Evaluation of THIRD YEAR Neonatology Fellows
Date:
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Fellow’s Name:
Evaluator’s Name:
Evaluator’s Position:
Length/Quality of Observation:
1 = below expectations
2 = meets expectations
3 = above expectations
Objectives and Expectations
Patient Care
Judgment the fellow is almost always able to…
1. Integrate information from the history, physical, and lab to formulate diagnosis
for wide range of clinical problems
2. Integrate clinical data, scientific evidence, and parent input into decision making
3. Develop and carry out a treatment plan a wide variety of problems
4. Coordinate input of other health professionals to provide excellent patient care
5. Safely and effectively ensure continuity/transfer of patient care
6. Independently and effectively triage work lists / prioritize
7. Recognize their limitations
Communication Skills the fellow effectively…
1. Leads patient management conferences with parents
2. Leads work rounds, promoting the integration of clinical judgement, scientific
evidence and family preferences into decision making
3. Explain the risks and benefits of complex treatments to parents
4. Discuss the withdrawal of care with parents when appropriate
5. Formulates attending level paperwork (notes, patient summaries etc)
Procedural Skills the fellow almost always
1. Independently performs all common procedures proficiently and comfortably
2. Independently manages neonatal resuscitations (emergent/non-emergent)
3. Leads code team in resuscitation of critically ill infant
Medical Knowledge
General Fund of Knowledge the fellow …
1. Serves as a source of advice and supervision for residents
2. Knows the basic pathophysiology behind and treatment strategies for:
a. Fetal diagnostics/therapeutics
b. Complex disease processes
Scientific Literacy the fellow is…
1. Able to demonstrate an in-depth knowledge of study design and statistical
methods while critically analyzing scientific literature
2. Able to practice Evidence Based Medicine
3. Demonstrating an expanding assimilation of current literature related to fetal and
neonatal physiology and pathophysiology
Practice-Based Learning / Improvement
Self Evaluation the fellow is frequently…
1. Insightful (self-evaluations reflect faculty evaluation)
2. Seeking feedback and willing to adapt in response to constructive criticism
3. Focused on accomplishing personal/professional goals
Teaching Skills the fellow is clear, organized, enthusiastic, and confident while…
1. Teaching residents about the pathophysiology and management of complex
neonatal diseases
2. Using hand outs / PowerPoint / visual aides
3. Adjusting teaching to appropriate educational level of audience
4. Providing constructive criticism to residents
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3
NA
Evaluation of THIRD YEAR Neonatology Fellows
Administrative Responsibilities the fellow:
1. Is evaluating the results of their quality improvement project
2. Attends and participates in faculty meeting
3. Helps coordinate new Fellow recruitment
Interpersonal / communication skills
Clinical fellow is concise, accurate, organized,& respectful while …
1. Communicating important information to neonatology faculty
2. Working with nurses / house staff
Patient / Family fellow is consistently sensitive, non-judgmental, & respectful while ...
1. Offering appropriate counseling and educating parents about future care
2. Respecting patient autonomy and privacy
3. Independently dealing with an upset or angry family
Listening Skills fellow is consistently…
1. Attentive and polite during conversations
2. Responsive to faculty/patient needs
Team Work fellow consistently…
1. Collaborates well with entire team
2. Respects and is respected by the team
3. Demonstrates leadership skills
Professionalism
Accountability fellow is…
1. Dependable / reliable
2. Punctual (and always has valid excuses any absence)
3. Responsive to pages / people’s needs
4. Good at time management
Behavior fellow is always…
1. Ethically sound, honest
2. Respectful
3. Committed to excellence
Systems Based Practice the fellow consistently…
1. Proposes cost-effective care that does not compromise quality of care
2. Participates in discharge planning
3. Consults primary care and specialty physicians in an effective manner
4. Is thoughtful and helpful to all services requiring a neonatology consult
5. Advocates for patients in dealing with system complexities
Scholarly Activities/ Research Projects the fellow successfully:
1. Submitted a 2nd well-written abstract to a scientific meeting
2. Critically reviewed a 2nd manuscript as a secondary reviewer
3. Submitted for publication an original, peer review scientific paper
4. Confidently present their research at a national scientific meeting
Describe a skill or practice this fellow needs to improve:
Describe a skill or practice that is a signature asset for this fellow:
Is this fellow on track to successfully complete the fellowship?
Was this evaluation discussed with the fellow?
Signature:
Yes / No
Yes / No
Date:
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