responsibilityevaluation
Residents Responsibility
Responsibilities
gradually increase as residents progress through the program. First-year residents
work at mastering clinical and technical skills, providing direct patient care
under senior supervision. During the second year, increasing responsibility
is given for supervision and teaching of junior residents and students, with
an increased emphasis on acquisition of knowledge and mastery of clinical problem-solving
skills. Third-year residents are expected to assume responsibility for an entire
service under attending staff supervision, including clinical decision-making
and teaching of junior team members.
Currently
there is a Senior/Intern Night Team in place. Residents assigned to the Emergency
Room work in twelve-hour shifts. There are two elective months without call
in the third year. Ample moonlighting opportunities are available for senior
residents with approval of the Program Director.
There
will be an on-going evaluation of the progress of each resident in the program.
Written evaluations of each resident's performance in the six ACGME competencies
are submitted by the supervising attending and senior resident, where applicable,
at the conclusion of each monthly rotation and semi-annually for Continuity
Practice. Peer Evaluations, focusing on Interpersonal/Communication Skills and
Professionalism, will be completed by each resident monthly for all residents
they interacted with on that rotation. The residents will also be subject to
full 360 degree evaluations, where their work ethic, professionalism, interpersonal
and communication skills and medical knowledge is assessed on a routine (and
anonymous) basis by students, RNs and patients. Residents are encouraged to
review the monthly evaluations maintained in the personnel folders
In addition,
end-of-rotation exams will be administered with the scores maintained both by
the Education Office and in each resident's file. Prior to receiving credit
for completing a subspecialty rotation, the resident must demonstrate medical
knowledge competency by passing the end-of-rotation exam by a score of not less
than 70.
Residents will be routinely
counseled by the Program Director as to their progress twice annually.
All residents
will take the annual In-Training Examination given by the American Board of
Pediatrics in July as well as end-of-the-month exams provided by the Program
Director.
A Written
Exam and OSCE are scheduled for all PL-1 residents during the last quarter of
the academic year. The PL-1 Written Exam is based on content in the PL-1 Required
Reading CD provided at Orientation to each incoming resident.
Residents are given
the opportunity to evaluate their attendings, peers, and the individual services
at the end of each rotation, in addition to an annual evaluation of the entire
residency program.