Evaluation of SECOND 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
1
Patient Care
Judgment the fellow is almost always…
1. Able to integrate information from the history, physical, and lab to diagnose all
common major and minor problems and some complex problems
2. Able to suggest and implement appropriate care for a variety of problems
3. Able to expertly explain the risks and benefits of a treatment to parents
4. Able to independently and effectively triage work lists / prioritize
5. Able to recognize their limitations and seek appropriate consultations
6. Anticipates changes in patient status, thereby mitigating potential morbidity
Procedural Skills
1. Fellow almost always independently performs the following procedures proficiently:
a. Intubation of extreme preterm infant ( <1000g)
b. Semi-emergent intubation of term or preterm infant
c. Placing peripheral arterial lines
d. Placing chest tubes
e. Placing PICC lines
f. High frequency ventilator management
Medical Knowledge
General Fund of Knowledge: the fellow frequently…
1. Can apply understanding of a broad range of concepts to patient care
2. Knows the basic pathophysiology behind and treatment strategies for:
a. BPD and other complex respiratory diseases
b. Multisystem organ failure
c. Congenital anomalies
Scientific Literacy: the fellow is frequently…
1. Involved in life-long learning (actively seeks relevant articles)
2. Able to critically analyze scientific literature
3. Able to practice Evidence Based Medicine (often incorporates scientific literature
into diagnosis/care)
Practice-Based Learning / Improvement
Self Evaluation the fellow is frequently…
1. Seeking feedback and willing to adapt in response to constructive criticism
2. Focused on accomplishing personal/professional goals
Teaching Skills the fellow is clear, organized, & accurate while…
1. Making classroom presentations / leading seminars
2. Teaching residents in clinical settings (rounds, NRP, x-rays)
3. Using hand outs / Powerpoint / visual aides
4. Adjusting teaching to appropriate educational level of audience
Administrative Responsibilities the fellow is active in:
1. Implementing their quality improvement project
2. Designing their database project
3. Coordinating of conferences (list which conference)
4. New Fellow Recruitment
2
3
NA
Evaluation of SECOND YEAR Neonatology Fellows
Interpersonal / Communication Skills
Clinical in most situations, fellow is frequently concise, accurate, organized,& respectful while …
1. Communicating important information to neonatology faculty
2. Teaching residents / medical students
3. Working with nurses / house staff
Patient / Family fellow is sensitive, non-judgmental, & respectful while ...
1. Offering appropriate counseling to families
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 frequently…
1. Collaborates effectively with entire team
2. Respects and is respected by the team
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
Systems Based Practice the fellow frequently…
1. Proposes cost-effective care that does not compromise quality of care
2. Participates in discharge planning
3. Anticipates the financial and psychosocial needs of families
4. Communicates consistently with referring physicians
5. Assists with coordination and management of transports
Scholarly Activities
Research Projects the fellow has successfully done the following:
1. Submitted a well-written abstract to a scientific meeting
2. Critically reviewed a manuscript in area of interest as a secondary reviewer
3. Submitted a promising research funding application
4. Confidently presented an oral/poster presentation of research at a 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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