TABLE 1
360-degree assessment form: inpatient residents, acute
inpatient residents, acute inpatient rehabilitation rotations
Item No. Item
1 Overall competence/performance
Quality of patient care items
2 Clinical judgment/decision making
3 Leadership skills
4 Application of medical knowledge
5 Examination skills
6 Diagnostic skills
7 Documentation
8 Education of patient and family
9 Participation/supervision of all aspects of
treatment
Personal characteristics/
professionalism items
10 Dependability/sense of responsibility
11 Sensitivity/compassion
12 Initiative
13 Organizational skills
14 Management skills
15 Respect for others
16 Self-confidence
17 Promptness
18 Receptivity to criticism
Communication items
19 Rapport with nonphysician personnel
20 Rapport with patients and families
21 General interpersonal skills
22 Clarity of communication
23 Frequency of communication
24 Collaboration/goal setting
25 Attendance at meetings
26 Participation in meetings
396 Musick et al. Am. J. Phys. Med. Rehabil. .Vol. 82, No. 5
