Anthony was transferred to my clinical group mid-level. He had several deficiencies on his mid-level evaluation conducted by Mr. Kaslavage. Unfortunately, I have only had four days to evaluate Anthony. In the four days he has only submitted one clinical  preparation due to a medication administration on one of the two Mondays. The clinical preparation he did submit was incomplete due to a personal issue he was having affecting his ability to complete the assignment. Anthony was asked to complete the information that Monday but failed to do so. He was also asked on the last clinical day to see me in order to submit another preparation to determine competence but failed to follow-up. As a result he has received an unsatisfactory in the completion of clinical preparation section.

Anthony has also received an unsatisfactory in professionalism due to his inability to keep personal issues from impacting his clinical experience. He has had two personal incidents that affected him clinically. One that was previously mentioned related to his inability to complete his clinical preparation. The other was on the last day of clinical when he vomited three times for what he states was due to his \"GERD\". He was loud and visibly ill in front of the entire clinical group and some staff. One staff member actually exited the bathroom quickly due to his abrupt loud wreching with the bathroom door open. I had to tell Anthony as he was becoming visibly ill to excuse himself to the bathroom a short distance away and to stop the display of behavior in the hall. Due to his lack of control he was dismissed and told to follow-up with his physician if his reflux was that uncontrolled. It was quite disruptive and noticeable to his peers and staff. 

Anthony received an unsatisfactory in the professionalism and communication portion of the evaluation in relation to his inability to communicate with peers. Anthony has only been in the company of this clinical group for a short time. In this limited time several students approached me with concerns about Anthony\'s communication style. As a result I have serious concerns about Anthony\'s ability to communicate professionally with peers, faculty and patient\'s.

Anthony has difficulty controlling his behavior which directly impacts his clinical experience. Personal issues, issues with completion of preparation, issues with peers are a common theme reflected in his mid-level and end of level evaluation.