The purpose of the Evaluation Component of the Residency Training Program and Curriculum is to ensure that the Mission Statement and overall Goals and Objectives are fully implemented and accomplished. This means that each resident who completes the Program will have demonstrated a high level of competency in the basic clinical knowledge and skill areas expected of a well trained general pediatrician and will have embodied the General Competencies into his or her professional interactions. Each resident will also be fully prepared in the cognitive areas of general pediatrics to perform well on the American Board of Pediatrics (ABP) Certifying Examination.
Responsibility for collecting and assessing evaluation information involves the Education Office (EO) personnel (Program Director, Program Coordinator, Chief Residents, and support staff), the Class Advisors, and the Education Committee. The Program Director supervises the process and is responsible to the Chair and faculty. It is a basic expectation of the Department that all residents and faculty members participate in the process.
The Evaluation Component is comprised of the following parts:
1. Clinical Rotation Evaluations Forms
During each block month rotation, the EO supplies residents and faculty with evaluation forms which are rotation specific in terms of educational Goals and Objectives (G&O).
- Residents evaluate faculty.
- Residents evaluate the rotation.
- Faculty evaluate the residents. Faculty evaluations include clinical performance and knowledge and an assessment of the residents’ mastery of the six General Competencies. For one month block rotations, at least one main faculty preceptor should meet with each resident at the mid point and end of the rotation to give direct feedback on performance.
The forms are returned to the EO for review by the Program Director and then dissemination to appropriate files.
- Resident evaluations of faculty are reviewed by the PD and/or Chair prior to inclusion in individual faculty personnel folders. Faculty members may review their evaluations at any time.
- Resident evaluations of rotations are sent every six months to the Clinical Directors of the various rotations.
- Faculty evaluations of residents are filed in the individual personnel files of each resident in the EO and copies are sent to the Resident Advisors. Residents may review their faculty evaluations at any time.
2. Resident Advisor System
Each resident class is assigned a faculty advisor who stays with that class for the three years of training. The advisors meet individually with each resident at least twice a year to review faculty evaluation reports, In-Training Examination (ITE) scores, career plans, conference attendance, procedure performance, scholarly activities, and independent study in terms of preparation for the ABP Certifying Exam. Advisors also assist residents with the development of their Resident Portfolios (see below) and in obtaining appropriate help with personal or family issues which impact their performance in the Program. The advisors, Chief Residents, and Program Director work closely together in addressing any concerns about individual resident performance and progression through the stages of training. Advisors also will assist residents in connecting with other faculty members who may be more appropriate in advising on specific areas of research or career guidance.
3. Resident Portfolio
Each resident will keep a portfolio of independent study and scholarly activities. Resident Self Evaluation Forms; presentations at Chair Rounds, Wake Teen, Cone Hospital, Evening of Scholarship, and Journal Club; Scholarly Activities projects; a summary of outside conferences and meetings attended; and Senior Presentations will be included. Residents will review their portfolios with their advisors during regular meetings. The portfolios will serve as a measure of resident progress in the area of independent study and scholarly activities.
4. Continuity Clinic
Continuity Clinic (CC) faculty have a longitudinal relationship with residents and thus are able to provide a special perspective on progress in terms of the General Competencies and of fulfilling the specific G&Os of the CC experience. Continuity Clinic faculty monitor resident panels and visit numbers quarterly and complete written evaluations twice a year.
5. American Board of Pediatrics In-Training Exam and Certifying Exam Performance
The ITE scores are predictive of performance on the CE. After each annual ITE, the ABP provides an individual profile on the test performance of each resident. These profiles are reviewed with each resident by his/her advisor. Residents who perform below the national average for their level are given additional consult on independent study.
6. Subjective Measures of Overall Program Status
- Recruitment success for PL-1 residents in the National Resident Matching Program (NRMP).
- Feedback from resident alumni on the quality of training received in terms of preparation for their subsequent career activities. The Alumni Society has quarterly meetings of its Board of Directors in Chapel Hill and full meetings every three years.
- Patient satisfaction surveys on quality of care received by residents in various clinical sites and units of the UNC Program.
- Success of graduates in obtaining employment in clinical practice and subspecialty resident positions.