Resident Evaluations and Mentorship
There are multiple avenues for residents to receive feedback on their performance. At the end of each rotation, written evaluations are constructed by the supervising faculty and delivered by in-person exit interviews. A system of daily evaluations is also in place to facilitate more frequent feedback to the residents. Each resident is assigned an engaged and energetic faculty mentor who will monitor the residents progress throughout the program and will become an integral part of the resident’s learning. Specific blocks of time are scheduled throughout the year to allow the mentor and mentee to meet, provide feedback and address any potential concerns. These meetings also serve as a method for a resident to provide feedback to the department. In addition, data from our electronic medical record system is collated quarterly to give each resident feedback on their longitudinal practice habits.
Clinical Competency Committee
The purpose of the Clinical Competency Committee is to monitor and evaluate the performance of each anesthesia resident at St. Elizabeth's Medical Center. The CCC utilizes a formal evaluation process that monitors the progress of each resident in the following categories used by the American Board of Anesthesiology (ABA) for defining competence in anesthesiology:
1. Demonstrates high standards of ethical and moral behavior.
2. Demonstrates honesty, integrity, reliability, and responsibility.
3. Learns from experience; knows limits.
4. Reacts to stressful situations in an appropriate manner.
5. Has no documented current abuse of alcohol or illegal use of drugs.
6. Has no cognitive or physical impairment that precludes acquiring and processing information in an independent and timely manner without accommodation or with reasonable accommodation.
7. Demonstrates respect for the dignity of patients and colleagues, and sensitivity to a diverse patient population.
1. Pre-anesthetic Patient Evaluation, Assessment, and Preparation
2. Anesthetic Plan and Conduct
3. Peri-procedural pain management
4. Management of peri-anesthetic complications
5. Crisis management
6. Triage and management of the critically-ill patient in a non-operative setting
7. Acute, chronic, and cancer-related pain consultation and management
8. Technical skills: Airway management
9. Technical skills: Use and Interpretation of Monitoring and Equipment
10. Technical skills: Regional anesthesia
1. Knowledge of biomedical, clinical, epidemiological, and social-behavioral sciences as outlined in the American Board of Anesthesiology Content Outline
1. Coordination of patient care within the health care system
2. Patient Safety and Quality Improvement
Practice-Based Learning and Improvement:
1. Incorporation of quality improvement and patient safety initiatives into personal practice
2. Analysis of practice to identify areas in need of improvement
3. Self-directed learning
4. Education of patient, families, students, other residents, and other health professionals
1. Responsibility to patients, families, and societies
2. Honesty, integrity, and ethical behavior
3. Commitment to institution, department, and colleagues
4. Receiving and giving feedback
5. Responsibility to maintain personal emotional, physical, and mental health
Interpersonal and Communication Skills:
1. Communication with patients and families
2. Communication with other professionals
3. Team and leadership skills
Monthly and daily feedback are collated for the CCC to review each quarter. The committee then prepares a report for approval by all core teaching faculty in the department. Should a deficiency in resident performance occur, the committee will design a remediation plan to help the resident towards successful completion of the program.
At least twice each year, in January and July, each resident has a conference with the chairman of the committee, and when appropriate, with the department chairman.
Staff and Program Evaluation
Once a year, residents are required to evaluate the staff and the residency program. This is done anonymously with a spirit of constructive criticism.
The Program Evaluation Committee (PEC) is comprised of faculty leaders and residents and meets quarterly. This committee designs the curriculum for the for the residency and updates it regularly. It also serves as a conduit for feedback from the residents to the department and residency leadership.