Rabu, 14 Januari 2009

Feedback and Evaluations

Students who are outstanding will go above and beyond what's expected; i.e., talk to you about literature they are reading, offer to call parents back, make diagnoses that are not straightforward, etc. When you evaluate students, provide clear descriptions of their performance. Give them feedback at the midpoint and frequently throughout the rotation, and discuss their final evaluation at the end of the rotation. We have materials to assist you with mid-rotation feedback and with evaluations provided later in this document.

The majority of the students get a grade of "Pass" with a corresponding number of 3. "High Pass" suggests better than average but not quite outstanding and gets a 4. "Honors" is reserved for the top 10-15% and gets equals a 5. Your comments are essential in helping us understand the student’s performance. Please write meaningful statements that are descriptive and informative.

Please review the Expectations for Honors Level Clinical Performance document. It should help clarify the expectations for Honors level performance for the pediatrics medical student on the 3rd year clerkship, in order to better support consistent evaluation.

Additional Feedback Forms

  • Mid-Rotation Feedback Form
    The student does a self-assessment of their performance at the 2 week point and then the preceptor provides their input and comments. This feedback does not count towards the student’s final grade. It is meant to point out strengths and weakness and should not be used against the student.
  • Structured Clinical Observation Form (SCO)
    This form is used by the preceptor to observe and evaluate the student while performing a portion of their history taking, physical exams, and/or provision of patient instructions after which they should receive brief immediate feedback. The student is required to have 6 SCO’s completed during their rotation.

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Final Evaluations

George Washington University’s School of Medicine has implemented the use of E*Value, a web based medical education management system. The use of E*Value will provide easy Internet access to students, preceptors and administrators with a common look and feel for everyone. It gives us the ability to track completed and outstanding evaluations with overdue e-mail reminders; electronic submission to the Medical Education Coordinator; and it improves the readability of the evaluations and their comments. Finally, we will be able to generate meaningful reports that can quickly summarize student performance.

E*Value - is designed and managed by Advanced Informatics, Inc. The applications primary purpose is to help manage one's medical education program. Being completely web-based, important information about evaluations, procedures, and the schedule is available to authorized users 24 hours a day from any computer with Internet access.

Why is E*Value needed?

Accreditation
National accreditation bodies, such as the Accreditation Council for Graduate Medical Education (ACGME), require attending physicians to submit evaluations about each of the trainees they supervise. In addition, as part of their rotation, trainees may be required to evaluate the educators and the other trainees, with whom they interact, as well as the sites and rotations themselves. E*Value helps solve the evaluation compliance issue.

Ease of Use
Most users will be able to submit this information conveniently from their place of work or from home. It is hoped that E*Value will be easy for all to use, allow for a better rate of compliance, provide useful information to the program and its participants, and save everyone time in the process.

Managing Quality
E*Value allows you to submit required program evaluations electronically. Electronic submission can reduce paperwork as well as send evaluation information directly to the appropriate person in a more timely fashion. The evaluation information submitted through E*Value is placed into a database from which valuable reports are produced and informative analyses made.

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Getting Started with E*Value

The Student Coordinator will need your e-mail address and your first and last name to get you set-up in E*Value. They will then send you an email that contains your log-on information. That’s all there is to it. You can change your log-on information at any time. E*Value will send you an e-mail reminder that you have an evaluation to complete. Each time you log-on you will be shown the status of your evaluations and you will be given a direct link to the evaluations that are pending. Logging Onto E*Value.

There are several “Comment Fields” that you are required to complete. Please take the time to provide meaningful comments about the student’s strengths and weakness for that evaluation criterion. This information is used to help the student understand the scores he/she has received from you and they are used in their letters of recommendations from their advisors, the dean, and other evaluators.

Finally, at the end of the evaluation, you have the options to “save the evaluation” or “submit” it. If you choose to “save the evaluation” it will be in your pending list the next time you log on. Once you have completed the evaluation, you can “submit” it, which will make it accessible to the student and administration. If you feel you need to make changes or add additional comments after you have submitted it, notify the Student Coordinator who can release it back to your pending file.

If at any time you need help logging on, etc. contact the Student Coordinator, in the office of Medical Education at Children’s National Medical Center, 202-476-5692. E*Value Quick Start Users Guide. If you do not have Internet access, the Student Coordinator will work with you to get the evaluation completed.

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Grade Challenges

We have a process in place for all students in the event they do not agree with the grade given during their inpatient or outpatient rotation. Their first step is to review the evaluation in E*Value, after which they should contact you to discuss the scores and comments they were given. If they are still not satisfied, the concern is presented to the Clerkship Director who will speak with you in an effort to better understand your position. The director will have the student attend a formal Medical Student Education Committee Meeting during which their concern can be explained and discussed. You will be asked to be in attendance or available for a conference call.

Pediatric Clerkship Goals and Objectives

The goals of the Pediatric Clerkship Rotation at the GWU School of Medicine are to help the third-year medical students to:
  1. Acquire a working knowledge of normal and abnormal growth and development;
  2. Recognize, understand the pathophysiology of, diagnose, and treat the common disorders of infancy, childhood and adolescence
  3. Develop an understanding of children’s and families’ perspectives of being cared for within our healthcare system through observation, inquiry, and reflection.

After completing an 8-week pediatric clerkship rotation, the student will be able to:

Attitudes:

  1. Demonstrate the development of humanistic attitudes in dealing with well, acutely ill and chronically ill patient.
  2. Assume responsibility for the initial and follow up care of the patient and recognize the role of the child in the family unit.
  3. Establish a pattern of continuous inquiry into the problems of human development, referring to basic texts and current literature.
  4. Reinforce the role of established research and personal inquiry in advancing pediatric care.

Skills:

  1. Perform effective age-oriented interviews and physical examinations on newborns, children, and adolescents.
  2. Obtain and record a complete medical examination using the S O A P or other organized format.
  3. Formulate a clinical assessment (diagnosis, problem list) and establish diagnostic and therapeutic plans for each problem on the list.
  4. Present information orally using "problem representation" and an ordered, logical sequence and including pertinent positives and negatives.
  5. Identify learning objectives through the experience by recognizing gaps in knowledge, skills and attitudes.

Cognition:

  1. Recognize the influence and impact of pathophysiological processes on the growth and development processes of children.
  2. Recognize the significance of signs and symptoms at various ages and classify children as well, mildly ill, or acutely ill.
  3. Identify common illnesses of children.
  4. Understand the important of preventive pediatrics; describe how nutrition, environmental influences, safety, immunizations, and anticipatory guidance improve child health.
  5. Explain how community resources affect child health.
  6. Contrast the field of pediatrics with other medical specialties, specifying its advantages and disadvantages as a career choice.

We are pleased to announce the launch of the new ReachMD Continuing Medical Education (CME) application for the Apple iPhone and iTouch. This is the first CME application ever launched for Apple that allow users to listen to all ReachMD Continuing Medical Education content, get regular updates on new Continuing Medical Education content and take Continuing Medical Education tests for credit all from their iPhone or iTouch.

The ReachMD CME iPhone application is an easy-to-use and fully accredited Continuing Medical Education tool that gives healthcare practitioners a convenient way to earn free CME credits through their iPhone or iTouch.

Now Continuing Medical Education content that we broadcast on our XM satellite radio channel is available to iPhone and iTouch users directly with this new application. Just download the ReachMD CME iPhone app to your iPhone or iTouch, listen to the program and easily take the CME certification test from your iPhone, iTouch or here on our web site.

ReachMD Continuing Medical Education iPhone App Features:

  • Listen and take Continuing Medical Education exams directly on your iPhone or iTouch
  • Easily go back to exams you were previously working on after taking a phone call
  • Search for Continuing Medical Education programs by keywords
  • Automatically updates with new Continuing Medical Education programs
  • Alerts for new programs and information

Simply click on the ReachMD CME iPhone icon below which will take you to our ReachMD CME app download page.