
Assists in developing new skills (clinical, research, teaching, etc.) 1 2 3 4 5 Comments: Clinical Support Assists with setting goals & identifying potential opportunities 1 2 3 4 5 Assists in developing new skills (clinical, research, teaching, etc.) 1 2 3 4 5 Comments: Teaching Support Assists with setting goals & identifying potential opportunities 1 2 3 4 5 Assists in developing new skills (clinical, research, teaching, etc.) 1 2 3 4 5 Comments: Psychosocial Support Promotes work-life balance 1 2 3 4 5 Respectful 1 2 3 4 5 Engaged and actively listens/ participates 1 2 3 4 5 Comments: Additional Questions Do you have a good fit with your mentor? Yes No Would you like to change mentors? Yes No Comments:
admin_clinical_and_teaching_mentor_evaluation_form.docx