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Laboratory Medicine Residency Program Immunology Rotation Evaluation

 
EVALUATION TO BE COMPLETED BY ATTENDING AT END OF EACH CORE RESIDENT ROTATION IN IMMUNOLOGY
 
  Resident: last name
    first name
  Dates of Rotation: / / to / / (mm/dd/yy)
Type of Rotation: First Second
Higher Level Elective
  Attending(s):
  Date of Exit Interview: / / (mm/dd/yy)
     
  Assign a numerical value to each category's goals as follows:
1 = Poorly accomplished
2 = Accomplished satisfactorily
3 = Outstanding
Please add specific comments.

1. Patient Care: Does the resident provide a satisfactory level of diagnostic competence and the ability to provide appropriate and effective pathology consultation?
  a. Evaluate performance on end of rotation quiz re patient care:   1 2 3 na
  b. Evaluation of cases presented at weekly laboratory rounds:   1 2 3 na
  c. Evaluation of interpretation of :    
 
- IFE's
   1 2 3 na
  - oligoclonal bands   1 2 3 na
  - stem cell and proliferation assays   1 2 3 na
  - molecular assays   1 2 3 na
  - flow cytometry   1 2 3 na
  d. Evaluation of phone consultations:   1 2 3 na
  e. Evaluation of cases presented at monthly Clin-Lab Correlation Conf   1 2 3 na
  f. Evaluation of cases presented at Flow Cytometry Conf   1 2 3 na
  g. Evaluation of cases presented at Hemepath Conf   1 2 3 na
  Comments:    
2. Medical Knowledge: Does the resident possess adequate knowledge about established and evolving sciences and how well do they apply this knowledge to pathology?
  a. Evaluation of performance on quiz re: basic science   1 2 3 na
  b. Does the resident increase their knowledge base with literature searches, reading texts, and accessing journals regarding current cases?   1 2 3 na
  c. Evaluation of technical part of rotation   1 2 3 na
  Comments:    
3. Practice-based learning and improvement: Assures that the resident has the ability to investigate and evaluate diagnostic and consultative practices, appraise and assimilate scientific evidence, and improve patient care practices.
  a. Evaluation of participation in QA program   1 2 3 na
  b. Did resident evaluate a new/old test procedure?   yes no
  If so, evaluate for clinical usefulness, redundancy, and impact on the following:    
  - patient care   1 2 3 na
  - length of stay   1 2 3 na
  - cost to lab   1 2 3 na
  - cost impact on hospital/University   1 2 3 na
  c. Resident participation in a CAP survey or method sign-off?   1 2 3 na
  Comments:    
4. Interpersonal and communication skills: Does the resident possess skills that result in effective information exchange and teaming with other health care providers, patients and patient families?
  a. Does resident provide good documentation of consultations and calls?   1 2 3 na
  b. Evaluate feedback from on-call consults from:    
  -attendings and other service residents   1 2 3 na
  - lab MDs   1 2 3 na
  - technologists   1 2 3 na
  - peers   1 2 3 na
  c. Overall evaluation of Chief Tech   1 2 3 na
  Comments:    
5. Professionalism: Evaluate the resident's commitment to carrying out professional responsibilities, adherence to ethics, and diversity sensitivity
  a. Evaluate the resident's comprehension of medical error and responses to medical error   1 2 3 na
  b.Evaluate the resident's comprehension of conflicts of resource allocation and appropriate care   1 2 3 na
  c. Is the resident on time for rounds and scheduled activities?   1 2 3 na
  d. Is the resident professional with attendings, clinicians, or staff, and do they respond appropriately when corrected? e.g. they take appropriate corrective action for mistakes and react constructively to mistakes of others   1 2 3 na
  e. Does the resident maintain patient confidentiality?   1 2 3 na
  f. Does the resident interact well with clinicians and staff of all levels and ethnicity?   1 2 3 na
  Comments:    
6. Systems-based practice: Evaluate the resident's awareness and responsiveness to the larger system of health care and the ability to call on system resources to provide optimally valued pathology services.
  a. Does the resident understand part A and part B pathology services and hospital-physician interaction?   1 2 3 na
  b. How does the resident do in communicating to outside referral hospitals and physicians   1 2 3 na
  c. Does resident understand CLIA and CAP-related issues ?   1 2 3 na
  Comments:    
       
       
Additional Overall Comments:    

 
 
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Page last revised: February 11, 2004