Student Evaluation Form

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STUDENT EVALUATION FORM*
Medicinska faculty in Ljubljana
Department for family medicine
Student’s name:
Date:
Mentor’s name:
never
rarely
often
mostly
always
The student can determine the correct reason for the
patient’s visit
Collects all important clinical information
Is able to integrate collected information
Gives a correct working diagnosis
Orders appropriate diagnostic tests
Gives a correct final diagnosis
Can choose an appropriate treatment method
Has sufficient theoretical knowledge to solve problems
Has appropriate practical skills when necessary
Can communicate with the patient appropriately
She/he had an appropriate attitude toward me and my
co-workers.
Is critical about her/his theoretical knowledge and is
willing to learn
*Mentor fills out at the end of the student’s practice rotation.
Additional notes:
Mentor’s signature: _____________________

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