M4 Clerkship Resources

  1. Request End-of-Shift Evaluation: Please fill this out at least 90 minutes before the end of every shift. You should enter the email of the attending or senior resident you primarily staffed your patients with during your shift.

  2. Attending Evaluation: Please fill out 6 attending evaluations during your rotation. Anonymous Student Login (Institution: Cook County CCBH, Username: emsrstudent, Password: emergencydeptcch), left-side column “Create an Evaluation” and select appropriate attending.

  3. Shift Log

  4. Portfolio Presentation Guidelines: Example #1, Example #2, Example #3


  1. Student Evaluations: Give to the attending or senior resident you primary staffed your patients with during your shift. Please give one per shift, and the attending/resident will complete on-the-spot.

  2. Attending Evaluation: Please fill out 6 attending evaluations during your rotation. Anonymous Student Login (Institution: Cook County CCBH, Username: emsrstudent, Password: emergencydeptcch), left-side column “Create an Evaluation” and select appropriate attending.

  3. Please submit your signed attendance sheet directly to your school.

For RFUMS M3 students:


For Rush students: 

The following forms are for rotating Rush M4 students only. If you are a visiting student NOT from Rush, you do not need to fill out these forms.