Evaluation and Feedback

Evaluation Narrative

Advisors

Each resident is assigned a faculty member as an advisor for mentoring. The residents and advisors (or Program Director/APD) have formal meetings a minimum of twice year where the Clinical Competency Committee milestones ratings for the resident are discussed with the resident.  Advisors and residents also discuss career plans and the resident’s general wellness as it relates to their work and personal lives. However, residents and their advisors may meet frequently if choose to do so.

 

Clinical Competency Committee (CCC)

This committee reviews all evaluation data available for each resident in training (rotation evaluations, examination scores [excluding the ITE], unsolicited complaints and praise (from nurses, social workers, patients, etc.) and then assigns the appropriate score for each milestone for the resident. The milestones have been created by the ACGME and the program must report them twice yearly to the ACGME for each resident in the program. The milestones fall into 6 major categories with multiple milestones in each category. The categories are: Medical knowledge, Patient care, Professionalism, Interpersonal communication skills, Practice based learning and improvement and System based learning and improvement.

 

Monthly Exams

These are web-based examinations that we require all residents in training to take each month they are offered. They generally are less than an hour in duration and are made available over a span of several days. Residents sign in on their computer of choice at a convenient time during the window of exam availability and take the exam. 

 

Procedures Proficiency

The ACGME and our IM training program have minimum requirements for procedural skills commonly done by internists. Procedure experience is tracked by trainees entering the data into a log using New Innovations.  Your progress toward reaching procedural competency will be reviewed with you by your advisor at the milestone meetings you have twice yearly.

 

Scholarly Activity

The ACGME requires that residents demonstrate scholarly activity during training. During the PGY-1 year each resident will create an abstract and poster pertaining to an interesting patient they have seen during training. We encourage PGY-1 residents to enter their abstracts for presentation at local meeting and at the Michigan Chapter of the ACP and National ACP meetings. PGY-2/3 residents are also encouraged to enter abstracts for the afore mentioned meetings and are required to present a resident grand round and a resident journal club at a Sinai-Grace resident conference. The Quality of the work is part of the evaluation process considered by the CCC.

 

PGY meetings

These meetings are held monthly. The CMRs, the program directors, core faculty and the education coordinator meet with the PGY-1 class and the PGY-2/3 classes separately to disseminate information to the residents and to get feedback from the residents about the Training Program.

 

Suggestion box

This is available as a web base confidential drop box where messages can be left for the program anonymously.

 

Access to Faculty

All faculty members, for the most part, have an open-door policy for the residents in the training program. If a faculty member is not immediately available for a meeting, an appointment can usually be made within one to two days to meet.

 

Mental Health and Substance Abuse and Well-Being

When a resident is suspected of having a mental illness or substance abuse, the resident is referred to a mental health or substance abuse specialist either through their medical insurance or a psychiatrist here at Sinai-Grace for an evaluation. The Program Director makes decisions about a leave of absence or continuing in training with accommodations in consultation with the selected mental health expert and the resident involved. When a plan for the resident is put into place, it is clearly defined that a report(s) back to the Program Director will occur solely for the purposes ensuring that the resident can work in the capacity of a resident safely. Other aspects of mental health care are protected health information, and the resident need not share this with the Program Director.

 

Access to Faculty

All faculty members, for the most part, have an open-door policy for the residents in the training program. If a faculty member is not immediately available for a meeting, an appointment can usually be made within one to two days to meet.

 

How we measure our success

 

Report Card

The Internal Medicine program will be benchmarked against the eight other medicine programs in southeast Michigan because of their relevance to the city of Detroit.  The program will measure its success and effectiveness in the following areas:

Resident Indicators

Diversity of the resident body

Resident/graduate satisfaction with the learning experience

National board test scores

Resident involvement in service

Resident involvement in research

Level of mentoring residents receive

Faculty Indicators

Excellence in teaching

Conference presentations

Innovation in dissemination of resident knowledge

Retention of residents and faculty

National pool of applicants

Service activity

Diversity of teaching methods

Community Indicators

Collaborative relationships with service settings

Collaborative relationships with other health and human service disciplines

 

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