Grades for the preclinical courses are as follows: Honors in 6, Near Honors in 4 and Satisfactory in 1.

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1 John Doe Medical Student Performance Evaluation School of Medicine Undergraduate Medical Education Mail code: CL5MD 2730 SW Moody Ave. Portland, OR tel fax Office of Admissions tel INTRODUCTION John Doe has applied to your program for residency training from Oregon Health & Science University School of Medicine located in Portland, Oregon. This letter will help you to interpret the student s academic abilities and personal characteristics, as well as to better appreciate important aspects of the medical education program. While grade point averages and numerical class ranking are not calculated for our students, it is hoped that this letter, the academic transcript and other letters of recommendation will enable you to make a thorough assessment. Continuing Medical Education Mail code: L602 tel fax Development and Alumni Relations tel fax Graduate Medical Education Mail code: L579 tel fax Graduate Studies tel ACADEMIC HISTORY Matriculation: Monday, August 15, 2011 Expected Graduation: June 12, The student will have participated in 161 weeks of required teaching. Combined Degree: None Leaves of Absences: John took a leave of absence to pursue research from September of 2014 through June of Other Actions: None ACADEMIC PROGRESS PRECLINICAL RECORD The preclinical curriculum consists of multi-disciplinary units in the basic medical sciences beginning with a focus on normal structure and function and concluding with an emphasis on disease processes and their management. The Principles of Clinical Medicine course addresses a spectrum of health care issues important to physicians and society, provides patient examination skills development, and a continuity clinical preceptorship experience throughout the first and second years. Grades for the preclinical courses are as follows: Honors in 6, Near Honors in 4 and Satisfactory in 1.

2 EVALUATION COMMENTS FROM PHYSICIAN PRECEPTORS IN YEARS 1 & 2 INCLUDE: John is a very strong student. He is clearly quite bright and learns well through observation. He is an active participant in his medical education and is readily able to apply what he learns. His clinical curiosity is good. He does an excellent job with independent learning and investigates what he does not know. CLINICAL CLERKSHIP COMMENTS AS RECEIVED FROM DEPARTMENT (The following are excerpts taken from the Student s evaluations) Internal Medicine Honors Summer John showed great maturity for a third year student when he paused when the patient identified a very hard experience, validating the patient s feelings and giving him a moment before moving on Jordan s strong suit is his ability to get the story. He did this because he is a good listener and also heard what the story details in context to what the patient values. He is (also) good at the physical exam and seems curious about it. John consistently provided excellent, well-thought out and professional presentations on rounds. He was able to focus on the salient points and provide the appropriate information to allow the team to assess the patient appropriately. As he becomes more confident and less nervous, he will shine even more as the content is excellent. In fact, one attending who noted this stated that she noted superb progress and building of confidence in John to the point of excellent to outstanding presentations after our two week time together. By the end of the clerkship, Jordan s progress notes had become targeted, sequenced well, reflected team s thinking and yet Jordan s own thinking. One of his OHSU attendings wrote that most amazing to me was Jordan s ability to manage tough questions posed to him by difficult patients while he was presenting. He did this better than many residents. The reason I think is because John focused on the patient s words and could reframe what was posed in the moment and yet really still listen John is a wonderful learner, curious, activated, well-read and responsive to information in his assessments and plans. One recent MGH resident, now OHSU attending, wrote that John went far and above what I have seen from sub-is, residents or attendings. Did not just hit the two required and stop John understands the relationship between clinical problems and the plan. In summary, John is an exemplary student who performed in an outstanding manner, especially after getting his nerves under control. He showed a lot of higher level clinical reasoning skills and potential for further and probably rapid growth on his already very firm foundation after just his first clerkship.

3 Psychiatry Near Honors Fall John is a reliable, professional and motivated student who demonstrated consistent improvement over the course of the rotation. He demonstrated good rapport with patients, his oral presentations and written documentation were good and he definitely was an asset to our multidisciplinary team. He sought out and was responsive to feedback on his performance. He demonstrated an appropriate fund of knowledge for a 3rd year medical student. He establishes phenomenal rapport with patients. Pediatrics Near Honors Fall John is an excellent medical student, often operating at the level of an intern. He displayed eagerness toward learning and patient care and assisted the team on daily rounds. John is professional, competent, smart and well spoken. He gave thoughtful presentations, reporting information accurately and developing thoughtful impressions. John quickly picked up the ability to include pertinent positives and negatives and seemed very at ease presenting in front of patients and families. He has a calm, professional bedside manner and was a positive member of the team. He worked on committing to management plans and this skill matured. Patient write-ups were very good as was a presentation on endocardial cushion defects. He had well formulated assessments, was able to come to thoughtful differential diagnoses, and often had plans formulated that were above and beyond his peers at the same level of training. He also formed good relationships with his patients and their families. He will be an excellent resident in whatever field he chooses. Surgery Honors Winter John did an outstanding job on the Surgery 720 rotation. His fund of knowledge was above peers for his level of training based on the exam. John gave an overall excellent performance during the rotation. He was very hard working and thorough with presentations. His history write ups were always well done. John was truly a stellar medical student. He was prepared on the wards, in clinic, and in the operating room. He has an excellent attitude and was eager to learn. He was always trying to read as much as possible about the patient and specific diseases. His ability to summarize and analyze was impressive. He knew anatomy to a level we haven t seen in years. His presentations were those of a very experienced resident. He took good care of his patients. He s also very humble and doesn t show up the other medical students. He integrates well into the team and cares for his patients. Obstetrics & Gynecology Honors Winter John took initiative to manage every patient on the service and did it with ease. He was always helpful and willing to go above and beyond for both the patients and furthering his own knowledge. I worked with John during the 2-week Gynecology Oncology portion of his OB/GYN rotation. He operated at the level of a sub-i during his Gyn Oncology rotation. He was interested, very well read, and knew every answer to the difficult questions asked by attendings in the operating room. His technical skill as an assistant was very welcome in the operating room, and he served as a better assistant than most of our interns. He had wonderful hands and was adept at his subcuticular suturing. He had the knowledge and clinical acumen of an experienced sub-i. He was consistently prepared for rounds and clinic and was appropriately active in the OR. Eager to provide great care and learn and very sensitive to patient needs as well as needs of colleagues. Seeks feedback and integrates it immediately. Rural Health Honors Spring Dr. Naqvi noted John was one of the more exceptional students I have had the pleasure of precepting. Whatever field he chooses for a career, he will do very well. The overall evaluation by the preceptor of Jordan s clerkship in Florence was Honors. John handled all aspects of communication and referrals with a good level of understanding of community resources and was quick to recognize the limited resources of rural health care.

4 Family Medicine Honors Spring John was amazing. He had a calm professional demeanor and worked well with staff and patients alike. He was well read, interested in learning, brought in topics to discuss, was helpful with the routine work of the clinic and made himself available. He was absolutely superior in every single skill. I look forward to seeing him develop his skills and I have no doubts that he will be a great physician! PROFESSIONALISM ASSESSMENT Outlined below are the professionalism standards assessed during each of the required clerkships: Honesty and Integrity: Dependable for reporting accurate information; handles confidential information appropriately; and accepts responsibility for their assigned role in the care of patients and the clerkship. Respect for Others and Teamwork: Avoids arrogance toward others; behaves in a respectful manner to people with differing beliefs and personalities; collegially works with nurses and other professionals; demonstrates respect for other learners; and appropriately attributes sources of information in written products. Respect for Patients: Demonstrates compassion for patients and appropriately advocates for patients needs. After final assessment, John Doe has met the OHSU School of Medicine professionalism expectations. UNIQUE CHARACTERISTICS John is a well-rounded and exceptional student who has consistently applied himself in medical research, volunteer work and leadership throughout medical school. Notably, John is an active research scholar and contributor to medical literature. He has authored multiple published articles, abstracts and conference presentations while in medical school. John is a passionate volunteer at the Southwest Community Clinic of Portland, and an adept teacher leading tutoring workshops in pathophysiology and suturing courses. John has been an active leader as OHSU representative of the Oregon Institute for Health Improvement chapter. John is a running enthusiast, competing in

5 local races/marathons, and enjoys mountaineering, cross-country skiing, film photography and flyfishing. SUMMARY John was elected to Alpha Omega Alpha as a Senior. Students at Oregon Health & Science University School of Medicine are recommended as candidates for postdoctoral training in four categories based upon an evaluation of their overall academic performance. This final assessment is based on a relative weighting of 33% for performance in the preclinical curriculum and 66% performance in the core clinical clerkships. The categories include: Outstanding (29), Excellent (41), Very Good (35), and Good (28). Following careful consideration by the Residency Advisory committee, John Doe has been recommended as an Outstanding candidate. Sincerely, Tracy Bumsted, M.D., M.P.H. Nicole Deiorio, M.D. Ben Schneider, M.D. Associate Dean for Undergraduate Assistant Dean for Assistant Dean for Medical Education Student Affairs Student Affairs P.S. If you have specific questions regarding this applicant, Dr. Bumsted can be reached at or bumstedt@ohsu.edu. Oregon Health & Science University School of Medicine Class of 2016 Third Year Curriculum Internal Medicine 10 weeks Family Medicine 5 Obstetrics and Gynecology 5 Pediatrics 5 Psychiatry 5 Rural and Community Health 5 Surgery 5 Further Information The Class of 2016 will have 125 graduates. OHSU requires all students to complete two 4 th year Sub internships or ICU rotations in Internal Medicine, Family Medicine, Pediatrics, Obstetrics and Gynecology, Psychiatry or Surgery. OHSU has an active Alpha Omega Alpha Chapter. OHSU has an active Gold Humanism Honor Society. OHSU requires that students must pass USMLE Step 1 to enter the third year of medical school. All students must pass Step 2CS and Step 2CK in order to graduate. The narrative comments in the MSPE are reported exactly as written, with corrections made to reflect proper punctuation, grammar, spelling, etc. OHSU is completely in compliance with the AAMC Guidelines for Medical Schools Regarding

6 Academic Transcripts. Students are permitted to review the MSPE prior to its transmittal. Note: The grade of IP signifies that the Principles of Clinical Medicine is a full year course and the actual grade and credits are awarded spring term of the current academic year.