In order for the training program to assess its ability to meet its goals and objectives, it is essential that the program have an evaluation process, including formative and summative evaluations of the fellows, and an evaluation process of the program and the faculty.
Formative Evaluation of the Fellows
Informal formative evaluations should occur at the completion of any substantive interaction with a specific faculty member or specific rotation. All faculty review their impressions directly with the fellow. For each clinical rotation outside of the division, an evaluation form will be completed by the supervising faculty member. The evaluation form utilized is one distributed and recommended by the American Board of Internal Medicine. All completed evaluation forms are returned to the Program Director for review and placed in the fellow’s permanent file.
During the research phase of training, an evaluation form will be completed by the fellow’s research faculty mentor. These evaluations forms are completed every 6 months, reviewed with the fellow by the faculty research mentor, and submitted to the Program Director for placement in the fellow’s permanent file. Completed evaluation forms submitted to the Program Director are immediately reviewed upon their receipt. Any forms that contain a rating less than satisfactory in any category will require an immediate conference between the fellow and the Program Director to identify causes for the poor performance and identify means for improving the
deficiency. All fellows will be required to keep a patient and procedures log, identifying the patient’s name and identification number, diagnosis, procedure, date, and the anatomic location of the procedure. A copy of this log will be provided to the Program Director quarterly during the first year and semi-annually in the second and third year for placement in the fellow’s permanent file. Quarterly in the first year and semi-annually thereafter, all fellows will confer individually with the Program Director to review all of their evaluations. This meeting is to provide feedback to the fellow on their performance and to identify areas for professional enhancement. A written summary of this session is placed in the fellow’s permanent file.
Summative Evaluation of the Fellows
When fellows meet individually with the Program Director at least semi-annually, feedback on their performance in both a formative and summative fashion will be given. A written summary of the fellows’ evaluations in the semi-annual conference is placed in the fellow’s permanent file. The overall performance of each fellow is reviewed at least annually by the local Clinical Evaluations Committee. This committee is asked to monitor the performance of the fellows and assess the level of competence for each fellow. The committee’s assessment is written and recorded in the program files for future reference purposes. Any adverse judgments or evaluations regarding the fellow’s level of performance or competence should first be directed to the Program Director. If the fellow feels that this is not to their satisfaction, then the grievance can be addressed by established institutional policy.
Evaluation of the Faculty and Program
Quarterly in the first year and semi-annually thereafter, all fellows are required to complete and return an evaluation form on the faculty and the program. Evaluations are collected in a fashion to assure the anonymity of the fellow. Fellows are encouraged to maintain a high level of communication with the Program Director and faculty. Periodically, meetings will be established for a formal conference with the fellows and Program Director. These meetings can be used to disseminate information, receive timely feedback, etc. The feedback received during informal meeting, formal meetings, and the semi-annual evaluation form will be used to make programmatic changes.