MSPE On-Line Request Form, Class of 2016

MSPE  REQUEST FORM, Class of 2016

The process of writing  the Medical Student Perforance Evaluations (MSPE) will be done  from February-June of 2015. The OSA staff will write the initial drafts of the MSPEs, based on your Biosketch, CV, and student file.  The Student Affairs Deans will write the unique characteristics paragraph and the final paragraph of the MSPEs, based on the above information as well as from meeting with you.  Dr. Angela Jackson, the Associate Dean of Student Affairs, will do a final read of all letters before signing them.

Please complete and submit the form below to request the Student Affairs Dean you would like to write your MSPE, by Monday, February 9, 2015. We will make every effort to use your selection, but we also need to distribute the workload in an equitable way.

You are expected to make a one hour appointment to meet with Dean who will be writing your MSPE during the months of February-May, to discuss the letter, as well as your plans for residency.

Please be sure to make your selections based on which person knows you well, and with whom you feel most comfortable working. All have extensive experience in counseling and working with students going into every area of medicine.

MSPE On-Line Request Form

Your choice of Student Affairs Deans, and their specialties, are:

  • Dr. Angela Jackson, Associate Dean of Student Affairs: Internal Medicine; General Internist; interests in medical education & health policy; former Program Director
  • Dr. John Polk, Assistant Dean for Student Affairs; retired Cardiothoracic Surgeon
  • Dr. Kenneth Grundfast, Assistant Dean for Student Affairs: Chair and Professor, Department of Otolaryngology-Head and Neck Surgery
  • Dr. Karen Symes, Assistant Dean for Student Affairs; Associate Professor of Biochemistry
  • Dr. Dan Chen, Assistant Dean for Student Affairs, Assistant Professor of Medicine, Associate Medicine Clerkship Director
  • Dr. Robert Beazley: Professor of Surgery emeritus; Former Chair, Section of Oncology and Endocrinology
  • Dr. Rafael Ortega:  Associate Dean for Diversity and Multicultural Affairs; Professor and Vice-Chairman of Academic Affairs, Department of Anesthesiology.
  • Dr. Samantha Kaplan: Assistant Dean for Diversity and Multicultural Affairs; Assistant Professor of Obstetrics & Gynecology.

  • Please contact Susan Norris in the Office of Students Affairs with any questions.