Advancement+Committee+Overview

Jenny Pisculli, Chair Harry Colt, Member Ex-Oficio Kat Brandt Karen Gershman Tom Leeson Chris Lutrzykowski Katje Musgrave Andy Rice Chris Ross Jenifer Van Deusen Nancy Weingarten **__ Purpose __** : To serve as the group that evaluates residents’ educational progress and attainment of competencies.
 * __ MDFMR ADVANCEMENT COMMITTEE OVERVIEW/draft __**
 * __ Members __** :

The goals of the Advancement Committee will be to:  -   identify strengths and weaknesses;  -   review residents self evaluation and goals;  -   plan to address resident goals or any weakness identified; and  -   make the direct giving and receiving of constructive feedback a collaborative process and cultural norm. **__ Meetings __** : 2nd Monday of 4th Wednesday of each block 7:30 – 9:00 am Over V-Tel in both sites **__ Process __** :



Each resident will be evaluated by the Advancement Committee 2x a year, following a pre-determined schedule. A staff member will gather information about the resident, based on a standard list of artifacts and information (see partial list below), and the resident will be encouraged to select items that showcase her/his learning. There will be some variation between artifacts and information gathered on residents, depending previously identified concerns or issues from her/his last evaluation.

Artifacts will include items that reflect actual resident work, such as samples of H&Ps, discharge summaries, taped patient encounters with the office note from that visit, etc. The committee will determine what information and artifacts need to be gathered to determine competency in the seven domains of the ACGME/AOA.

These artifacts and this information will eventually be gathered into an electronic portfolio, designed to reflect the residents’ growth as shown by their own authentic products.

The resident will meet with his/her advisor periodically. The first meeting of each year will include a self-assessment and creation of the Individualized Learning Plan (attached), and the final one of each year will reflect on results of the plan. The resident and her/his advisor will participate in the Advancement Committee evaluation of that resident. When the Advancement Committee determines that a resident is “in trouble,” a more directed evaluation and plan will be created. Then, if needed, the Advancement Committee can recommend remediation, which would be a separate process. The deliberations of the Advancement Committee will be summarized and presented monthly to the faculty at large.

**__ Information & Artifacts __** : (partial list) ** Overall ** : ¶  Promotion Criteria Form by PGY ¶  Summative Evaluation Form  ¶  Themes from Formative Global Rotation Evaluations ¶  Results from Encounter (e)Cards ¶  Documented Number of Outpatient Visits ¶  Documented Number of Nursing Home Visits ¶  Documented Number of Home Visits ¶  Documented Number of Deliveries ¶  Documented Number of Continuity Deliveries ¶  Documented ICU Visits

¶  Chart Audit <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Patient Satisfaction Survey Results <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Samples of H&P <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Sample discharge summary <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Videotaped patient encounters with the office note from that visit <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  OSCE Results <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Results for Standardized Patients <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Direct Observation Checklists <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Chart Review <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Mock Oral Exams (videotaped?) <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Study Group Results <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Scholarly Project <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Intraining Exam Scores <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  COMLEX/ USMLE Scores <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Documented Conference/ Clinical Skills Attendance <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Documented Required Procedures
 * Patient Care: **
 * Medical Knowledge: **

<span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  SEGUE Format Observation of Patient Visit/videotaped <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  360-degree evaluations
 * Interpersonal & Communication Skills: **

<span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  OSCE Results <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  360-degree evaluations <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Patient Satisfaction Survey Results
 * Professionalism: **

<span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Chart Review <EMR> <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Quality Improvement Project <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Mock Oral Exams <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Scholarly Project
 * Practice-Based Learning & Improvement: **

<span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Patient Satisfaction Survey Results <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  360-degree evaluations <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Chart audits (cost-effective care)
 * System-Based Practice: **

<span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  Chart Review <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  COMLEX <span style="font-size: 11pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; msofareastfontfamily: Wingdings; msobidifontfamily: Wingdings; msolist: Ignore;">¶  IMR/ Observation Form **__ Process __**** : ** <span style="font-size: 11pt; mso-fareast-font-family: 'Bookman Old Style'; mso-bidi-font-family: 'Bookman Old Style'; msofareastfontfamily: 'Bookman Old Style'; msobidifontfamily: 'Bookman Old Style'; msolist: Ignore;"> 1. Resident reflects on own learning needs and makes notes on Individualized Education Plan (IEP, attached). <span style="font-size: 11pt; mso-fareast-font-family: 'Bookman Old Style'; mso-bidi-font-family: 'Bookman Old Style'; msofareastfontfamily: 'Bookman Old Style'; msobidifontfamily: 'Bookman Old Style'; msolist: Ignore;"> 2. Advisor meets with Resident at the beginning of the year. At this meeting, they work together on developing IEP, determining areas of strength and growth and creating some goals & strategies for the resident to enhance growth areas. <span style="font-size: 11pt; mso-fareast-font-family: 'Bookman Old Style'; mso-bidi-font-family: 'Bookman Old Style'; msofareastfontfamily: 'Bookman Old Style'; msobidifontfamily: 'Bookman Old Style'; msolist: Ignore;"> 3. Advisor sends copy of IEP to Advancement Committee staff/member jvd. <span style="font-size: 11pt; mso-fareast-font-family: 'Bookman Old Style'; mso-bidi-font-family: 'Bookman Old Style'; msofareastfontfamily: 'Bookman Old Style'; msobidifontfamily: 'Bookman Old Style'; msolist: Ignore;"> 4. Advancement Committee members are pre-assigned Residents to present at pre-scheduled meetings. <span style="font-size: 11pt; mso-fareast-font-family: 'Bookman Old Style'; mso-bidi-font-family: 'Bookman Old Style'; msofareastfontfamily: 'Bookman Old Style'; msobidifontfamily: 'Bookman Old Style'; msolist: Ignore;"> 5. Staff/ member (jvd) assists Advancement Committee members in preparing presentation of residents at meetings. <span style="font-size: 11pt; mso-fareast-font-family: 'Bookman Old Style'; mso-bidi-font-family: 'Bookman Old Style'; msofareastfontfamily: 'Bookman Old Style'; msobidifontfamily: 'Bookman Old Style'; msolist: Ignore;"> 6. Advisor and Resident attend pre-scheduled Advancement Committee meeting. <span style="font-size: 11pt; mso-fareast-font-family: 'Bookman Old Style'; mso-bidi-font-family: 'Bookman Old Style'; msofareastfontfamily: 'Bookman Old Style'; msobidifontfamily: 'Bookman Old Style'; msolist: Ignore;"> 7. Pre-assigned Advancement Committee member presents Resident goals & progress to Committee, assisted by Resident and Advisor. <span style="font-size: 11pt; mso-fareast-font-family: 'Bookman Old Style'; mso-bidi-font-family: 'Bookman Old Style'; msofareastfontfamily: 'Bookman Old Style'; msobidifontfamily: 'Bookman Old Style'; msolist: Ignore;"> 8. Advancement Committee, Advisor & Resident discuss strengths & growth areas, and design targets for next evaluation session. <span style="font-size: 11pt; mso-fareast-font-family: 'Bookman Old Style'; mso-bidi-font-family: 'Bookman Old Style'; msofareastfontfamily: 'Bookman Old Style'; msobidifontfamily: 'Bookman Old Style'; msolist: Ignore;"> 9. Advisor meets with Resident toward the middle of the year. At this meeting, they work together on reviewing the IEP, assessing areas of strength and growth and seeing where Resident is on work toward set targets. <span style="font-size: 11pt; mso-fareast-font-family: 'Bookman Old Style'; mso-bidi-font-family: 'Bookman Old Style'; msofareastfontfamily: 'Bookman Old Style'; msobidifontfamily: 'Bookman Old Style'; msolist: Ignore;"> 10. Staff/ member (jvd) assists Advancement Committee members in preparing presentation of residents at meetings. <span style="font-size: 11pt; mso-fareast-font-family: 'Bookman Old Style'; mso-bidi-font-family: 'Bookman Old Style'; msofareastfontfamily: 'Bookman Old Style'; msobidifontfamily: 'Bookman Old Style'; msolist: Ignore;"> 11. Advisor and Resident attend pre-scheduled Advancement Committee meeting. <span style="font-size: 11pt; mso-fareast-font-family: 'Bookman Old Style'; mso-bidi-font-family: 'Bookman Old Style'; msofareastfontfamily: 'Bookman Old Style'; msobidifontfamily: 'Bookman Old Style'; msolist: Ignore;"> 12. Pre-assigned Advancement Committee member presents Resident goals & progress to Committee, assisted by Resident and Advisor. <span style="font-size: 11pt; mso-fareast-font-family: 'Bookman Old Style'; mso-bidi-font-family: 'Bookman Old Style'; msofareastfontfamily: 'Bookman Old Style'; msobidifontfamily: 'Bookman Old Style'; msolist: Ignore;"> 13. Advancement Committee, Advisor & Resident discuss progress toward targets set at last evaluation session, and design new targets for the next session.
 * Integrative Medicine/Osteopathic Principles & Practice: **

A portfolio…. <span style="font-size: 10pt; font-family: Garamond; mso-fareast-font-family: Garamond; mso-bidi-font-family: Garamond; msofareastfontfamily: Garamond; msobidifontfamily: Garamond; msolist: Ignore;">•  Is a collection of artifacts/ products/logs created/prepared by the resident and others <span style="font-size: 10pt; font-family: Garamond; mso-fareast-font-family: Garamond; mso-bidi-font-family: Garamond; msofareastfontfamily: Garamond; msobidifontfamily: Garamond; msolist: Ignore;">•  Chronicles a learner’s evolving competence <span style="font-size: 10pt; font-family: Garamond; mso-fareast-font-family: Garamond; mso-bidi-font-family: Garamond; msofareastfontfamily: Garamond; msobidifontfamily: Garamond; msolist: Ignore;">•  Provides evidence of learning and achievement related to a learning plan <span style="font-size: 10pt; font-family: Garamond; mso-fareast-font-family: Garamond; mso-bidi-font-family: Garamond; msofareastfontfamily: Garamond; msobidifontfamily: Garamond; msolist: Ignore;">•  Contains written documents; can include video/audio, photographs and other forms of information <span style="font-size: 10pt; font-family: Garamond; mso-bidi-font-weight: bold; mso-fareast-font-family: Garamond; mso-bidi-font-family: Garamond; msofareastfontfamily: Garamond; msobidifontfamily: Garamond; msolist: Ignore; msobidifontweight: bold;">•  Enables the resident and her/his teachers to reflect on what has been learned Adapted from [] Measurement of General Competencies, Acad. Med., 3/09