[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-280993-105":53,"doc-detail-280993-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","mlpimg-reference-letter","MLPIMG Reference Letter","","MLPIMG reference letter template for assessing an applicant through structured referee inputs. It collects applicant and referee details, asks whether the applicant could review the letter, and includes conflict-of-interest declarations. It guides the referee to describe working relationship context, training stage, familiarity level, assessment setting, and ratings across professional attributes, clinical skills, language skills, and cultural sensitivity. It also prompts observations for concerns related to collegiality, clinical judgement, patient-centred care, and reliability.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/mlpimg-reference-letter/280993/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/mlpimg-reference-letter/280993.png","ImageObject",442,249,{"name":88,"@type":89},"Riley West","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-19","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":25},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What conflict-of-interest information does the referee need to declare?","Question",{"text":108,"@type":109},"The referee must state whether they have had any relationship with the applicant that could be construed as a conflict of interest, including being related, a close friend, business associate, or treating physician. They can also indicate if they have no conflict or may have a conflict.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How does the template structure the referee’s assessment of the applicant’s work context?",{"text":113,"@type":109},"It asks when the referee worked with the applicant (start/end month-year), the training or practice stage (e.g., undergraduate medical education, postgraduate medical education, independent practice), how well the referee knows the applicant, and whether the referee had adequate exposure to assess fairly.",{"name":115,"@type":106,"acceptedAnswer":116},"What categories are included in the applicant evaluation ratings?",{"text":117,"@type":109},"The template includes ratings for applicant attributes, clinical skills and experiences, language skills (English and French), and cultural and social sensitivity. It also requests descriptive observations when there are concerns about collegiality, clinical judgement, patient-centred care, and reliability.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},280993,1789563441,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":25,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":125,"read_time":73},1099523885074,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","MLPIMG Reference Letter  \nApplicant:  \nReferee Name:  \nPosition:  \nContact Info:  \n\n| Confidentiality of content\u003Cbr>Please indicate if the applicant had an opportunity to review the content of this letter before submission to MLPIMG:\u003Cbr>The applicant did not have the opportunity to review the content of this letter before submission to MLPIMG\u003Cbr>The applicant  had the opportunity to review the content of this letter before submission to MLPIMG\u003Cbr>Conflict of Interest\u003Cbr>\"I declare that I have not, at any point during the time I have known this applicant, had a relationship with this applicant that could be construed as a conflict of interest. This may include but is not limited to being: related, a close friend, business associate or treating physician.”\u003Cbr>I declare no conflict of interest;\u003Cbr>I may have a conflict of interest |  |\n| --- | --- |\n| Briefly explain: | |\n\n\n| Context of Working Relationship |  |\n| --- | --- |\n| When did you work with this applicant? |  |\n| Start: [mm-yyyy]\u003Cbr>End: [mm-yyyy] | |\n| At what stage of training/practice did you work with this applicant?\u003Cbr>Undergraduate Medical Education\u003Cbr>Postgraduate Medical Education\u003Cbr>Independent Practice\u003Cbr>Other (please describe): \u003Cbr>How well do you know the applicant?\u003Cbr>Very well\u003Cbr>Well\u003Cbr>Somewhat well\u003Cbr>Not very well\u003Cbr>Do you feel you have had adequate exposure in a work environment to assess this applicant fairly?\u003Cbr>Yes |  |\n\nNo  \nIs your assessment of this applicant based on direct clinical observation?  \nYes  \nNo  \nPractice Setting – Location  \nPrimarily urban or suburban  \nPrimarily rural or regional  \nCombination of rural and urban  \nPractice Setting – Type  \nPrimarily clinic based  \nPrimarily hospital based  \nCombination of clinic and hospital  \nAssessment of Applicant  \n\n| Anchors for the following questions:\u003Cbr>• Excellent (among the best, better than many R1s)\u003Cbr>• Very good (functioning like an early R1)\u003Cbr>• Good (ready for R1)\u003Cbr>• Fair (teachable but still needs work to be ready for R1)\u003Cbr>• Poor (below expected level despite practice opportunities, not ready for R1)\u003Cbr>• Unable to assess (not observed)\u003Cbr>Applicant Attributes Excellent\u003Cbr>Very Good\u003Cbr>Good Fair Poor\u003Cbr>Unable to Assess |\n| --- |\n| Demonstrates appropriate knowledge base. |\n| Gathers data efficiently and effectively. |\n| Able to define problems and formulate\u003Cbr>appropriate management plans. |\n| Tolerates clinical uncertainty and avoids\u003Cbr>concrete thinking. |\n| Demonstrates compassion and is sensitive to\u003Cbr>patient needs. |\n| Communicates effectively and is able to build\u003Cbr>rapport with patients. |\n| Demonstrates respect for all members of the\u003Cbr>team including clinical and administrative staff. |\n| Demonstrates a positive learning attitude by\u003Cbr>seeking out and receiving feedback without\u003Cbr>defensiveness or undue deference. |\n| Recognizes own limitations, asking for help\u003Cbr>when needed without overly relying on the\u003Cbr>preceptor. |\n| Demonstrates reliability and responsibility by\u003Cbr>attending regularly, being punctual and avoiding\u003Cbr>leaving early. |\n\n\n| Excellent | Very\u003Cbr>Good | Unable to\u003Cbr>Good Fair Poor Assess |  |  |\n| --- | --- | --- | --- | --- |\n| Demonstrates respect and responsibility by\u003Cbr>completing tasks as expected, communicating\u003Cbr>issues appropriately and being responsive to\u003Cbr>emails or other notices. |  |  |  |  |\n| Demonstrates honesty and integrity by taking\u003Cbr>responsibility for their actions. |  |  |  |  |\n| Demonstrates a positive learning attitude by\u003Cbr>seeking out opportunities and showing\u003Cbr>initiative. |  |  |  |  |\n| Demonstrates stamina and resilience when\u003Cbr>coping with unexpected stressors and\u003Cbr>situations. |  |  |  |  |\n| Demonstrates appropriate procedural skills. |  |  |  |  |\n| Demonstrates cultural and social sensitivity\u003Cbr>providing a safe environment for all. |  |  |  |  |\n| Please provide your assessment of the applicant’s clinical skills and experiences, as observed directly by you, by rating their ability to: |  |  |  |  |\n| Clini","cbCaigZJGzbzwvlA","https://ap.wps.com/l/cbCaigZJGzbzwvlA","pdf",481996,6,"English","# Applicant Information\n## Confidentiality and Conflict of Interest\n## Context of Working Relationship\n# Assessment Framework\n## Practice Setting and Exposure\n## Applicant Attributes Rating\n# Clinical, Language, and Cultural Assessment\n## Clinical Skills and Experiences\n## Language Skills\n## Cultural and Social Sensitivity\n# Additional Observations","[{\"question\":\"What conflict-of-interest information does the referee need to declare?\",\"answer\":\"The referee must state whether they have had any relationship with the applicant that could be construed as a conflict of interest, including being related, a close friend, business associate, or treating physician. They can also indicate if they have no conflict or may have a conflict.\"},{\"question\":\"How does the template structure the referee’s assessment of the applicant’s work context?\",\"answer\":\"It asks when the referee worked with the applicant (start/end month-year), the training or practice stage (e.g., undergraduate medical education, postgraduate medical education, independent practice), how well the referee knows the applicant, and whether the referee had adequate exposure to assess fairly.\"},{\"question\":\"What categories are included in the applicant evaluation ratings?\",\"answer\":\"The template includes ratings for applicant attributes, clinical skills and experiences, language skills (English and French), and cultural and social sensitivity. It also requests descriptive observations when there are concerns about collegiality, clinical judgement, patient-centred care, and reliability.\"}]","MLPIMG Reference Letter | PDF"]