Evaluation in this program is an ongoing process and occurs in a 360-degree manner.
During clinical rotations, the attending of the month is the principal evaluator of the trainee. Trainees are evaluated in all aspects of clinical activities and patient care, including attributes of professionalism. Evaluation forms focused on the new competencies, developed by the American Board of Internal Medicine, are employed for this evaluation and the attending and trainee are expected to discuss the evaluation before the end of the month, and before the evaluation form is given to the program director and maintained in the trainee’s file. Trainees are required to keep their own record of procedures, indicating who supervised the procedure, and copies of the procedure logbook or equivalent documents are provided to the Program Director for the trainee’s file. Trainees are also evaluated in the ambulatory setting. We employ the Mini-CEX interaction that was developed and validated by the American Board of Internal Medicine, These directly observed patient interactions are carried out at least 6 times per year in the general endocrinology clinics and in the Continuity Clinic for the entire 2-year training period. The director of each Continuity Clinic provides a summary evaluation of performance every 3 months. At semiannual intervals, the Program Director meets with and prepares a written summary of all of the evaluations for each trainee; those evaluations are discussed in person with the trainee and retained in the trainees’ file.
At annual intervals, a summary evaluation will be prepared by the Program Director, documenting the degree to which the trainee has mastered each component of the new competencies. Trainees will be advanced to a position of greater responsibility after they have demonstrated satisfactory scholarship and professional growth. A written policy to ensure due process has been developed by the Department of Medicine and is used by all Subspecialty Divisions in our institution. The Program Director employs a formal, in-service examination to help determine the trainee’s base of factual knowledge and ability to make decisions concerning patient care. Trainees must complete the current version of the Endocrine Self Assessment Program (ESAP), published by the Endocrine Society and Up-To-Date, at the end of the first year and at the end of the training program.
In addition, their peers and the senior nursing staff in the general endocrinology clinic evaluate trainees twice per year.
To complete the circle of evaluation, trainees will evaluate the faculty members who serve as Attending of the Month, on a monthly basis and report those evaluations, using forms developed by the American Board of Internal Medicine, to the Program Director. A summary of these evaluations is provided to individual faculty members twice per year, which contains appropriate counseling about improving their teaching effectiveness, if necessary.
Trainees, at annual intervals, also evaluate the program as a whole, using American Board of Internal Medicine forms. One faculty meeting each year, during the months following the completion of training, is devoted, in part, to a review of these evaluations of the faculty and the program. The focus of this meeting is to review the educational effectiveness of the curriculum. Plans to improve those parts of the program that may not be optimal will be developed at these meetings.
The trainees as a group also meet with the Program Director twice per year to suggest changes in the curriculum.