Anesthesiology Resident Evaluation Policy Clinical Competency Committee

Revised May 2013

1. Anesthesiology residents shall be evaluated as outlined in UTMB GME General Information to Housestaff :

SECTION XI - DUE PROCESS; GRIEVANCE
D. HOUSE STAFF EVALUATION

An institutional electronic evaluation system in New Innovations is used at UTMB and is mandatory for all residency programs including faculty and house staff. Each UTMB residency training program is to have a written procedure approved by the institution for regularly scheduled electronic evaluations of the performance of each house staff by such program's Program Director as required by the ACGME's Institutional Requirements. The fact that these evaluations have been reviewed with the resident will be documented in the individual's electronic file. House staff will be notified by e-mail when their evaluation is completed. A log of the resident viewing the evaluation will be maintained. These electronic evaluations are intended to document the strengths and weaknesses of the house staff's knowledge and/or performance including the core competencies required by the ACGME. The training program is expected to notify the house staff at the earliest time possible of significant deficiencies in knowledge or performance, document plans for correction or improvement, and monitor success or lack thereof in doing so. Evaluations completed on each house staff will be retained in the electronic evaluation system permanently.

Each house staff will be required to evaluate his/her residency program and faculty annually using the electronic evaluation systems. Training is offered by online training simulations.

2. Anesthesiology residents typically have many different faculty evaluators for a single rotation. Timely documentation by the various faculty of resident evaluation concurrent with resident performance is essential to providing a valid summative evaluation for the rotation. In order to comply with UTMB New Innovations system which requires a single evaluator for each monthly rotation the following system is implemented:

  • Departmental web-based daily/ weekly resident evaluations by faculty for specific rotations with multiple faculty and residents assigned in a single month.
  • Monthly summary report of these daily/weekly faculty evaluations for each resident are submitted to Chairman of Resident Evaluation Committee for general OR rotations or Rotation Directors for subspecialty rotations.
  • Summary reports of daily evaluations for residents on general OR rotations are reviewed in monthly Resident Evaluation Meeting by faculty. Each resident’s performance is discussed and a summative evaluation is developed for each resident by consensus opinion of the evaluation committee. The Chairman of the Evaluation Committee is responsible for entering the summative rotation evaluation for each resident into the New Innovations system monthly.
  • Subspecialty Rotation Directors are responsible for completing monthly New Innovations evaluation of residents rotating on their service.
  • Each resident’s New Innovations monthly evaluation is available to the resident’s departmental mentor.

3. The Clinical Competency Committee reviews each resident’s performance every six months in order to submit documentation of satisfactory/unsatisfactory performance to the ABA. Monthly evaluations and semiannual New Innovations portfolio review are considered in compiling this six month evaluation. Each resident should meet with a member of the CCC every six months to review their performance. The ABA requires a satisfactory Certificate of Clinical Competence covering the final six months of training for all entrants into the ABA examination system.

4. The Clinical Competency Committee (CCC) and Chair are appointed by the Program Director and includes a subset of faculty members of the Residency Education Committee. Per RRC guidelines, the PD may not be the Chair of the CCC.

The duties of the Clinical Competency Committee include:

  • Review all training evaluations of resident performance.
  • Preparation of the New Innovations and the American Board of Anesthesiology semiannual report for each resident. (This will include Milestones progress when anesthesiology milestones are incorporated by the RRC).
  • Recommendations on resident progress including promotion, remediation and dismissal.

 

Revised May 2013