University of Florida College of Medicine Graduate Medical Education Committee Internal Review Resident/Fellow Questionnaire

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1 University of Florida College of Medicine Graduate Medical Education Committee Internal Review Resident/Fellow Questionnaire Program Name: PGY Level: Date: (optional) Goals and Objectives The program director and teaching staff must prepare written educational goals for the training program with respect to the knowledge, skills, and other attributes, which a resident/fellow must attain at each level of training and for each major rotation. These must be distributed to residents and faculty. 1. Have you been provided with educational goals and objectives for the overall training program? 2. Have you been provided with educational goals and objectives for each rotation or each level of training? 3. When and how did you receive written goals and objectives? Upon entering the program At the beginning of each new academic year At the beginning of each rotation 4. Do you have input into the review and revision of these educational goals and objectives such as through anonymous evaluations? 5. Do you believe that the training program has been effective in meeting the goals and objectives? Core Competencies 6. The training program must provide a curriculum that contains the following six competencies from the ACGME s Outcomes Project. For each competency, determine if it is contained in the curriculum and the method by which it is taught (including teaching rounds, didactic sessions, small group sessions, grand rounds or journal clubs, computer-assisted modules, conferences provided by the department or institution during orientation or at other times). a. Patient Care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health CONTAINED IN CURRICULUM? YES NO Method: 1

2 b. 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 CONTAINED IN CURRICULUM? YES NO Method: c. 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 CONTAINED IN CURRICULUM? YES NO Method: d. Interpersonal and Communication Skills that result in effective information exchange and teaming with patients, their families, and other health professionals CONTAINED IN CURRICULUM? YES NO Method: e. Professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population CONTAINED IN CURRICULUM? YES NO Method: f. 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 CONTAINED IN CURRICULUM? YES NO Method: 7. The training program must provide an opportunity for residents to participate fully in the educational and scholarly activities of their program. a. Are you given time to attend departmental conferences? b. Are you given time to attend professional organization conferences? c. Do you take part in resident and/or student teaching and supervision? If yes, how are you prepared for teaching students and other residents? 8. Do you have adequate supervision by teaching staff? Comments: 9. As part of the educational program, autopsies must be performed whenever possible and appropriate and a sufficient number representing an adequately diverse spectrum of diseases should be performed. a. Do you attend autopsies of your patients? b. Is autopsy data used as part of your department QA (i.e., M & M)? 2

3 10. The training program must ensure that residents have time to develop a personal program of learning in order to foster continued professional growth. This training program must be developed with guidance from the teaching staff. a. Are you assigned an advisor or mentor who assists you through your years of training? b. Are you given protected time for scholarly activities and personal growth? (e.g. time for self-study, reading, prepare a patient presentation or abstract or paper, research with a faculty mentor, etc.) 11. Inherent in the principle of continuity of care is that patients are seen on a regular and continuing basis, rather than on a single occasion. Do you assume responsibility for the continuing care of a group of patients throughout your training? NA If yes, please describe: Evaluation 12. Training programs must establish formal, written criteria and processes for the evaluation, promotion and dismissal of residents. Have you been provided with written criteria and processes for the following: a. Evaluation? b. Promotion? c. Dismissal? If no, how do you learn about these issues? 13. Resident Evaluation: Residents must be evaluated in writing, and these evaluations must be reviewed with the resident at least annually. a. Do you receive written evaluations? b. Are these evaluations reviewed with you on a timely basis and at least annually? c. Describe the process by which you are evaluated and receive individual feedback. (Include who is responsible, e.g. program director, advisor, faculty, chief residents, etc.) 14. Faculty Evaluation: Residents must submit confidential, written evaluations of the faculty at least annually. a. Are you given the opportunity to submit evaluations on teaching faculty at least annually? b. Are these evaluations confidential? c. Are you aware of how your faculty evaluations are used in the process of feedback to the faculty member? d. Describe the process by which you evaluate the teaching faculty. (Include how often these are requested) 3

4 15. Program Evaluation: Residents must submit confidential, written evaluations of the educational experiences of the overall training program at least annually. a. Are you given the opportunity to submit evaluations of your training program at least annually? b. Describe the process by which you evaluate the overall training program. Work Hours/Work Environment 16. Does your program have a written policy on work hours and work environment? 17. Do you have, on average, one in seven days free from clinical duties? If no, give the circumstances in which you average less than one in seven days free from clinical duties: 18. Resident call should not average more than every 3 rd night. Does your average call fall within this guideline? If no, give the circumstances in which you average more than every 3 rd night call: 19. Clinical responsibilities should average no more than 80 hours per week. Does your work week fall within this guideline? If no, give the circumstances in which you would average more than 80 hours per week of clinical responsibilities: 20. Are patient support services (phlebotomy, lab, x-ray, medical records, healthcare team, etc.) adequate at the following hospitals in which you rotate? Shands UF N/A If no, describe the services that are inadequate: VA-Gainesville N/A If no, describe the services that are inadequate: Shands Live Oak N/A If no, describe the services that are inadequate: 4

5 Shands Lake Shore N/A If no, describe the services that are inadequate: Shands Starke N/A If no, describe the services that are inadequate: Additional Location: Name of Facility If no, describe the services that are inadequate: 21. Do you feel there is an appropriate balance between service and education? If no, please describe: 22. Are you asked to perform an excessive amount of scut work? If yes, please describe your recommendations: 23. Is the resident work environment adequate in the following areas? a. Library If no, please describe: b. Sleep Rooms If no, please describe: c. Food Service If no, please describe: d. Security If no, please describe: 24. Do you have access to computers where you can access lab results, the medical records system and all patient care modules? If no, describe (be specific): 25. Every program must assure an environment in which a resident may raise and resolve issues without fear of intimidation or retaliation. This includes an organizational system for residents to communicate and exchange information on their work environment and their educational programs. It also involves a process by which individual residents can address concerns in a confidential and protected manner. (e.g., discussion with the chief resident, resident meetings, Graduate Medical 5

6 Education Committee, appointment with the program director or Associate Dean for GME, electronic mail, distribution list of residents, etc.) Are you aware of an organizational system in your department through which you may raise concerns in a confidential and protected manner? If yes, please describe: 26. Are you interested in participating on committees and councils whose actions affect your education and/or patient care? If yes, please contact the Graduate Medical Education Office at Do you participate in an educational program regarding physician impairment, including substance abuse and sleep deprivation? Yes No If yes, please describe: 28. Have you been informed about departmental and institutional policy and procedures for academic or other disciplinary actions? 29. Are you aware of the institutional policy and procedure for adjudication of resident complaints and grievances? 30. Do you feel that there are adequate mechanisms for personal counseling and support services available to you? Comments: 31. Please list the strengths of your training program: 32. Please list areas of your education or training program you feel could be improved: 33. Attached is your program s last letter of accreditation from the Residency Review Committee (ACGME). For each citation, please answer whether you think the program has adequately addressed each issue raised. If no, please discuss. 6

7 Citation #1 Discussion: Citation #2 Discussion: Citation #3 Discussion: Citation #4 Discussion: ADDITIONAL COMMENTS: 7

8 8

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