Text Box: Behavior Based Evaluation Text Box: Timely Feedback at all times Text Box: Evaluation of Residents Text Box: residents and faculty both found it much more useful. By working together in this important aspect of residency training, we were able to come up with a useful and accurate evaluation tool which is now beginning to be used by other residencies across the nation. Text Box: At Waukesha Family Practice, we strive to give useful, fair and timely feedback to all of our residents. Historically, however rating of resident performance has been an inexact science at best. Problems included getting a numeric score which really didn’t tell you what you what you were doing right (or wrong), raters who would score the same level of skill different ways and “the Lake Wobegon effect” where everybody was above average. Faced with this problem, the residents and faculty got together and designed a form that would give residents an accurate sense of how they were doing and give them solid information on how they should be improving. We first came up with 33 behavior sets that we felt give an good overall picture of a family physician’s performance. Then we mapped out what behavior should be portrayed Text Box: by a residents at various levels of their training as well as how “the perfect doctor” would act for a given area of evaluation. After designing this form we did extensive testing and found out 2 very important things. First, by using this method we were able to accurately assess a resident’s performance with as much reliability as the National Boards. Secondly, the Text Box: Informal feedback on clinical presentations during morning report One on one feedback with faculty advisors Meetings among faculty and chief residents about Text Box: Other formal and informal feedback residents receive Monthly written evaluations from community preceptors In depth feedback on inpatient management Text Box: during teaching service Daily discussions of outpatient performance in clinic Videotaping and direct observation of inpatient and outpatient care

“The evaluation process is thorough and objective.  It systematically identifies strengths and weaknesses and has allowed me to see where I am progressing well and where I need to push myself harder.”

 

 

Doug Lindberg PGY3 –2005
Text Box: Waukesha Family Medicine Residency Text Box: Awesome Graduates, Awesome Service, Awesome Environment