Residents Evaluation Form

University of Chicago Emergency Medicine Residency
EMERGENCY MEDICINE FACULTY EVALUATION OF RESIDENT

Name:

Time Period:

Site: Northshore University Healthsystem

Please evaluate the resident's performance for each component of clinical competence. Select the rating which best describes the resident's skills and abilities. It is the expectation that the vast majority of residents will perform at the "Meets Expectations" level for their level of training. As important, very few residents will receive a "Needs improvement" grade and such marks may address both the resident’s performance and the faculty member/institutional ability to provide a safe and successful learning environment for that residents.
When considering whether the resident MEETS THE COMPETENCY LEVEL YOU EXPECT OF A RESIDENT AT THAT LEVEL OF TRAINING, compare a first year resident to other first year residents, etc.
In your narrative, please phrase your feedback in the positive- give specific behaviors that you wish them to embrace that will improve their performance. If possible, please refrain from "constructive criticism" as residents often focus on the negative which may reduce the effectiveness of feedback. Also, global statements such as "an excellent resident" are nice to say but please supplement with comments that helps them perform even better in the future.

The residents very much appreciate written comments- be liberal and as positive as possible in your remarks!

Patient Care

Clinical Judgment
Needs improvement. Fails to discern relationship of medical facts and clinical data, evaluate alternatives, or consider risks and benefits. Not aware of limitations of her/his knowledge or skills. Uses diagnostic procedures or therapies inappropriately. Indecisive in difficult management situations. Treats problems rather than patients.	Meets expectations Regularly integrates medical facts and clinical data, weighs alternatives, understands limitations of knowledge, and incorporates consideration of cost, risks, and benefits. Wise use of diagnostic and therapeutic procedures. Reasons well in ambiguous situations. Spends time appropriate to complexity of the problem and follows up at appropriate intervals.
History Taking
Needs improvement Variably incomplete, superficial, rote, and not directed to patient's problems.	Meets expectations Typically precise, logical, reliable, purposeful, and efficient. Establishes a broad base of information about patient.
Physical Examination
Needs improvement Variably cursory, incomplete, inaccurate, non-directed, insensitive, awkward or unreliable.	Meets expectations Typically complete, accurate, directed toward patient's problems. Properly sequenced. Elicits subtle findings.
Procedural Skills
Needs improvement Occasionally inept. Variable disregard for patient risk, anxiety and comfort. .	Meets expectations Typically proficient. Minimizes risk and discomfort. Provides proper explanations of purpose of procedures.

Medical Knowledge

Needs improvement Variably limited, fragmented, poorly organized and applied. Knowledge of disease, pathophysiology, diagnosis and therapy is limited.

Meets expectations Typically reasonably well-informed and sound application. Sound knowledge of disease, pathophysiology, diagnosis and therapy. Reflects up-to-date knowledge.

Practice-Based Learning and Improvement

Needs improvement Fails to perform self-evaluation. Fails to pursue self-directed learning. Resists or ignores feedback. Fails to use the literature to enhance patient care and fund of knowledge.

Meets expectations Constantly evaluates own performance. Pursues self-directed learning. Accepts feedback with enthusiasm. Positively responds to feedback. Uses literature to enhance patient care and fund of knowledge.

Interpersonal and Communication Skills

Interpersonal/humanistic qualities

Needs improvement Lacks integrity, respect, compassion or empathy. Abuses trust and demonstrates unreliability. May display insensitivity and intolerance of patient's need for comfort or encouragement. Ignores patient's perception of illness and preferences. Poor rapport with patients and families.

Meets expectations Always demonstrates integrity, respect, compassion and empathy for patients. Establishes trust. Primary concern is for the patient's welfare. Maintains creditability, excellent rapport with patients and families, and respects patient's need for information.

Communication

Needs improvement Disorganized presentations. Difficulty presenting thoughts clearly. Fails to effectively outline the plan of care and update team members, nurses, support personnel and the patient/family.

Meets expectations Patient histories clear/concise/logical. Able to communicate in an effective and friendly manner with team members, nurses, support personnel and the patient/family

Professionalism

Needs improvement Frequently irresponsible and uncommitted. Tardy to or fails to arrive altogether for clinical shifts. Disruptive and disrespectful to other health care professionals. Shows disdain for professional colleagues. Records incomplete or illegible.

Meets expectations Enthusiastic, responsive, reliable, committed, cooperative, respectful. Arrives on time. Shows regard for others’ opinions and demonstrates initiative and ability to provide appropriate leadership in the ED setting. Medical records are legible and timely.

Systems-Based Practice

Needs improvement Fails to effectively use case manager and social worker. Fails to make appropriate use of consult and diagnostic services (rad/path). Resists or fails to make appropriate use of critical paths and treatment protocols. Does not approach care systematically to reduce error and improve care.

Meets expectations Effectively utilizes case manager and social worker. Effectively utilizes consultants and diagnostic services (rad/path). Makes appropriate use of critical paths and treatment protocols. Systematically approaches patient care to reduce errors. Enthusiastically assists in developing systems' improvement

Teaching Resident/Administrative Responsibilities (EM 2/3)

Teaching Resident Role

Overall Assessment For This Time Period

Meets Expectations with Concern(s)

Meets Expectations