Resident Evaluation Process
Krishna M. Desai, MD
Chair, Clinical Competency Committee
Center for Family and Community Medicine
New York Presbyterian Hospital /Columbia University
bjectives
Clinical Competency Committee
Our mission: To help you reach your highest potential.
Patient Care
Medical Knowledge
Professionalism
Systems Based Practice
Practice Based Learning
Communication/ Interpersonal Skills
ACGME SIX CORE COMPETENCIES
Medical student you are working with arrives an hour late and left her stethoscope at home. Last week she missed morning huddle and did not have her list printed or reviewed.
You see a tik tok of one of your co-residents of themselves singing sign out in resident room. Song includes names of nurses, case details.
Observed Dr. Newcome perform a skin biopsy today. He came well prepared having pre-read on the patient, obtained consent independently, and the patient seemed very clear about risks and benefits by the time I arrived to supervise the procedure. He had everything set up and needed little direction from me to perform the punch biopsy. Was aware of the patient’s comfort level and did an excellent job counseling the patient regarding post-procedure care.
Dr. Safely is very engaged with his team QI project on improving HPV vaccine rates! He arrives to meetings, has already done his chart reviews. Last week, I noticed he huddled with his MA and notified her of his pediatric patients that are due for the vaccines!
Dr. Safely is very engaged with his team QI project on improving HPV vaccine rates! She arrives to meetings and has already done her chart reviews. Last week, I noticed she huddled with her MA and notified her of her pediatric patients that are due for the vaccines!
When I worked with her on inpatient last month, I noticed that she did a detailed review of patient’s medications and looked for potential drug-drug interactions for everyone she admitted!
Dr. Docmastery has been including reference articles in her clinic and result notes to demonstrate evidence base which supports her clinical decision making.
Dr. Anecdante rarely looks up clinical questions. One suggestion would be to download apps that can be used to quickly look up answers to commonly encountered questions such as shots, AHRQ, ASCCP pap guidelines, and medscape.
RESIDENT EVALUATION PROCESS
Communicate final reviews/plans to faculty members
STEP 1:
DATA COLLECTION
STEP 2:
CCC MEETING
STEP 3:
PD MEETING
Sources of Data
Medhub:
-Preceptor evaluations
-Rotation evaluations
-Peer/staff evaluations
-Self evaluations
-Emails/comments/verbal
QI projects
Scholarly works
Procedure log
Attendance/timeliness
Exam scores
Organize data
Detailed review
Discuss improvement plans, FIPs, PIAFs, probation, termination, and plans to escalate to GME office.
Milestone mapping
Support PD
PD meets with each resident
-feedback
-evaluations
-discuss improvement plans, FIPs, PIAFs, probation, termination, and plans to escalate to GME office.
STEP 4: Implement Plans
YOUR ROLE:
-engage with preceptors and ask for feedback and evaluation forms to be completed
-especially for procedures!
-complete self evaluation prior to biannual meetings
-work with faculty to set personal learning goals
| Resident1 | Resident 2 | Resident 3 | Resident 4 | Resident 5 | Resident 6 | Resident 7 |
Patient Care | | | | | | | |
Medical Knowledge | | | | | | | |
Systems-Based Practice | | | | | | | |
Practice-Based Learning | | | | | | | |
Communication | | | | | | | |
Professionalism | | | | | | | |
Krishna Desai
Patient Care | |
Medical Knowledge | |
SBP | |
PBL | |
Prof | |
Communication | |
CCC Recommendations
Feedback’s Purpose: Johari’s Windows
Effective Feedback
“you are very patient oriented”
“I noticed Mr. Robson’s body language softened when you leaned in and asked about his wife’s recent death. He seemed to really feel cared for.”
Bing-You RG, et al. Coaching Medical Students in Receiving Effective Feedback. Teaching and Learning in Medicine, 10(4): 228-231.
“I was never really good at anything except for the ability to learn.”
-Kanye West
Thank you.