University of Miami / Jackson Health System Nephrology Fellow Semi-Annual Self Assessment and Progress Report Form

Transcription

1 University of Miami / Jackson Health System Nephrology Fellow Semi-Annual Self Assessment and Report Form Name: Fellowship Year: 1 2 Evaluation Period: From: To: Self-evaluation is an essential lifelong professional skill. This process is meant to assist you and your mentor in completing your overall evaluation. The Accreditation Council for Graduate Medical Education has defined six areas of general competency that are expected of fellows in all specialties. seems like an elusive concept because we always strive to continuously improve in each of these areas. For the purposes of our evaluation process, competency is defined as functioning at the level of a new practitioner, i.e. at a level that would be satisfactory for someone who has just completed our fellowship program and is beginning her/his career as a nephrologist. Please comment on your performance from a personal perspective, considering any problems you may be encountering, looking at your personal goals and making concrete plans for the future. This should be completed prior to your semiannual meeting with the program director. Please ask the fellowship program coordinator to place this form into your file prior to your meeting. The Competencies: 1. Patient Care: Fellows must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Satisfactory 2. Medical Knowledge: Fellows must demonstrate 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. Satisfactory 3. Practice-Based Learning and Improvement: Fellows must be able to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their patient care practices. Satisfactory

2 4. Interpersonal and Communication Skills: Fellows must be able to demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, their patients families, and professional associates. Satisfactory 5. Professionalism: Fellows must demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population. Satisfactory 6. Systems-Based Practice: Fellows must 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. Satisfactory

3 Independent Studies: Outline your study plan in the chart below by describing your specific preparation over the past six months and your plan for the next six months. Activities might include: Board Review Book study; practice with NephSap questions; review of chapters in online resources such as UpToDate or HDCN; preparation of grand rounds, core curriculum, pathology, case discussion or journal club presentations, etc. Past Six Months SPECIFY MONTH/DATE Book / Online Chapters Presentations Other activities Next Six Months SPECIFY MONTH/DATE Book / Online Chapters Presentations Other activities

4 Poster Presentations, Oral Communications, and Manuscripts: Please describe any poster presentations, oral communications, and manuscripts that you have completed in the past six months or are preparing to complete in the coming six months. Please ask the fellowship program coordinator to place a copy of any publication or abstract into your file prior to your meeting. Past Six Months SPECIFY MONTH/DATE Specify poster, oral communication or manuscript Title Meeting or Reference Next Six Months SPECIFY MONTH/DATE Specify poster, oral communication or manuscript Title Meeting or Reference

5 Clinical Skills in Nephrology For the purposes of our evaluation process, competency is defined as functioning at the level of a new practitioner, i.e. at a level that would be satisfactory for someone who has just completed our fellowship program and is beginning her/his career as a nephrologist. Please rate yourself in the following key areas: 1. Inpatient Consultation and Management Satisfactory 2. Management of Chronic Hemodialysis Patients Satisfactory 3. Management of Chronic Peritoneal Dialysis Patients Satisfactory 4. Management of Kidney Transplant Recipients Satisfactory

6 5. Office-based Consultation and Management Satisfactory 6. Placement of Temporary Hemodialysis Catheters Satisfactory 7. Biopsy of Native Kidneys Satisfactory 8. Biopsy of Transplanted Kidneys Satisfactory

7 Other Questions: 1. List two of your personal strengths 2. List two of your professional strengths. 3. What obstacles, if any, are you experiencing that impede your professional growth? 4. Do you have adequate time for rest and relaxation? If not, what would be helpful and what ideas do you have to improve this? 5. Is the fellowship program meeting your professional and personal needs? Comments? 6. What are your career plans? Where? Size of practice? (Any changes since your last self-evaluation?) 7. What procedures/experiences do you need to be ready for your career? Do you need help setting these up?

8 Goals: 1. What progress have you made on the goals you set during your last educational planning session (if applicable): 2. List any goals you would like to achieve during the next 6 months: 3. Using all of the above as a guide, list specific actions you would like to take during the next 6 or more months to meet your goals: Please e: Obviously a form can t capture all your concerns. Please take some time to think about other issues that affect your learning to discuss with your mentor if you wish. Fellow s Signature: Date: Form adapted from Via Christi Family Practice Residency Program and University of North Carolina Pediatrics Residency Program by Oliver Lenz