1.

Make informed decisions on resident promotion.

2.

Provide data to specialty boards for certification.

3.

Write letters of recommendation.

4.

Identify performance deficits to target areas for resident improvement.

5.

Provide each resident with performance feedback.

6.

Identify strengths and weaknesses in the teaching program.

Competencies

The ACGME has set forth six competencies by which the residents are assessed. These include:

1)

2)

medical knowledge

3)

interpersonal and communication skills

4)

professionalism

5)

practice-based learning and improvement

6)

systems-based practice

All competencies are graded on a 9 point scale:

1-3 = unsatisfactory

4-6 = satisfactory

7-9 = superior or exceeding expectations

Residents will be evaluated by several different parties on the different competency categories. These include attendings, chief residents, patients, and nurses.

Specific questions:

1.

Patient care: Each resident will be evaluated by faculty and chief residents in this category. There are also certain manual dexterity procedures by which all residents will be formally evaluated.

a.

1.

R1: tying knots

2.

R2: inguinal hernia repair

3.

R3: laparoscopic cholecystectomy

4.

R4: colon resection

5.

R5: advanced laparoscopic case

b.

PC2:

Develops and executes patient care plans

2.

Medical Knowledge: This is assessed by faculty and chief residents based on interactions in several different areas: daily/teaching/ICU rounds, conferences, OR, and mock oral boards

3.

Practice-based learning and improvement: Assessed by faculty and chief residents

a.

PBLI1:

Critiques personal practice outcomes

b.

PBLI2:

Demonstrates the importance of lifelong learning

4.

Interpersonal and communications skills: Assessed by faculty, chiefs, nurses and patients

a.

ICS1:

Communicates effectively with other health care professionals

b.

ICS2:

Counsels and educates patients and families

c.

ICS3:

Effectively documents practice activities. This includes medical records deficiencies (not dictating, signing charts)

d.

ICS4:

Collaborates in patient care: Assessed by nurses

5.

Professionalism: Assessed by faculty, chiefs, nurses and patients

a.

P1:

Maintains high standards of ethical conduct

b.

P2:

Demonstrates commitment to continuity of patient care

c.

P3:

Demonstrates sensitivity to diversity issues

6.

Systems-based practice: Assessed by faculty and chiefs

a.

SBP1:

Practices high-quality cost effective patient care

b.

SBP2:

Demonstrates knowledge of risk-benefit analysis

c.

SBP3:

Demonstrates understanding of the role of specialists and other health care professionals in overall patient care

Each resident has a quarterly meeting with Dr. Waxman to discuss their progress in the program, evaluation results, case logs, procedures, practice ABSITE scores, and future plans.

Residents evaluate attendings and the program on a yearly basis. Both junior and intern residents will be evaluated by their senior resident and attendings on a monthly basis using E-Value.

A procedure log is also required with ALL procedures and senior/attending sign-offs.

E-Value

E-Value is our online evaluation system ( https://www.e-value.net ). All notifications of assigned evaluations and completed evaluations are sent to a residents e-mail account. Residents are able to view all evaluations completed about them. The purpose of this is to encourage continuous improvement and open communication with attendings about resident performance.

The following is a breakdown of evaluations done in E-Value by frequency:

Weekly:

-- Dr. Waxman and chiefs evaluate all presenters at conferences (M&M, Grand Rounds, Tumor Board, etc.)

Monthly:

-- Attendings evaluate residents on their service

-- Chiefs evaluate juniors and interns on their service

-- ICU Nurses/Staff evaluate junior and intern

-- Patients evaluate residents (2 per month)

Three times a year:

-- Chiefs evaluate juniors and interns

-- Dr. Waxman and Trauma Nurse Manager complete Resuscitation Evaluation of seniors

-- Nurses from 5S, OR, ED, and ICU evaluate residents

Annual:

-- Technical Proficiency (manual dexterity) by PGY

-- Surgical Specialist evaluates residents

-- Residents evaluate faculty

-- Residents evaluate program

Other (not in E-Value):

-- Oral Exams

-- Portfolio

-- Medical Records Deficiency Report

-- Licensing Exams, ABSITEs, In-Training Exams