Alberta Children’s Hospital Emergency Department PEM Rotation Daily Precepted Shift Evaluation
***Absent Shift*** Date:
Resident __________________________________________________ Training Level ______________ Medical School/Program _____________________________________ Rotation Block ______________ OFFICE USE ONLY Number/date of MISSED shifts: __________________________________________________________ Number/date of MISSED teaching sessions: _________________________________________________
Medical Expert In relation to expectations for level of training: Rarely Meets **
Inconsistently Meets **
Consistently Meets
Often Exceeds **
Consistently Exceeds **
No Data
Knowledge base (broad, relevant, current) History: performs independently in common cases – appropriate, thorough and directed Physical Exam: performs independently in common cases – appropriate, thorough and directed Differential Diagnosis: organized and appropriate Diagnostic Testing: appropriate choice and use of ancillary tests Presentations: organized, directed and pertinent Medical Record Keeping: legible, organized, pertinent Soundness of Judgement and Decision Making: provides effective treatment Clinical Procedures: safe and effective Organizes effective/efficient patient dispositions Supporting comments:
**any category given a mark OTHER than “Consistently Meets” MUST include supporting comments
Professional In relation to expectations for level of training: Rarely Meets **
Inconsistently Meets **
Consistently Meets
Often Exceeds **
Consistently Exceeds **
Consultancy Skills: Demonstrates timely consultation with staff ED physician and/or other services Communicator: physician-patient relationships Collaborator: team relationships (MDs, RNs, Unit Clerks) Is punctual for shifts and educational events; enthusiastic Follows through on assigned tasks, transfer of patient care, informs supervisor of errors or concerns Supporting comments:
**any category given a mark OTHER than “Consistently Meets” MUST include supporting comments
No Data
Procedures and Skills In relation to expectations for level of training: Procedure performed
Comments
On the basis of your assessments above, do you consider that this individual has reached a level of competence compatible with her/his level of training? ☐ No ☐ Yes Do you consider this candidate’s moral and ethical standing satisfactory? ☐ No ☐ Yes
Overall Evaluation In relation to expectations for level of training: Unable FAIL To Rarely Assess Meets Overall Evaluation ☐ ☐
FAIL Inconsistently Meets ☐
PASS Consistently Meets ☐
PASS Often Exceeds ☐
PASS Consistently Exceeds ☐
Comments: your comments are very important. They should summarize the candidate’s strengths and weaknesses. Applicant’s Strengths:
Applicant’s Weaknesses:
Recommendations for how improvement can occur:
Did you have an opportunity to meet with this trainee to discuss their performance? ☐ Yes ☐ No Completed by __________________________________________
Date _____________________