Evaluation & Assessment

The following forms are used to assess the performance of residents, supervisors, and rotations. All of these forms are now available online at MedHub, an electronic evaluation system. Written evaluations are not accepted. If you have any questions about the system, please contact either Charisa Quintal or Athena Wong. Thank you.

Forms for Residents

Psychotherapy Seminar Evaluation Form: use this form to evaluate psychotherapy seminars and the seminar leader.
Supervisor/Rotation Evaluation Form: use this form to evaluate supervisors and rotations.

Forms for Supervisors

360-Degree Evaluation Form
Addiction Psychiatry Evaluation Form
CBT/BAP Tutorial Evaluation Form (Outpatient Psychiatry)
Chief Resident Evaluation Form
Child & Adolescent Psychiatry Evaluation Form
Clinical Skills Verification Form
Consult-Liaison Psychiatry Evaluation Form
Emergency Psychiatry Evaluation Form
Forensic Psychiatry Evaluation Form
Generic Evaluation Form (please use if other forms are not appropriate)
Geriatric Psychiatry Evaluation Form
Inpatient Psychiatry Evaluation Form
Long-Term Care Clinic (LTCC) Evaluation Form
Outpatient Psychiatry Evaluation Form
Primary Care Consultation Evaluation Form
Private Practice Elective Evaluation Form
Psychotherapy Seminar Evaluation Form
Research Evaluation Form
Student Health Evaluation Form
Teaching Elective Evaluation Form
VA Urgent Care Evaluation Form

Forms for Training Director

Summary Statement of Training
Summative Evaluation of Competencies

Psychotherapy Competencies & Evaluation Forms

Cognitive-Behavioral Therapy
Psychodynamic Psychotherapy
Psychotherapy/Supervision
Supportive Therapy

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Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560
206-543-6577
email: psychres@u.washington.edu