Cardiology Fellows Evaluation - CCU
Fellow:
[First Name] [Last Name]
Evaluation Period: [99/99/9999] to [99/99/9999]
Evaluation of Fellow
Evaluator:
[First Name] [Last Name]
Rotation Name: [Rotation Name]
Interpersonal and Communication Skills
Does the fellow establish a highly effective therapeutic relationship with patients
and families; demonstrate excellent relationship building through listening and
narrative and nonverbal skills; provide excellent education and counseling of
patients, families, and colleagues; and is always "interpersonally" engaged?
,7541884_1
(Select one)
Practice-Based Learning and Improvement
Does the fellow constantly evaluate own performance, incorporate feedback into
improvement activities; an effectively use technology to manage information for
patient care and self-improvement?
(Select one)
Does the fellow provide teaching to residents or students?
(Select one)
,7560403_1,7537
Professionalism
Does the fellow always demonstrate respect, compassion, integrity, honesty;
teach/role model responsible behavior; total commitment to self-assessment;
willingly acknowledge errors; and always consider needs of patients, families,
colleagues?
,7560401_1
System-Based Practices
Does the fellow effectively access/utilize outside resources; effectively use
systematic approaches to reduce errors and improve patient care; and
enthusiastically assist in developing systems' improvement?
,7560402_1
(Select one)
(Select one)
Medical Knowledge
Does the fellow have exceptional knowledge of basic and clinical sciences; highly
resourceful development of knowledge; and comprehensive understanding of
complex relationships, mechanisms of disease?
(Select one)
Can the fellow appropriately recognize need for high acuity of care?
(Select one)
,7541885_1,7537
Patient Care and Procedural Skills
Does the fellow conduct superb, accurate, comprehensive medical interviews,
physical exams, review of other data; and always make diagnostic and therapeutic
decisions based on available evidence, sound judgment, and patient preferences?
(Select one)
Does the fellow demonstrate competence in performance of essential procedures
and minimizes patient's discomfort?
(Select one)
Can the fellow adequately manage patients presenting with acute coronary
syndrome?
(Select one)
Can the fellow appropriately manage patients with acute decompensated heart
failure?
(Select one)
Can the fellow appropriately manage VT or complex arrhythmia?
(Select one)
Can the fellow appropriately manage patients on pressors or inotropes?
(Select one)
Does the fellow know how to interpret ECGs and telemetry?
(Select one)
,7560482_1
Overall/Summary
How does the fellow overall perform on the CCU service?
,7537141_1
(Select one)
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Comments (Please write about Strengths, Weaknesses and Areas for Improvement)
Optional Comments Section:
* * Confidential Comments (The following comments will only be seen by the Program Director) * *
Feedback Confirmation
The following message is displayed to the attending and trainee to confirm verbal feedback to the trainee.
Evaluator Question:
Did you provide direct feedback on this evaluation?
Trainee Question:
Did the evaluator provide you with direct feedback on this evaluation?