Physicians-In-Training

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The problem:

Resident evaluation systems are frequently under-utilized and fail to collect timely, relevant and constructive evaluations. Reasons include:

• attendings forget to, or lack the time to, complete evaluation forms
• evaluations are generated many days (or weeks) after a shift
• residents receive little (if any) feedback on their performance trends 
• faculty members are unaware of individual or class trends to watch for
• evaluation topics do not correspond to typical clinical issues

Our solution: 

Above all else, we focus on accommodating the intended end-users and addressing their needs. Our Resident Evaluation System (RES) is:

• easy and convenient to use
• designed to provide routine, bi-weekly feedback
• orientated towards "behavior modification," not just documenting deficiencies
• focused on plain language descriptions of ACGME core competencies

High-level results:

During a 15 week pilot program at a large (45 attendings and 36 residents) University Medical Center ED, the following were achieved:

• 304 evaluations (an 85% increase from a similar period 1 year prior)
• average session time was 2:21 minutes
• 76% of survey respondents said the system was superior to other eval tools
• 91% of survey respondents felt the system had appropriate evaluation points

Examples of information collected: 

End-user comments: 

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Residency Director:

"An evaluation system that is complete in its ability to collect data, compilate it and return it in an organized, systematic format with the minimal input on the director’s end."

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Facility member:

"Get the [hospital] leadership to realize that this is an amazing tool for resident evaluation, system improvements, risk aversion, and cutting edge quality."