subject_line
MCSO/OSU-CHS
Pediatrics
NAME OF RESIDENT
*
Justin Mitchell, DO
Lauren Mitchell, DO
Jacinda (Jaci) Nuttle, DO
Sara Oldham, DO
Ana Crew, DO
Brian Lee, DO
Ashley Lomax-Walker, DO
Luke Records, DO
Justin Walker, DO
Kasey Welch, DO
Rotation Dates
Month
*
Jan
Feb
March
April
May
June
July
August
Sept
Oct
Nov
Dec
Year
*
2012
2013
2014
2015
Name of evaluator
*
Dr. Akin
Dr. Simulescu
Dr. Varughese
other
Lichert Scale 1=poor 3=average 5=excellent
CORE COMPETENCY EVALUATION
Did the intern / resident demonstrate Osteopathic Skills during this rotation?
*
1
2
3
4
5
UE
Did the Intern demonstrate adequate medical knowledge during this rotation?
*
1
2
3
4
5
UE
Did the intern / resident demonstrate professionalism during this rotation?
*
1
2
3
4
5
UE
Did the Intern / Resident demonstrate adequate interpersonal and communication skills during this rotation?
*
1
2
3
4
5
UE
Did the Intern / Resident demonstrate adequate patient care skills for their level of training?
*
1
2
3
4
5
EU
Did the Intern demonstrate adequate use of resource materials during this rotation?
*
1
2
3
4
5
UE
Did the Intern / Resident demonstrate punctuality
*
1
2
3
4
5
UE
ROTATION SPECIFIC QUESTIONS
*
1
2
3
4
5
UE
Intern/Resident understands and provides adequate care to the newborn
1
2
3
4
5
UE
Intern/Resident is competent to perform a newborn circumcision
1
2
3
4
5
UE
Intern/Resident understands the differential and treatment for jaundice in the newborn
1
2
3
4
5
UE
Intern/Resident understands the presentation, workup and basic treatment for neonatal infections
1
2
3
4
5
UE
Intern/Resident has a basic understanding of various infant feeding problems, newborn formulas and their use
1
2
3
4
5
UE
Intern/Resident understands and can treat GERD and colic in the neonatal period
1
2
3
4
5
UE
Intern/Resident has a basic understanding of various congenital anomalies
1
2
3
4
5
UE
Intern/Resident understands basic immunizations and their administration
1
2
3
4
5
UE
Intern/Resident understands basic pediatric drugs and their dosages
1
2
3
4
5
UE
Intern/Resident differentiates between functional and organic heart murmurs
1
2
3
4
5
UE
Intern/Resident recognizes and treats common skin conditions in pediatrics
1
2
3
4
5
UE
Intern/Resident recognizes developmental milestones and abnormalities in growth and development
1
2
3
4
5
UE
Intern/Resident recognizes and can deal with psych/social issues in kids
1
2
3
4
5
UE
Intern/Resident recognizes and can work up and treat a basic seizure disorder
1
2
3
4
5
UE
Intern/Resident recognizes and can treat asthma in children
1
2
3
4
5
UE
Intern/Resident has an understanding and can recognize various genitourinary pediatric conditions
1
2
3
4
5
UE
ROTATION SPECIFIC COMMENTS
Comments
*
🛈
Signature of Evaluator
*
UPIN
SSN
MCSO ID
MCSO ID
Date:
*
Powered by
Report abuse