Appendix Items

• Appendix #1 - UCR SOM Competencies
• Appendix #2 - Contact Information
• Appendix #3 - Sample Forms for Patient Care
• Appendix #4 - Presentation Skills and a Pocket Cheat-Sheet
• Appendix #5 - Clerkship Grade Appeals Form
• Appendix #6 - Clerkship Remediation Plan
• Appendix #7 - Clerkship Completion Rules in Year 3
• Appendix #8 - Grading and Evaluations for Pediatrics, OB/GYN, Psychiatry, Internal Medicine, and Surgery
• Appendix #9 - Please see Assessment Forms below
• Appendix #10 - Critical Care Assessment Forms and Grading Rubrics
• Appendix #11 - Grading Rubric (2018 vintage) for SOAP Note, used in OSCEs Only
• Appendix #12 - Research Elective Request Form
• Appendix #13 - School of Medicine MS4 Expectations
• Appendix #14 - Scholarly Activity Elective Request Form
• Appendix #15 - MS4 Advisor Guide
• Appendix #16 - Student Fatigue Mitigation Policy, 2020-2021 Academic Year
• Appendix #17 - Healthcare Conflicts with Religious Days

Assessment Forms

Mid-Clerkship Assessment Forms

• Mid-Clerkship Mini-Assessment by Faculty or Resident Supervisor Form
• Mid-Clerkship Formative Assessment by Student and Faculty Form
• Mid-Clerkship Formative Assessment by Faculty Form

Other Assessment Forms

• H&P Observation Form
• Sample Episodic Feedback Form for Psychiatry