The faculty will evaluate the residents on a monthly basis. This process is crucial for monitoring the resident's progress through their training, and identifying issues which need to be addressed in a timely fashion. The faculty member(s) with whom the resident worked will complete a written or on-line evaluation of the resident's performance and should discuss the resident's performance with him/her at the end of each rotation. The evaluations are based on the goals and objectives of each rotation in each of the competency areas. Residents are provided with a template of the evaluation form, so that performance expectations are fully communicated and understood.
Ancillary support staff will also perform evaluations of each house officer every six months. These multi-source evaluations focus primarily on interpersonal communications and ability to work productively with ancillary staff to maximize patient care.
All senior residents have an implicit supervisory role over the junior residents. As such, senior residents will be asked, during discussion with the Program Director, to comment on the performance of the junior residents with whom they have interacted. Likewise, junior residents will be asked to comment on the performance of their senior residents in providing them with the appropriate level of guidance and training.
Intermittently throughout the year, resident performance will be discussed at departmental attending faculty meetings. This affords an opportunity for attendings to share differing experiences that they may have had with each of the residents.
The vast majority of the evaluations are performed electronically using the E*value system. Residents are notified electronically when evaluations are completed on them, and are encouraged to review their evaluations as soon as possible for the most timely feedback. Written summaries of these evaluations are kept in the residents' files maintained by the Residency Coordinator. Residents are allowed to view their file, but files may not be removed from the Residency Coordinator's office and must be reviewed while the Residency Coordinator is in the room. The resident may not make copies of his/her file.
The Director or an Associate Director of the Program reviews all forms of evaluation and meets with each resident on an individual basis every six months to share this information, offer guidance, and seek feedback. A summation of this meeting is produced and is cosigned by the Director and resident.
Resident Evaluation of Rotations and Faculty
Each month, the residents are asked to complete an electronic rotation evaluation form and faculty evaluations form(s). This is an anonymous evaluation. Aggregate evaluations of faculty and rotations are prepared approximately every six months and shared with the individual faculty, the rotation directors, and the senior leadership of the departments.
Any resident not performing in a satisfactory manner may be placed on academic remediation. Performance will be considered substandard based on the evaluations received and/or the consensus of the faculty. While on academic remediation, the resident typically does not earn credit for rotations. Also, while on academic remediation, the resident may not participate in away electives. The resident will meet with the Director on a monthly basis to determine if adequate progress is being made and when the resident should be removed from academic remediation status. Residents who consistently (four months or longer) fail to perform at an appropriate level may be subject to dismissal from the Residency Program. All decisions relating to this process are vetted with the institutional GME office.
Residents will be promoted to higher levels of responsibility based on their accomplishments and achievements during the prior year. Simply "putting in the time" is not sufficient to assure either credit for the year toward Board Certification or advancement to the next year of training. Promotion is based on faculty consensus. The Program Director meets with the clinical faculty each June to discuss resident promotion. Criteria for promotion include:
- completion of 48 weeks of training per academic year
- at least 75% conference attendance
- responsible, ethical, and professional behavior
- satisfactory faculty evaluations, which includes mastery of the six competency areas
- satisfactory staff and peer evaluations, which primarily focus on interpersonal communication
- participation in research and/or teaching activities
- attaining sufficient skills and knowledge to warrant promotion