Colon and Rectal Surgery Residency Program
Policies and Procedures Manual
Resident Evaluation Policy
- The resident’s clinical performance will be evaluated by each faculty member on a monthly basis.
- Evaluations will be in the context of ACGME competencies as defined in the Common Program Requirements and Colon and Rectal Surgery Program Requirements, including the general competencies:
- Patient Care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
- Medical Knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.
- Practice-Based Learning and Improvement that involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care.
- Interpersonal and Communication Skills that result in effective information exchange and teaming with patients, their families, and other health professionals.
- Professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.
- Systems-Based Practice, as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.
- The program director is responsible for establishing the mechanism and timing of performance evaluations and ensuring that evaluations are completed in a timely fashion.
- The program director and/or division chief will meet with the resident on a quarterly basis to review the resident’s performance.
- The quarterly review will include review of:
- All completed faculty evaluations, particularly with regard to any deficiencies noted.
- ACGME operative log.
- Colon and Rectal Surgery In-Training Examination preparation and/or results.
- Progress of required research project.
- Duty hours/resident wellness.
- Goals for upcoming quarter.
- Post-residency plans.
- Any other issues of concern.
- Documentation of performance evaluations must be maintained in the resident’s academic record. Evaluations must be accessible for review by the resident within a reasonable time upon the resident’s request.
- All academic matters, including in-training exams, will be considered in evaluating a resident’s performance. Academic matters include acquisition of knowledge, as well as development of clinical and professional skills necessary for effective functioning as a health care professional.
- Of particular importance are areas such as professional development, professional ethics, and maintaining professional relationships with patients and with other health care professionals, including subordinates, colleagues and superiors. Items considered in the evaluation process include satisfactory academic, clinical, technical, professional performance, and interpersonal skills.
- In addition to providing feedback in connection with evaluations, the program may address deficiencies through corrective action or discipline, if warranted, under GME Policy #II-I. Serious deficiencies identified in connection with evaluation may warrant probation under GME Policy #II-I.
- The program may defer the resident’s graduation and extend his/her education for a number of reasons, including remediation, leave of absence, or the need for additional experience (in a particular rotation or otherwise).
a. Performance insufficient to warrant graduation may also subject the resident to corrective action or discipline (including probation), if warranted, under GME Policy #II-I.
- A decision not to graduate a resident should be confirmed in writing to the resident no later than four months prior to the end of the current academic year, unless the primary reason for the decision occurs within that four-month period, in which case as much notice as circumstances reasonably allow must be given.
- Written notice of the decision should be accompanied by a statement advising the resident that within 30 days of the date of such notice, the resident may appeal the decision by addressing a written statement to the GMEC chair in accordance with GME Policy #II-I’s dispute resolution procedures.
- The program director will provide a final summative evaluation for the resident upon completion of the program.
- This evaluation must become part of the resident’s permanent record and must be accessible for review by the resident.
- The evaluation must document the resident’s performance during the final period of education and verify whether the resident has demonstrated sufficient competence to enter the field without direct supervision.
- While the final evaluation may be based on the resident’s entire training, and may take into account previous periodic evaluations, it remains an independent assessment of the totality of the resident’s experience and competence at the time of the final evaluation.
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