USU Department of Pediatrics

Third Year Clerkship-Forms and Materials

CLASS	FORM
Required Observation Forms	Structured Observation - Ward
	Structured Observation - Nursery
	Structured Clinical Evaluation - Health Supervision
Student Handbook	Student Handbook 2011-2012
Graded Exercises	Oral Presentation Guidelines
Graded Exercises	Comprehensive H&P Guidelines
Evaluations	Outpatient Evaluation (Blue Card)
	Inpatient Evaluation
	Clinical Passport
Clerkship Site Director Forms	Student Profile
	Narrative Summary Guidelines
	Site Director Checklist
	Site Director Notes
	Student Evaluation/Narrative
	Grading Worksheet
	CBILS Evaluation Form