Internship & Residency Standardized Letter of Reference - Rating and Narrative Evaluation

Sep 16, 2026

Upload by Rhys

Standardized reference letter form for evaluating an applicant’s suitability for an internship or residency. Collects details about the evaluator’s relationship and length of observation, then uses structured 1–7 likelihood and competency rating scales. Requires short narrative explanations for key ratings, including expected ability to complete the program, work ethic, training difficulty, and performance across clinical knowledge, diagnostic and clinical judgement, patient care, stress management, time management, interpersonal skills, and personal characteristics.

LanguageEnglish

CategoryLetters

FormatPDF

Pages6

Reading Time2 min

AccessFree to download

Internship Standardized Letter of Reference

Evaluator relationship and contact

Program offering likelihood and completion likelihood

Work ethic, training difficulty

Knowledge and clinical skills ratings

Stress and time management ratings

Interpersonal skills ratings

Personal characteristics ratings

Strengths narrative

Areas for improvement narrative

Contact request for additional information

Residency Standardized Letter of Reference

Evaluator relationship and contact

Residency offering likelihood and completion guidance

Work ethic, training, and skills ratings

Internship Standardized Letter of Reference 1. How long have you known or observed the applicant? Select 2. Are you currently working with the applicant? Yes No 3. In what capacity have you known the applicant (check all that apply)? Direct contact – classroom Direct contact – instructional laboratory Direct contact – clinical setting Direct contact – research work Advisor/Mentor Indirect or casual contact Other (please explain) Please elaborate on the type and quality of contact with the applicant. (Limited to 50 words) 4. Hypothetically, if your institution, hospital, or practice permitted internal hiring, how likely would you be to offer an internship position to this applicant if there was a position available? | 1
Extremely
Unlikely | 2 | 3 | 4 | 5 | 6 | 7
Extremely Likely | | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | Please use the text box below to elaborate on your rating for Question \#4 . (Limited to 50 words) 5. In your opinion, how likely do you think this applicant will successfully complete an internship program if the applicant matches? | 1
Extremely
Unlikely | 2 | 3 | 4 | 5 | 6 | 7
Extremely Likely | | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | 6. How would you evaluate the work ethic of this applicant? | 1
Extremely Low | 2 | 3 | 4 | 5 | 6 | 7
Extremely High | Unable to
evaluate | | --- | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | | 7. How would you evaluate the difficulty of training the applicant? | 1
Very Difficult to
Train | 2 | 3 | 4 | 5 | 6 | 7
Very Easy to
Train | Unable to
evaluate | | --- | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | | 8. Please rate the applicant on each of the following attributes using the rating scales below. Rate the extent to which the applicant possesses the following KNOWLEDGE AND CLINICAL SKILLS | | 1
Not at all
proficient | 2 | 3 | 4
Proficient | 5 | 6 | 7
Extremely
Proficient | Unable to
Evaluate | | --- | --- | --- | --- | --- | --- | --- | --- | --- | | Medical knowledge | | | | | | | | | | | | | | | | | | | | Technical skills | | | | | | | | | | Diagnostic skills | | | | | | | | | | Clinical judgement | | | | | | | | | | Patient care | | | | | | | | | Rate the extent to which the applicant displays the following STRESS AND TIME MANAGEMENT ABILITIES | | 1
Does not
display this
ability | 2 | 3 | 4
Displays this
ability | 5 | 6 | 7
Displays high
levels of this
ability | Unable to
Evaluate | | --- | --- | --- | --- | --- | --- | --- | --- | --- | | Remain calm in stressful situations | | | | | | | | | | Quickly recover from stressful situations | | | | | | | | | | Handle constructive criticism | | | | | | | | | | Handle a large caseload | | | | | | | | | Rate the extent to which the applicant displays the following INTERPERSONAL SKILLS | | 1
Not at all
skilled | 2 | 3 | 4
Skilled | 5 | 6 | 7
Extremely
Skilled | Unable to
Evaluate | | --- | --- | --- | --- | --- | --- | --- | --- | --- | | Communicating with clients | | | | | | | | | | | | | | | | | | | | Handling difficult clients | | | | | | | | | | Working with a team | | | | | | | | | | Working with support staff (e.g. technicians) | | | | | | | | | | Working with students, interns, and residents | | | | | | | | | | Working with superiors (e.g. faculty, mentors, and specialists) | | | | | | | | | Rate the extent to which the following PERSONAL CHARACTERISTICS are true of this applicant | | 1
Very untrue
of this
applicant | 2 | 3 | 4
Neutral | 5 | 6 | 7
Very true of
this applicant | Unable to
Evaluate | | --- | --- | --- | --- | --- | --- | --- | --- | --- | | Enthusiastic | | | | | | | | | | | | | | | | | | | | Compassionate | | | | | | | | | | Positive | | | | | | | | | | | | | | | | | | | | Mature | | | | | | | | | | Trustwort

FAQs

What information is collected about the evaluator’s relationship with the applicant?

The form asks how long the evaluator has known or observed the applicant and whether they currently work with the applicant. It also requests the capacity of contact (e.g., classroom, clinical setting, research work) and a brief description of the type and quality of that contact.

How are internship and residency suitability ratings determined?

Question sets use 1–7 scales to rate likelihood of offering an internship/residency and likelihood the applicant will successfully complete the program. Additional scales assess work ethic, training difficulty, and ratings across knowledge, clinical skills, stress and time management, interpersonal skills, and personal characteristics.

What narratives are required in addition to the numeric ratings?

The form requires short text boxes to elaborate on the key likelihood rating for Question 4 and to explain the evaluator’s rating there. It also asks for separate narrative sections for positive ratings/strengths and for neutral or negative ratings/areas needing improvement, with word limits.

Sep 16, 2026

Upload by Rhys