The Cardiology trainee's clinical and technical competence is observed on a daily basis by the cardiology faculty, assessed in detail and documented in the trainee's record. Specifically, the trainee's knowledge base in cardiovascular diseases, skills in history taking and physical examination, clinical judgment, clinical management and consultation are assessed. In addition, the technical proficiency with respect to specialized cardiac procedures is documented. Finally, communication skills, humanistic qualities, professional attitudes and behavior, and commitment to scholarship are evaluated. A standardized trainee evaluation form issued by the American Board of Internal Medicine is completed by the supervising faculty member each month (Appendix B) through the E*Value system.
The trainees receive feedback on a monthly basis at the end of each rotation. In addition, twice a year, the Program Director or Associate Program Director meet with each trainee to provide feedback on their performance with counseling and, when necessary, remedial assignments. Fellows document their cardiovascular procedures in log books through E*Value on a twice yearly basis which are submitted to the Program Director for evaluation and future credentialing. ￼20 3.3. Advancement Yearly advancement in the fellowship program is dependent upon successful completion of each year of training. The Program Director is responsible for assessing each fellow’s performance, and ultimately deciding whether advancement is appropriate. Decisions are based on evaluations, direct observation, and feedback from faculty, peers, students, and other staff.
The Program Director provides a detailed written evaluation of the clinical performance and academic accomplishments of each subspecialty trainee at the completion of the program. Evaluations document the degree to which the fellow has acquired clinical competence and technical skills. This can be used to substantiate recommendations and judgments provided to hospital credentialing committees, certifying boards, licensing agencies, and other appropriate bodies. Fellows receive certification on the basis of satisfactory completion of their 3 years. In the event of adverse evaluation, trainees are offered the opportunity to address the judgment on their academic deficiencies or misconduct before an independent clinical competence committee outside the Section of Cardiovascular Medicine within the Department of Medicine.
The Faculty of the Section of Cardiovascular Medicine is involved in every aspect of the fellowship training. The full time faculty includes over 40 members with expertise covering all of the subspecialty areas of cardiology. Clinical evaluation, procedural skills, research and academic work is overseen by full time faculty members. The faculty provides not only didactic teaching and clinical supervision but also professional mentoring for trainees aspiring to careers in cardiovascular disease.
Procedure for Faculty Evaluations
The trainees complete written evaluations of each faculty member supervising his/her activity during each rotation through the E*Value system. Trainees also complete evaluations twice yearly for all faculty members to whom they have been exposed. In addition, the Program Directors meet bimonthly with the fellows to discuss their clinical experiences and to acquire feedback on their faculty supervision. The ABIM approved form for Faculty Evaluations is used (Appendix C).