OTHCommendation

					COMMENDATION CARD

TO: FACULTY
FROM: PROGRAM DIRECTOR
RE: NOTE ABOUT RESIDENT PERFOMANCE

Please complete and submit this card to me when you wish to compliment a resident for
her/his performance. This information will be conveyed to the resident and noted in the
resident’s file.

Name of Resident: ____________________________________ Date: ______________

My praise about the performance of this resident is based upon her/his demonstration of
exceptional ability in the following: (Please check all that apply.)

_______ clinical skills
_______ communication skills
_______ medical knowledge
_______ clinical judgment
_______ teaching
_______ professional attitude and behavior
_______ humanistic qualities
_______ the management and leadership of the team

Please include any additional comments.

Name: _____________________________________________

				
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