MCSO/OSU-CHS

MED 360 Yearly Resident Evaluation

Instructions

A number of specific physician competencies are provided below, grouped by general AOA Core Competencies. Interns and Residents are required to have this document filled out yearly. You have been chosen because you know the Resident well enough to fill out this document fairly. Rate how well the intern/resident currently meets each specific competency using the Lichert Scale where 0=deficient to 5=exceptional. If unable to evaluate the resident physician on a particular competency, please mark UE.

RESIDENT'S NAME *

Year

*

Osteopathic Philosophy and Osteopathic Manipulative Medicine

Recognizes clinical situations where OMT is appropriate *

Shows understanding of somato-visceral relationships and the role of the musculoskeletal system in disease *

Provides accurate structural diagnosis *

Performs appropriate OMT as a procedural skill *

Takes each patient's illness into account when dealing with that individual *

Provides osteopathic health care services using behavioral medicine *

Advocate for patient's welfare, autonomy and quality of care *

Comments *

Medical Knowledge

Gathers essential information for physical examinations *

Gathers essential information for medical records *

Gathers essential information for diagnostic or therapeutic plans *

Gathers essential information for treatments *

Treats patients with the most up-to-date and evidenced based information on therapeutic effectiveness *

Comments *

Patient Care

Demonstrates up-to-date biomedical knowledge and applies that knowledge to patient care *

Demonstrates up-to-date clinical knowledge and applies that knowledge effectively to patient care *

Shows good clinical judgement; reaches valid decisions *

Treats patients with up-to-date and evidence-based information on diagnostic effectiveness *

Performs procedures properly *

Comments *

Professionalism

Maintains patient confidentiality *

Shows respect for patients and families *

Shows respect for co-workers and hospital and clinic personel *

Demonstrates integrity *

Acts responsibly. Is available when needed. Carries a fair share of the workload *

Communicates well in discussions with health professionals *

Works respectfully and effectively with others as a member of a healthcare team *

Understands the resident's role as a health care team member *

Comments *

Practice-based learning and improvement

Understands research methods *

Understands medical informatics *

Understands and uses technoligy as aplied to medicine *

Comments *

Interpersonal and Communication Skills

Develops and maintains appropriate doctor-patient relationships *

Writes clearly and legibly in communication with patients and health care workers *

Writes clearly and legibly when making records *

Listens well when meeting and treating patients *

Listens well in encounters with health care professionals *

Exhibits effective oral communication skills when interviewing patients and their families *

Comments *

Systems-based Practice

Understands the business side of medical practice *

Shows operational knowledge of health care organizations, state and federal programs *

Knows and uses local medical resources available to patients for treatment and referral *

Practices cost-effective medicine *

Comments *

In your opinion, is this intern/resident progressing satisfactorily based on their level of training? *

yes

no

NAME OF EVALUATOR *

Reviewed with Intern/Resident on: *