MOREHOUSE SCHOOL OF MEDICINE
PUBLIC HEALTH AND PREVENTIVE MEDICINE

Resident's Midpoint Review

The midpoint review is an open-ended discussion to review the practical experience in preventive medicine and the specific goals and strategies of the learning contract. The review should be brief and focused on making adjustments to meet the needs of the resident and the preceptor. The checklist below is only a guide.

1.   Complete the form on this web page.
2.   Print the form (for signatures), before you click Submit.
3.   Click Submit.
4.   Send or FAX signed form to the program office at (404-752-1160). 

Resident
Date:
Preceptor Name
  
I. RESIDENT PERCEPTIONS: Yes No
   1. Problems with schedule?
   If yes, specify:
   2. Problems with Staff?
   If yes, specify:
   3. Issues to discuss:
  Yes No
   4. Are learning goals realistic?

   5. Are learning goals Achievable?
   6. Progress on goals/assignments?  
   
   7. Changes of Goals?
    
   8. Assistance needed in meeting goals?

    
   9. Other Comments?
    
II. PRECEPTOR PERCEPTIONS: Yes No
   1. Problems with schedule?
   If yes, specify:
   2. Problems with Staff?
   If yes, specify:
   3. Issues to discuss:
  Yes No
   4. Are learning goals realistic?

   5. Are learning goals Achievable?
   6. Progress on goals/assignments?  
   
   7. Changes of Goals?
    
   8. Other Comments?
    

Resident Signature: 
Date:
Preceptor Signature:  Date:

Remember to Print this form before you Submit. 
Then Sign and Send or FAX signed form to:   FAX 404-756-1312).