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Evaluation Policy
1. To provide useful formative and summative evaluation for residents throughout their residency.
2. To identify areas of weakness early in the program, such that remedial action may be instituted to assist the resident.
3. To develop a comprehensive evaluation system to demonstrate resident proficiency in the ACGME General Competencies
Refer to Appendix 1 for overview of evaluation mechanisms and competencies evaluated.
1. 360-Degree Evaluation Instrument
This form is completed by attending faculty who have interacted with the resident, peer residents, and a nurse. This instrument specifically evaluates the following required skills:
a. Patient Care : caring and respectful behaviors, interviewing, develop and carry out patient management plans, counsel and educate patients, medical procedures, ability to work within a team,
b. Medical Knowledge: investigatory and analytic thinking, knowledge and application of basic sciences
c. Practice-Based Learning and Improvement: analyze own practice for needed improvements, use of information technology, facilitate learning of others
d. Interpersonal and Communication Skills: creation of therapeutic relationship with patients, listening skills,
e. Professionalism: respectful, altruistic, ethically sound practice, sensitive to cultural, age, gender, liability issues
f. Systems-Based Practice: understand interaction of their practices with the larger systems, practice cost-effective care, advocate for patients within the health care system
This evaluation is completed by patients in the resident continuity clinic. This information is collected twice a year. This instrument specifically evaluates the following required skills:
a. Patient Care: caring and respectful behaviors, counsel and educate patients and family
b. Practice-Based Learning and Improvement: analyze own practice for needed improvement
c. Interpersonal and Communication Skills: creation of a therapeutic relationship with patients, listening skills
d. Professionalism: respectful, altruistic, ethically sound practice, sensitive to cultural, age, gender disability issues
e. Systems-Based Practice: advocate for patients within the health care system
This evaluation is done by attending faculty, who review electronic medical records. This instrument evaluates the following required skills:
a. Patient Care: develop and carry out patient management plans, preventive health services
b. Practice-Based Learning and Improvement: analyze own practice for needed improvements, uses of evidence from scientific studies
c. Systems-Based Practice: practice cost-effective care
The residents participate in the yearly CREOG examinations. This instrument evaluates the following required skills:
a. Medical Knowledge: Knowledge of application of basic sciences
b. Practice-Based Learning and Improvement: use of evidence from scientific studies, application of research and statistical methods.
c. System-Based Practice: knowledge of practice and delivery systems
This form is completed in an ongoing manner by the residents and catalogues all of the clinical experiences, both inpatient and ambulatory. This case log is reviewed at regular intervals with the resident to identify areas of inexperience and strengths. This instrument evaluates the following skills:
a. Patient Care Medical procedures, preventive health services
b. Practice-Based Learning and Improvement: use of information technology
This form is completed by the residents every six months, and allows the resident an opportunity to assess her/his strengths, weaknesses, and goals.
This portfolio is started in internship and continued throughout the four years of residency. It has the following components:
a. Case Conference evaluations
These evaluations are collected after presentation of cases that have been done by the resident. The resident presents an interesting medical case, reviews the literature and critiques the care provided as well as reviews the alternative options for management.
Purpose: To evaluate competency in practice-based learning and improvement
b. Journal Club Evaluations
These evaluations are collected after presentation at Journal Club, at which time the assigned resident reviews a significant article in terms of statistics and relevance to current practice.
Purpose: To evaluate competency in practice-based learning and improvement
c. Obstetrics Procedure Evaluations
These are evaluations of required procedures to be learned by the resident, as outlined specifically in the Educational Curriculum. The resident will approach a senior physician when they feel ready to be evaluated on a specific procedure. The senior physician will then complete an evaluation with the resident, reviewing specific surgical skills, and the evaluation will be kept in the resident portfolio
d. Gynecology Procedure Evaluations
As per Obstetrics Procedure Evaluations
e. Ambulatory Procedure Evaluations
As per Obstetrics Procedure Evaluation
f. Statistics
The resident’s case log will be kept in the Resident Portfolio so that the statistics can be easily reviewed and deficits in experience can be identified early.
g. Self-Education
The residents will complete the required Self-Education Modules, which will allow the resident to be exposed to non-traditional educational methods. The resident will complete an evaluation of the module, which will serve as documentation that the module was completed and will also allow revision of modules. The components of the Resident Portfolio evaluate the following required skills:
a. Patient Care : caring and respectful behaviors, interviewing, develop and carry out patient management plans, counsel and educate patients, medical procedures, ability to work within a team,
b. Medical Knowledge: investigatory and analytic thinking, knowledge and application of basic sciences
c. Practice-Based Learning and Improvement: analyze own practice for needed improvements, use of evidence from scientific study, application of research and statistical methods, use of information technology, facilitate learning of others
d. Interpersonal and Communication Skills: creation of therapeutic relationship with patients, listening skills,
e. Professionalism: respectful, altruistic, ethically sound practice, sensitive to cultural, age, gender, liability issues
f. Systems-Based Practice: understand interaction of their practices with the larger systems, practice cost-effective care, advocate for patients within the health care system, practice cost-effective care, knowledge of practice and delivery systems.
The residents will participate once per year in the OSCE examination. The examination consists of three clinical stations and a billing station. This evaluation instrument evaluates the following competencies:
a. Patient Care: Caring and respectful behavior, interviewing skills, informed decision-making, developing and carrying out patient management plans, counsel and educate patients, medical procedures, , performance of routine physical exam, preventive health services
b. Medical Knowledge: Investigatory and analytic thinking, knowledge and application of basic sciences
c. Interpersonal and Communication Skills: Creation of therapeutic relationship with patients, listening skills
d. Professionalism: Respectful, altruistic, sensitivity to cultural, age gender and disability issues
e. Systems-based Practice: Understand interaction of practice within larger system.
This will be a comment about the resident’s compliance with departmental administrative requirements including, but not limited to: Statistics recording in a timely and complete fashion, submission of evaluations for resident portfolio, completion of evaluations of rotations and other residents as requested, re-certification requirements and attendance at required didactic lectures.
Residents will have formal evaluations every six months with either the Director of the Residency program or Associate Director(s). Interim evaluations will be scheduled if a need for formative evaluation is identified by the Program Director.
Prior to each evaluation session the following will be completed:
1. The resident will be evaluated by all attendings every six months.
2. 360 Degree Evaluation Forms will also be automatically sent, following each rotation, to attending physicians identified by the Program Director, as having had significant contact with the resident. Evaluators will be asked to quantify the contact they have had with the resident, as a qualifier to the evaluation.
3. The resident will complete a self-evaluation form that will have been electronically sent to them
4. The assigned teaching attending in the Women’s Center will have been contacted, and will have completed the record review portion of the evaluation. In addition, this faculty member will supervise and evaluate one physical examination performed by the resident.
5. During the evaluation session in the Women’s Center, patient surveys will have been given to patients and collected.
6. The Resident Portfolio will be maintained throughout the year, and will be reviewed at the resident evaluation.
7. Results of the most recent written examinations will be in the resident’s chart.
8. The resident case logs will be reviewed.
9. Results of the resident’s performance on the OSCE examination will be reviewed.
10. Specific resident concerns will be addressed A written summary of the resident evaluation will be placed in the resident’s permanent record and a copy will be given to the resident. The Program Director reserves the right to conduct interim evaluations of the residents, within the guidelines of the House Officer’s Association Contract, if there is evidence that a resident is not performing at expected levels. Please refer to the attached “Grievance Procedure” and “Policy on Reports made to the Board of Registration of Medicine” | |
