Are you evaluating an emergency physician working in the ED?

Gender of the physician

Is/Does the patient being examined?

• intoxicated on drugs and/or alcohol?

• experiencing withdrawal from drugs and/or alcohol?

• have a severe mental illness?

• delirious?

Is the patient, family or friends frustrated by waiting or a failure to have expectations met?

Has the physician had to do something the family did not want done?

Does the emergency department have a history of violence?

Select an appropriate answer for each finding

Physician's level of experience

Ability of the physician to handle conflict


Please fill out required fields.