Medical education is a process of growth in an ever-changing educational and healthcare environment. And each resident has individual strengths and areas of improvement to reach the common goal of professional excellence in clinical practice.
So how do you know if you’re getting there?
Performance evaluation is the necessary process to inform every resident of their progress towards professional competency and beyond that, excellence. Evaluation comes from all aspects of clinical practice (“360 degrees”):
- nursing staff
- the Residency Program
- the resident him/herself (self-reflection)
Residents are evaluated on each rotation by the attending physician, and by peer residents and medical students on team-based rotations. Nursing staff and patients provide additional feedback of residents.
The written evaluations are matched to the 22 ACGME milestones for Internal Medicine, covering the six core competencies:
- Patient Care (PC)
- Medical Knowledge (MK)
- Systems-Based Practice (SBP)
- Practice Based Learning and Improvement (PBLI)
- Professionalism (PROF)
- Interpersonal and Communication Skills (ICS)
Residents may review completed written evaluations anytime on MedHub, and should also receive direct verbal feedback from the supervising attending before the end of the rotation. Verbal and written evaluations are reviewed on an ongoing basis by the Program.
Residents also evaluate attending physicians, clinical rotations, and medical students.
Clinical Competency Committee
The Clinical Competency Committee (CCC) reviews all resident evaluations and meets semi-annually with every resident. The CCC meeting consists of 2-3 faculty members and the resident.
Before each meeting, the resident is expected to have reviewed their written evaluations and complete a self-reflection. During the meeting, the committee will review the resident’s evaluations, progression in the core competencies, and progress with the Program requirements. Using this performance audit, the resident with the help of faculty will develop a plan for improvement and growth. The Program submits the performance evaluation to ACGME.
The Program values resident feedback to improve clinical education and practice. As such, residents have the opportunity to provide feedback during the two program retreats: Fall Retreat and Spring Retreat. The Program weighs the feedback against the program’s education goals and creates a strategy to enhance the program.