Medical Consultant Interview Evaluation Form
Please complete the Medical Consultant Interview Evaluation Form to assess the candidate’s suitability for the medical consultant role based on their interview performance.
Candidate Name
*
First Name
Last Name
Evaluator Name
*
First Name
Last Name
Date of Interview
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Position/Specialization Interviewed For
*
Interview Evaluation
*
Rows
Poor
Fair
Good
Excellent
Communication & Professionalism
1
2
3
4
Clinical Knowledge
5
6
7
8
Decision-Making & Problem Solving
9
10
11
12
Case Discussion Performance
13
14
15
16
Strengths Observed
Areas of Concern
Final Recommendation
*
Strongly Recommend
Recommend
Recommend with Reservations
Do Not Recommend
Follow-up Notes / Additional Comments
Submit Evaluation
Should be Empty: