ALBERTA CHILDREN’S HOSPITAL PAEDIATRIC EMERGENCY MEDICINE ROTATION INTERIM EVALUATION Resident Name _________________________ Rotation Dates _________ Home Program _________________________ Level ________ Preceptors: Please review evaluations to date and provide a summary evaluation of first half of rotation. Evaluation Codes: 1 – Below expectations for level of training 2 – Meeting expectations for level of training 3 – Outstanding resident (functioning in top 10% of peers) Medical Expert: History and physical exam Recognition of seriously ill child Ability to formulate differential Investigation & management plans
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Communicator: Communication with families and pts Written reports
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Collaborator: Team relationships (MDs RNs unit clerks)
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Manager: Follows up on own patients
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Scholar: Knowledge of the literature
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Professionalism: Sense of responsibility Recognition of own limitations Ability to receive feedback Ethical behavior
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Overall Competency:
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Completed by: _____________________________ Please have preceptor complete at end of shift.
Comments:
Date: __________________