Harvard Internal Medicine Training - Cambridge Health Alliance

EVALUATION PROCESS

2009 Internal Medicine Curriculum > Evaluation Process

We see it as our professional responsibility to provide excellent formative and summative evaluation to our trainees across all three years of the residency. An evaluation committee meets quarterly to review the progress of each resident. Residents meet twice annually with the program director to review their evaluation folders. Each house officer is paired with a faculty advisor who plays an advocacy role and assists with curricular goals as well as career planning.

In addition to global evaluation of all six general competencies at the end of each rotation, each resident has a Learning Portfolio (see below) to document their progress in achieving competency milestones. Residents regularly submit additional materials to their learning portfolios that document their own developing competence in other domains, such as reflective narrative, self-assessment exercises, teaching materials and presentations and publications related to their scholarly projects.

ACGME General Competencies
	Patient care	Medical knowledge	Practice-based learning/ improvement	Interpersonal skills/ Communication	Professionalism	Systems-based practice
Conference attendance log			X
Procedure log	X
Inpatient case log
Continuity clinic case log
Annual in-training exams		X
Electives planning			X
Board review practice exams		X
Review of videotaped patient interview				X
360 degree professionalism evaluation					X
Chart review (hospital and clinic)	X					X
Direct observation of clinical skills (hospital and clinic)	X			X
Hospital discharge summary documentation	X		X	X		X
Chart stimulated recall	X	X		X
Evaluation of oral presentations	X			X
Resident as teacher feedback				X
Fall and spring PGY1 OSCE	X	X	X	X
R2 self-assessment inventory			X
Procedures cognitive competence exam	X	X
Medical consultation exam	X	X
Inpatient mortality review			X			X
Committee participation						X
Scholarly activity			X