Quincy Family Practice Program
Residents Manual
Criteria for Advancement / Promotion
The decision whether to promote a resident from the R1 to R2 years, the R2 to R3 year, and from R3 to graduation shall be determined by the Residency Director with the advice of the faculty of the department.
The method of evaluation shall consist of direct observation of the resident as well as by indirect observation through videotapes, rotation evaluations, correspondence between departments and written examination (National Boards, In-service exams). It is expected that residents will participate in all aspects of the curriculum, as well as in the periodic evaluation of educational experiences and teachers. It is further expected that residents will complete all administrative responsibilities, including licensure, credentialing, medical records, etc. in a timely fashion. All these parameters are evaluated.
The criteria for advancement shall be based upon the following parameters. Each of these parameters is assessed for each level of advancement. These parameters are:
- Patient Care – Gather data; order diagnostic tests; interpret data; make decisions, perform procedures; manage patient therapies; work with others to provide patient-focused care.
- Medical Knowledge – Fund of knowledge; active use of knowledge to solve medical problems
- Practice-Based Learning & Improvement – Analyze practice performance and carry out needed improvements; locate and apply scientific evidence to the care of patients; critically appraise the scientific literature; use the computer to support learning and patient care; facilitate the learning of other health care professionals
- Interpersonal & Communication Skills – Develop a therapeutic relationship with patients and their families; use verbal and non-verbal skills to communicate effectively with patients and their families; work effectively as a team member or leader.
- Professionalism – Demonstrate integrity and honesty; accept responsibility; act in the best interest of the patient; demonstrate sensitivity to patients’ ethnicity, age, and disability, includes absence of impairment.
- Systems-Based Practice – Demonstrate awareness of interdependencies in the health care system that affect quality of care; provide cost-effective care; advocate for quality patient care; work with hospital management and interdisciplinary teams to improve patient care.
There are three steps which shall be evaluated. The R1 to R2, the R2 to R3, and R3 to graduation steps. At each level, acceptable progress in the listed parameters will need to be documented. The following criteria will be required for promotion from one training level to the next:
- PGY1 to PGY2:
- Acceptable progress in areas 1 through 6
- Ability to supervise PGY1’s and students
- Ability to perform with limited independence
- PGY2 to PGY3
- Acceptable progress in areas 1 through 6
- Ability to supervise/teach
- Ability to perform with increasing independence
- PGY3 to Graduation
- Competence in areas 1 through 6
- Ability to perform independently
Policies with respect to promotion/non-promotion to the subsequent year of training shall comply with the General and Special Essentials pertaining to that program. The decision for promotion or non promotion shall be made by the Residency Program Director with consultation from the teaching faculty. A decision to withhold advancement or deny reappointment shall be taken only after documented counseling of the resident apprising him/her of the reason for such potential action, and documentation that the deficiencies have not been sufficiently corrected within a reasonable time. Notice to the resident that he/she will not be retained in the program for the upcoming contract year should occur four months prior to the expiration of the current contract whenever possible. If a resident believes that he/she has been dealt with unfairly in the above process, redress may be sought through the Resident Grievance Procedure.
DISMISSAL
Dismissal of a resident whose performance is unsatisfactory will be communicated in writing to the resident in accordance with GMEC policies on academic deficiencies and corrective action. Appeals of dismissal actions shall be handled through the Resident Grievance Procedure.
Approved by GMEC on 10/16/98
Amended and approved by the GMEC on November 8, 2002
Amended and approved by the GMEC on June 20, 2003
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