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Log of Instructional Activities
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Name: Shelley Ost, MD
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Type of Activity/Setting
DateDuration*Audience (Description and Size)
Describe evaluation strategies used (informal and formal) to collect evidence of educational impact.
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noon conference11/21/1860pediatrics residentsresident feedback gathered anonymously by chief residents; self evaluation form
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teaching rounds
daily from 10/16/18-10/31/18
90 x 10= 900
team residents (pediatrics) and medical students
informal: verbal feedback, anonymous evaluations in New Innovations residency management software
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brief teaching session
10/22/201830
team residents (pediatrics) and medical students; self evaluation form
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observed rounds10/30/1890
team residents (pediatrics) and medical students
Dr. Bettin, MEd, Expert evaluation form
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clinic half day with resident
9/10/1860
struggling new intern, one on one intensive feedback/counseling
verbal feedback from intern at end of week
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clinic half day with resident
9/13/18, 9/14/18
60 x 2 = 120primary care clinic with resident
verbal feedback from intern at end of week
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clinc half day with resident
10/4, 10/5, 10/11, 10/12/18
60 x 4 = 240primary care clinic with resident
informal discussion of patient with resident
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clinic half day with resident
9/20/1860primary care clinic with resident
informal discussion of patient with resident
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clinic half day with resident
11/1, 11/2, 11/8, 11/9, 11/15, 11/16, 11/29, 11/30
60 x 8 = 480primary care clinic with resident
informal discussion of patient with resident
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clinic half day with resident
9/21/1860primary care clinic with resident
informal discussion of patient with resident
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clinic half day with residents
12/3/1860Primary care clinic with resident
informal discussion of patient with resident
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advisee meetings
week of 11/27/18
20 min x 3 = 60
Gathering data and reviewing performance for last 3-4 mo. performance, setting goals for individual growth
Advisor Report form
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clinic half day with resident
9/6/1860L. S., S. H.
informal teaching with residents and patient checkout
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clinic wiki9/4/18-ongoing60 9/25/18
48 Med-Peds residents, online asyncrhonous learning
posts by residents
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precepting DNP studnet
10/3/18, 9/26/18, 9/19/18, 9/12/18, 11/28/18, 11/27/18, 11/14/18, 11/13/18, 11/7/18,
20 x 9 = 180DNP student at adolescent HIV clinic
preceptor grading form with itemized written and verbal feedback
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clinic half day with residents, HIV clinic
10/3/1830L.S., K. O.
informal discussion of patient with resident
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reviewing and updating Performance Improvement Plan with struggling resident
11/28/1830
resident, Med/Peds and Peds program directors
feedback from both program directors re: plan
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