Resident Evaluation
Our residents will be evaluated on their performance following each learning experience and these evaluations must be documented in written or electronic format. (New Innovations)
The Core Competences:
Assessment methods:
Direct observation, videotaped/recorded assessment, global assessment, simulations/models, record/chart review, standardized patient examination, multi-source assessment, project assessment, patient survey, in-house written examination, in-training examination, oral exam, objective structured clinical examination, structured case discussions, anatomic or animal models, role-play or simulations, formal oral exam, practice/billing audit, review of case or procedure log, review of patient outcomes, review of drug prescribing, resident experience narrative and any applicable assessment method.
Types of evaluators:
Self, program director, nurse, faculty supervisor, medical student, faculty member, allied health professional, resident supervisor, patient, other residents, technicians, clerical staff, evaluation committee, consultants.
Our evaluators, faculty and residents must be oriented to the evaluation tools, forms and are given instructions on scaling. Scoring is monitored over time and if global inconsistencies are noted, meeting time (resident and faculty) is used to correct these. If individuals are noted to score unsatisfactorily, they are brought in for individualized instruction. In addition, the clinical providers meeting are used to develop normative data for the practice. We have excellent, structured and interactive regular learning activities that enable the evaluators to develop skills in both teaching and evaluation of the competencies.
Residents will be informed of the performance criteria during the orientation lessons and during the review and discussion of the residency manual. Each resident will be provided with specific instructions on the evaluation methods, the expected performance goals, and the consequences of not meeting these goals. The residents must be provided with a copy of the residency manual that encompasses the curriculum, with detailed explanation of how the performance indicators will be measured and evaluated by the use of assessment forms. The residents are required to review specific rotation goals prior to starting each rotation. The residents are given precise information prior to beginning work on their practice improvement project. The Residents’ meeting is used as a setting to clarify any concern or information. The residents will be informed that one assessment form must be completed after each experience/rotation to ensure achievement of all graduation requirements.
Core Competencies
PATIENT CARE
Resident must:
Be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
Are expected to communicate effectively and demonstrate caring and respectful behaviours when interacting with patients and their families.
Gather essential and accurate information about their patients
Make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment.
Develop and carry out patient management plans.
Counsel and educate patients and their families.
Use information technology to support patient care decisions and patient education.
Perform competently all medical and invasive procedures considered essential for the area of practice.
Provide health care services aimed at preventing health problems or maintaining health.
Work with health care professionals, including those from other disciplines, to provide patient care.
MEDICAL KNOWLEDGE
Residents must:
Demonstrate knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.
Demonstrate an investigatory and analytic thinking approach to clinical situations.
Know and apply the basic and clinically supportive sciences which are appropriate to their discipline.
PRACTICE-BASED LEARNING AND IMPROVEMENT
Residents must be able to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their patient care practices.
Residents are expected to:
Analyze practice experience and perform practice-based improvement activities using a systematic methodology.
Locate, appraise, and assimilate evidence from scientific studies related to their patients’ health problems.
Obtain and use information about their population of patients and the larger population from which their patients are drawn.
Apply knowledge of study designs and statistical methods to the appraisal of clinical studies and other information on diagnostic and therapeutic effectiveness.
Use information technology to manage information, access on-line medical information; and support their education.
Facilitate the learning of students and other health care professionals.
INTERPERSONAL AND COMMUNICATION SKILLS
Residents must be able to demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, their patients families, and professional associates.
Residents are expected to:
Create and sustain a therapeutic and ethically sound relationship with patients.
Use effective listening skills and elicit and provide information using effective nonverbal, explanatory, questioning, and writing skills.
Work effectively with others as a member or leader of a health care team or other professional group
PROFESSIONALISM
Residents must demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.
Residents are expected to:
Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society that succeed self-interest; accountability to patients, society, and the profession; and a commitment to excellence and on-going professional development.
Demonstrate a commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practice.
Demonstrate sensitivity and responsiveness to patients’ culture, age, gender, and disabilities.
SYSTEMS-BASED PRACTICE
Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.
Residents are expected to:
Understand how their patient care and other professional practices affect other health care professionals, the health care organization, and the larger society and how these elements of the system affect their own practice.
Know how types of medical practice and delivery systems differ from one another, including methods of controlling health care costs and allocating resources.
Practice cost-effective health care and resource allocation that does not compromise quality of care.
Advocate for quality patient care and assist patients in dealing with system complexities.
Know how to partner with health care managers and health care providers to assess, coordinate, and improve health care and know how these activities can affect system performance.
Osteopathic residency program:
Osteopathic Philosophy and Osteopathic Manipulative Medicine
Is demonstrated in the application of knowledge of accepted standards in Osteopathic Manipulative Treatment (OMT) appropriate to specialty. The practitioner will remain dedicated to life-long learning and to practice habits in osteopathic philosophy and manipulative medicine.
Demonstrate competency in the understanding and application of OMT appropriate to the medical specialty.
Residents must have an active participation in hospital and ambulatory sites for OMT training.
Residents must perform a critical appraisal of medical literature related to OMT.
Residents must be evaluated in the performance of OMT by assessing their diagnostic skills, medical knowledge, and problem-solving abilities.
Integrate Osteopathic concepts and OMT into the medical care provided to patients as appropriate.
Residents must assume increasing responsibility for the incorporation of osteopathic concepts in patient management.
Participate in activities that provide educational programs at the student and intern levels.
Participate in CME programs provided by COMS, the AAO, and specialty colleges.
Understand and integrate Osteopathic Principles and Philosophy into all clinical and patient care activities.
Utilize caring, compassionate behavior with patients.
Demonstrate the treatment of people rather than symptoms.
Demonstrate understanding of somato-visceral relationships and the role of the musculoskeletal disease.
Demonstrate listening skills in interaction with patients.
Demonstrate knowledge of and behavior in accordance with the Osteopathic Oath and AOA Code of Ethics.
