Cardiology Fellow Evaluation

Rotation: Date: Attending:

Category	Level of Performance
	Outstanding	Good	Needs Improvement
Medical Knowledge The Fellow is knowledgeable, scholarly, and committed to lifetime learning. · Demonstrates a level of knowledge that is consistent with level of training and increases during the course of the rotation · Demonstrates knowledge of normal anatomy · Provides evidence of outside reading, & conference performance · Understands relevant clinical & scientific concepts · Applies those concepts	ÿ Understands concepts appropriate for the year of training ÿ Is familiar with basic MR physics protocols & MR exams ÿ Presents cases at clinical conferences ÿ Demonstrates sound knowledge of anatomy ÿ Recognizes abnormal findings ÿ Performs appropriate differential dx ÿ Exceeds expectations	ÿ Demonstrates appropriate background knowledge to understand the clinical questions, but is not fully able to apply this knowledge ÿ Has occasional difficulty in identifying normal anatomy ÿ Needs more study & practice ÿ Hesitates in discussion of abnormal pathology ÿ Recognizes common cardiovascular findings	ÿ Is unable to answer basic questions ÿ Falters or misrepresents cases in report ÿ Appears unprepared at case conferences ÿ Has difficulty in orienting to images ÿ Misses even gross findings ÿ Is unable to recognize common ÿ findings ÿ Does not meet expectations
Overall performance:	(9) (8) (7)	(6) (5) (4)	(3) (2) (1)
Patient Care The Fellow is provides compassionate, appropriate, and effective care for health problems and makes an effort to promote health. · Gathers essential and accurate patient information · Develops a diagnostic plan · Oversees diagnostic imaging · Counsels patients and families · Demonstrates knowledge of risks/precautions related to specific MRI procedures	ÿ Understands clinical issues and is able to interpret or undertake procedures with the best interest of the patient & referring physician in mind	ÿ Hesitates with decisions regarding patient care ÿ Requires close supervision on cases	ÿ Is not ready to handle call ÿ Needs further attention before following up with referring physicians
Overall performance:	(9) (8) (7)	(6) (5) (4)	(3) (2) (1)
Professionalism The Fellow is altruistic and accountable, and adheres to principles of medical ethics by respecting and protecting patient’s best interests. · Is reliable and committed to patient care · Interacts well with members of the patient care team · Demonstrates altruism, compassion, honor and integrity	ÿ Performs duties conscientiously & enthusiastically ÿ Reports where & when scheduled ÿ Is interested, motivated and engaged in the profession	ÿ Performs duties willingly & without complaint ÿ Works well with others generally ÿ Needs to be prompted to follow-up on ideas/problems	ÿ Avoids duties and/or complains often ÿ Requires being told what & how to do each task
Overall performance:	(9) (8) (7)	(6) (5) (4)	(3) (2) (1)
Practice-Based Learning & Improvement The Fellow (1) investigates and evaluates patient care practices, and (2) appraises and assimilates scientific evidence in order to improve practices. · Analyzes & performs practice-based improvement in cognitive knowledge, observation & formulation of impressions · Demonstrates critical assessment of scientific literature · Demonstrates knowledge of evidence-based medicine in practice · Uses multiple learning sources and facilitates education of students, peers & other professionals · Participates in Q&A	ÿ Participates in critical assessment of scientific literature through Journal Club & conferences ÿ Provides sound didactic lectures ÿ Teaches students, peers & other professionals ÿ Makes significant contribution to QA & QI	ÿ Is not fully participant in Journal Club ÿ Is peripherally involved in teaching students, peers & other professionals ÿ Participates in QA & QI activities	ÿ Does not participate in Journal Club or demonstrate assessment of scientific literature ÿ Does not participate in teaching ÿ Does not participate in QA & QI activities
Overall performance:	(9) (8) (7)	(6) (5) (4)	(3) (2) (1)
Systems-Based Practice The Fellow understands healthcare practice. · Understands the role and is competent in the use of computers, information systems, physics support, risk management, film room & PACS System · Demonstrates a knowledge of, and applies appropriateness criteria & other cost-effective healthcare principles to professional practice	ÿ Utilizes departmental resources appropriately ÿ Has a good understanding of the purpose of extra-departmental resources ÿ Uses online resources to assist decisions regarding patient care	ÿ Able to use online & information systems resources but is hesitant about extra-departmental support	ÿ Provides no evidence of using technology to assist in patient care ÿ Is unclear on the proper function of information systems & extra-departmental support
Overall performance:	(9) (8) (7)	(6) (5) (4)	(3) (2) (1)
Interpersonal/Communication Skills The Fellow communicates and teaches effectively. · Communicates with personnel, including peers, faculty, support staff, referring physicians & other housestaff members · Is helpful and proficient in the consultative role · Demonstrates skills in obtaining informed consent	ÿ Has excellent interactions with ancillary personnel ÿ Demonstrates a good understanding of the diverse nature of the healthcare environment ÿ Able to consult with referring physicians ÿ Works well as member of a team	ÿ Has good interaction with faculty, other attendings & peers, but appears uncomfortable in dealing with technologists, nurses, support staff and patients	ÿ Is neutral, negative, or even abusive to colleagues and/or staff ÿ Receives complaints from patients or staff
Overall performance:	(9) (8) (7)	(6) (5) (4)	(3) (2) (1)

Summary

Category	Score	Comments
Medical Knowledge
Patient Care
Professionalism
Practice-Based Learning & Improvement
Systems-Based Practice
Interpersonal/Communication Skills