OHSU

Ambulatory, Interview & Didact Evaluation

Name  
Email  

 

 Please rate the quality of the ambulatory care experience and the didactic session on a 1-5 scale
(1= poor, 3=average, 5=excellent).

Ambulatory

  
Ambulatory Care Experience  
   
   
   
   
   
Name of Ambulatory Care Experience  

Doctor's Name

 

  

Interview Seminar

  
 Interview Seminar  
   
   
   
   
   
 Doctor's Name  

 

Didactic Experience

  
 Personality Disorders: Steve Fritz, M.D  
   
   
   
   
   
 Anxiety and Somatoform Disorders: Susan Smith,  
   
   
   
   
   
 Child Psychiatry: Bob McKelvey, M.D.  
   
   
   
   
   
 Introduction to Psychotherapy: James Boehnlein  
   
   
   
   
   
 Geriatric Psychiatry: Linda Ganzini, M.D.  
   
   
   
   
   
 Schizophrenia: Bill Hoffman, M.D.  
   
   
   
   
   
 Community Mental Health Issues: David Pollack  
   
   
   
   
   
 Mood Disorders: Erick Turner, M.D.  
   
   
   
   
   
 Psychotherapy: John Beahrs, M.D.  
   
   
   
   
   
 Substance Abuse: Marian Fireman, M.D.  
   
   
   
   
   
 Substance Abuse: Marian Fireman, M.D.