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Attending: Semi-Annual Evaluation

Attending: Semi-Annual Evaluation

* Required

Attending: Evaluation Form Semi-Annual

First Name *

Last Name *

Email Address *

Is the fellow competent in diagnosis and management? *

Yes
No
N/A

Does the fellow pay attention to detail? *

Yes
No
N/A

Does the fellow understand and perform adequate consultative assessments? *

Yes
No
N/A

Can the fellow identify when the patient is critical? *

Yes
No
N/A

Does the fellow communicate effectively? *

Yes
No
N/A

Does the fellow counsel patients on preventive medicine? *

Yes
No
N/A

Does the fellow demonstrate compassion toward the patients? *

Yes
No
N/A

Is the fellow competent in inpatient management of patients? *

Yes
No
N/A

Does the fellow have appropriate technical skills for level of training? *

Yes
No
N/A

Does the fellow come to the rotation prepared? *

Yes
No
N/A

Does the fellow have adequate basic knowledge? *

Yes
No
N/A

Does the fellow use information technology effectively in patient care? *

Yes
No
N/A

Does the fellow have an adequate understanding of anatomy? *

Yes
No
N/A

Does the fellow set learning and self-improvement goals? *

Yes
No
N/A

Does the fellow communicate effectively with the attending and peers? *

Yes
No
N/A

Can the fellow present a concise and accurate patient assessment? *

Yes
No
N/A

Does the fellow demonstrate adequate leadership skills? *

Yes
No
N/A

Can the fellow create and sustain therapeutic and ethically sound relationships with patients and families? *

Yes
No
N/A

Does the fellow participate in education of students, residents, and other health professionals? *

Yes
No
N/A

Can the fellow act in a consultative role to other physicians and health paraprofessionals? *

Yes
No
N/A

Can the felllow handle stressful situations? *

Yes
No
N/A

Does the fellow sign out appropriately? *

Yes
No
N/A

Is the fellow truthful? *

Yes
No
N/A

Does the fellow answer pages? *

Yes
No
N/A

Does the fellow demonstrate integrity? *

Yes
No
N/A

Does the fellow treat staff with respect? *

Yes
No
N/A

Does the fellow demonstrate professional conduct? *

Yes
No
N/A

Does the fellow know when to call for help? *

Yes
No
N/A

Can the fellow apply knowledge to the clinical situation? *

Yes
No
N/A

Does the fellow take the initiative for self-learning? *

Yes
No
N/A

Is the fellow able to critically evaluate literature and research during this rotation? *

Yes
No
N/A

Does the fellow practice reflect a guideline based approach to diagnosis and management? *

Yes
No
N/A

Is this fellow an effective teacher? *

Yes
No
N/A

Is this fellow able to reflect on his recommendations and make changes to improve outcomes? *

Yes
No
N/A

Is the fellow able to prioritize? *

Yes
No
N/A

Does the fellow understand and consider the financial implication of the pharmaceutical labs and procedures ordered to the patient? *

Yes
No
N/A

Does the fellow recognize and utilize personnel and information resources (Staff, texts, guidelines, online information) appropriately and effectively with patients? *

Yes
No
N/A

Does the fellow have good system-based practice relationships with STs, RNs, LPNs, PAs Discharge planners, social workers, to provide quality care? *

Yes
No
N/A

Does the fellow understand safety issues e.g. failure to communicate in hand-off reporting as a contributing factor to medical errors? *

Yes
No
N/A

Does the fellow have an understanding of the distinct types of medical practice and delivery systems? *

Yes
No
N/A

Has this fellow successfully mastered the knowledge and skills expected of this rotation? *

Yes
No
N/A

Has this fellow mastered clinical and surgical skills recommended for this rotation and year level? *

Yes
No
N/A

Has this fellow demonstrated appropriate behavior on this rotation? *

Yes
No
N/A

Is the fellow ready to progress to the next rotation/level? *

Yes
No
N/A

All Upcoming CME

2012 Current Solutions in Spine Surgery
2012 Atlanta Trauma Symposium: Cutting-Edge for the Community Fracture Surgeon
2012 Fellows Day
2012 Orthopaedics for the Primary Care Practitioner & Mid-Level Provider
2012 Contemporary Surgical Skills Lab for Hip and Knee Arthroplasty

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