CDE Manual

 

Curriculum Development and Evaluation Committee

Introduction

The Curriculum Development and Evaluation (CDE) committee has been an integral part of the Family Practice Residency Program for several years (July 1993). The full committee consists of a Chairperson, family practice and behavioral science faculty in addition to administrative personnel. The program director sits on the committee but not as the chairperson.

Initially it was organized to provide a systematic evaluation of the residents and their progress through the program. As the curriculum development process became more defined the CDE committee became more involved in the planning and development, and subsequent evaluation, of the rotations and curriculum for the Family Practice Residency. The committee makes recommendations to the program director on matters of resident performance, evaluation and curriculum issues.

There has been a concerted effort to systematically review the entire curriculum on an on going basis and develop defined goals and objectives for all rotations and curricular elements. Subsequent resident and rotation (including instructor) evaluations are based on whether they accomplish these specific goals and objectives. If rotations are not meeting these desired ends the goals and objectives are re-evaluated and/or the rotation is revised. Instructors that consistently fail to provide adequate teaching and foster a learning environment are advised of the changes that they need to make. Continued poor performance in these area results in the instructor being removed from the Family Practice faculty position.

With the recent implementation of the ACGME Outcomes Project and the development of the core competencies the CDE committee has re-organized its evaluation of residents to include these. Specific changes in the rotation evaluation forms to specifically address these issues has been instituted, and, a more methodical and systematic evaluation of the residents by Family Practice faculty has been instituted. In addition, these specific core competencies will become part of the quarterly evaluations of the residents.

In view of the above, the CDE committee goals are as follows:

1.       Develop and implement an appropriate curriculum for FP residents within the ACGME  and AOA requirements

2.       Make adjustments in the curriculum as necessary to meet new ACGME and AOA requirements

3.       Develop a process to continually monitor this curriculum as to its effectiveness and appropriateness.

4.       Make recommendations to the program director concerning curriculum issues, including resident and faculty performance and concerns involving curriculum.

5.       Develop a mechanism to monitor resident and faculty performance.

6.       Make recommendations to the program director regarding issues of resident compliance with all CDE and program academic requirements, and any specific remedial issues necessary to correct deficiencies.

7.       Make recommendations to the program director regarding resident advancement and graduation.

8.       Make recommendation at the Quarterly faculty meeting regarding resident performance, advancement and graduation


 

Genesys Regional Medical Center

FAMILY PRACTICE PROGRAM

CDE POLICY ON RESIDENT EVALUATION

 

The CDE Committee membership consists of:

Chairperson of CDE (Dr. Rankl)

Family Practice faculty (As designated): (Dr. Fortunate, Dr. Abdelfattah)

Behavioral Science faculty (Dr. Vogel, Dr. Fimiani)

Program Directors (Drs. Yokosawa and Georgakopolous)

FP Program Administrator (Bev Kittle)

FP Assistant (Nancy Buck)

The Curriculum Development and Evaluation Committee (CDE) reviews resident performance monthly, at the evaluation meeting, and makes recommendations to the Program Director and faculty of the Family Practice Program.

These recommendations are presented at the Quarterly Faculty Meetings.

All recommendations are subject to the final approval of the Program Director.

CDE will review the following areas of performance:

General Attendance and Responsibility:

A.      CDE will monitor residents' attendance at required conferences including morning report, Cogmet, Condon and Wednesday afternoon conferences.

Excused Absences include only the following:

1.       Sick Day phoned to Family Practice Office 606-5985

2.       Away Rotation with location a minimum of 50 miles away from GRMC

3.       Approved Vacation Time (PTO)

4.       Rotation required time away (Dr. Hanson’s office, Night Float)

5.       Skeleton Crew

Failure of a resident to meet minimum standards for conference attendance will result in a jeopardy call during the next block.

B.      CDE will review reports of tardiness and unexcused absence from the program.

C.      CDE will review reports of failure to comply with hospital policies and procedures including timely completion of medical records.

D.     CDE will review reports from faculty, attending staff and other hospital staff regarding inappropriate or unprofessional behavior.

E.      Any problem area deemed significant by CDE will result in a recommendation to the program director for corrective action.

II.  Evaluations:

Resident performance:

CDE will monitor resident performance on all rotations by reviewing rotation specific evaluations submitted to CDE (New Innovations) by attending physicians.

A.      Rotation evaluations will be standardized by CDE to a scale of 1 (FAIL) to 5 (outstanding) with a mean of 3 to 4. CDE may assign numerical values to written comments when appropriate. In addition, the faculty will evaluate residents on the ACGME/AOA core competencies.

Competency Based Evaluation (CBE) will be completed biannually by Family Practice Faculty. This information will be reviewed by CDE and presented at Quarterly Faculty Meetings. Based on this information the Program Director will complete the CBE Form as required by the ACOFP. (This process will be developed and integrated into the current electronic biannual faculty evaluation completed on all Family Practice trainees.)

B.   CDE will recommend corrective action if a resident receives less than satisfactory evaluations.

C.   CDE will monitor the performance of teaching faculty and the goals and objectives for each rotation. This feedback is received from residents completing a rotation evaluation form at the end of each rotation. When indicated, CDE will make changes in the rotation. Issues involving faculty will be reviewed by the CDE Committee, recommendations made to the program directors who will meet with the attending physician. 

CDE will monitor the performance of core and community Family Practice faculty. This feedback is received biannually from residents completing faculty evaluations at the end of each quarterly exam. Issues with Family Practice faculty will be reviewed by the CDE Committee, recommendations made to the program directors who will meet with the faculty physician. 

D.     Rotation Quizzes:

CDE will implement rotation quizzes utilizing the AAFP Monograph Series to assess mastery of assigned readings.

Failure to submit the Rotation Quiz and Rotation Evaluation by the last Friday of the Block Rotation will result in an immediate Jeopardy Call.

Passing grade is 90%.  Resident must retake the quiz by the end of the next block, until a passing grade is achieved.

Completion of all Block Rotation Quizzes is a requirement for promotion or graduation.

E.   Quarterly Exams:

CDE will implement Quarterly Exams utilizing the ABFP Monograph Series and previous ABFP In-Training Exam questions. These will occur in:

August            Ob-Gyn Monograph Assignments

October          ABFP In-Training Exams from previous years.

January          Critical Care Monograph Assignments

April                Miscellaneous Monograph Assignments

Quarterly Exam Attendance: All Family Practice Residents will attend the Quarterly Exam from7:00 am to 8:00 am in the Resource Lab. This exam will be given on the last Friday of the block in which the Quarterly Exam is scheduled.

Passing grade is 70%.  Resident must retake the exam by the end of the next block, until a passing grade is achieved.

Residents repeatedly failing the quarterly exam will be assigned a presentation topic based on their responses.

Excused absences include only the following:

1.       Sick Day phoned to Family Practice Office 606-5985.

2.       Away Rotation with location a minimum of 50 miles away from GRMC

3.       Approved Vacation time with a scheduled make-up date prior to vacation with Program Administrator 606-5981 (Bev) or Family Practice Assistant 606-5985 (Nancy).

Residents will be given a minimum of 30 days notice prior to the date of quarterly exam.

Failure to complete the Quarterly Exam will result in an immediate Jeopardy Call.

Completion of all Quarterly Exams is a requirement for promotion or graduation.

F.      Family Practice Faculty Evaluations:

All Family Practice Faculty will evaluate residents on a biannual basis. Evaluations will be a summation of interactions in the FHC, hospital rounds, nursery, L&D. In addition, the faculty will evaluate the residents on the ACGME/AOA core competencies. CDE will recommend corrective action if a resident receives a rating of 1 (FAIL) in any evaluation area. CDE will recommend corrective action if a resident consistently receives standardized ratings less than satisfactory.

III. Periodic Case Evaluations: Ambulatory Medicine with Faculty Physician

CDE will develop and implement a series of case evaluations involving real and simulated patients and apply them as needed so as to assure that residents performing at a given level of training have the necessary clinical skills to perform appropriately. CDE will set pass levels for these evaluations and recommend corrective action if a resident fails any evaluation.

 

IV. Periodic Case Evaluations: (BCS I - H & P Reviews)

CDE will develop and implement a periodic review H & P's performed by residents to assure that residents performing at a given level of training have the necessary clinical skills to perform appropriately and provide proper documentation. CDE will set pass levels for these evaluations and recommend corrective action if a resident fails any evaluation.

V. Periodic Skill Evaluations:

CDE will develop and implement a series of skill evaluations involving real patients and apply them as needed so as to assure that residents performing at a given level of training have the necessary clinical skills to perform appropriately. CDE will set pass levels for these evaluations and recommend corrective action if a resident fails any evaluation.

VI. Remediation:

CDE will recommend to the Program Director(s) a plan of remediation when a resident’s performance so indicates.

VII. Annual In-Training Examination:

CDE will monitor residents' performance on the annual In-Training Examination given by the American Board of Family Practice. CDE will recommend corrective action if a resident's total score on the examination is more than 1.5 standard deviations less than the national average.

VIII. Credentialling of Procedures: (Administrative Manual)

CDE will monitor the completion by each resident of procedures detailed in the Department of Medical Education’s Procedure Credentialling Policy. (Administrative Manual) Residents are provided with the necessary handbooks to document and have appropriate signoff by Program Directors of these procedures.

IX. Log Compliance: (Administrative Manual)

CDE will monitor the resident’s completion of their end of rotation logs that include procedures and diagnostic cases. Logs are due by the end of the following block. Completion and submission of logs is a requirement for promotion or graduation

X. Quarterly Faculty Meetings:

CDE will monitor the proceedings of the Quarterly Faculty Meetings. Additional problems with the performance of any resident may be brought to the attention of CDE at the Quarterly meeting. CDE will investigate any such problem and recommend corrective action. If the problem is deemed to be of significance, the program director will investigate and report to the CDE Committee with a follow-up report at the next Quarterly meeting.

XI. CDE may recommend the following actions to the Program Director:

A.      Promotion with honors

Residents with superior performance in all areas of evaluation throughout the year will be recommended for promotion with honors. Residents receiving promotion with honors will be given priority consideration for employment as Chief Resident, Assistant Chief Resident, and Faculty.

B.      Promotion

Residents with consistently acceptable performance in all areas of evaluation will be recommended for promotion.

C.      Intensification of evaluation (Academic Warning)

CDE, as a result of test scores, faculty or resident feedback, may recommend more intensive monitoring of a resident's performance as a corrective action. This may take the form of an Academic Warning Letter, requiring the resident to be observed more frequently in any setting (e.g., during Family Health Center) or while performing a given procedure; or it may involve requiring the resident to take and pass written or oral examinations in subject matter defined by the faculty; or it may take any other form recommended by CDE and approved by the program director.

D.     Repeat of a rotation

CDE may recommend that a resident be required to repeat a specified rotation as a corrective action. CDE may recommend that the rotation be repeated in lieu of elective time or that the rotation be repeated in additional time, delaying promotion or graduation. No more than one rotation may be repeated at the expense of elective time.

E.      Specific remedial activity

CDE may recommend that a resident be required to undertake and perform in a satisfactory manner specific tasks of remediation as a corrective action. CDE may recommend that time required to perform these tasks be deducted from other required or elective rotations or added to the resident's total time period in the program.

F.      Delay in promotion

CDE may recommend delay in promotion as a corrective action. Delay in promotion shall be recommended when a resident's performance is less than that consistent with the level of independence expected at the higher PGY level.

G.     Supervision of specified activities

CDE may recommend that another physician directly supervise a resident when performing specified tasks or activities as a corrective action. Such direct supervision shall be recommended when there is a doubt as to the ability of the resident to perform the specified tasks or activities unsupervised.

H.      Probation

CDE may recommend that a resident be placed on probation as a corrective action. CDE will recommend probation in cases where the resident's ability to meet the requirements of the program is in doubt. CDE will recommend the length and conditions of said probation including requirements that the resident must meet in order to avoid dismissal from the program.

I.         Suspension

CDE may recommend suspension from the program as a disciplinary action. Suspension will be for a specified length of time. Generally suspension will be employed in cases where a resident has violated a policy, e.g., for failure to complete medical records in a timely fashion.

J.       Dismissal

CDE may recommend dismissal from the program as a disciplinary action. Generally CDE will recommend dismissal in cases where one or more other corrective actions have been recommended and employed but where the resident's performance has failed to improve. CDE may, however, recommend dismissal as a consequence of flagrantly unacceptable conduct.

       All actions of the CDE committee will be guided by the GRMC GME Policy and      Procedures Manual in regards to resident non advancement and probation, suspension and dismissal.

XII. Awards:

At the Annual Graduation Awards Ceremony the CDE Committee will present the following awards to three graduating Family Practice Residents.

1.       Society of Teachers of Family Medicine Resident Teaching Award

2.       Academic Award

3.       Ayman Elotei, M.D. Award

4.       Faculty Award


 

Genesys Regional Medical Center

FAMILY PRACTICE PROGRAM

CDE POLICY ON CURRICULUM PLANNING

 

The CDE Committee membership consists of:

Chairperson of CDE (Dr. Rankl)

Family Practice faculty (As designated) (Dr. Fortunate, Abdelfattah)

Behavioral Science faculty (Dr. Vogel, Dr. Fimiani)

Behavioral Science fellow

Program Directors (Drs. Georgakopolous and Yokosawa)

FP Program Administrator (Bev Kittle)

FP Secretary (Nancy Buck)

The Curriculum Development and Evaluation Committee (CDE) reviews Family Practice curriculum monthly, at the planning meeting, and makes recommendations to the Program Director and faculty of the Family Practice Program.

All recommendations are subject to the final approval of the Program Director.

CDE will undertake a periodic and systematic review of all Family Practice rotations.

CDE will review the following curriculum areas:

PRIVATEI. Curriculum Content:

A. CDE will review each rotations content to ensure the material is appropriate and current.

B. CDE will review ACGME/AOA requirements to ensure the curriculum is in compliance.

C. CDE will review evaluations to determine if specific content areas need to be addressed.

II. Curriculum Evaluations:

A. CDE will review each rotations stated goals and objectives to ensure they are appropriate. If they are deemed deficient CDE will evaluate and develop an appropriate set of goals and objective.

B. CDE will review ACGME/AOA requirements to ensure the curriculum is in compliance.

C. CDE will review reports from faculty and attending staff regarding any specific concerns regarding a particular rotation’s effectiveness and /or deficiency in any areas.

D. Any problem area deemed significant by CDE will result in a recommendation to the program director for corrective action.

E. Workload and Duty Hours:

CDE will ensure during the evaluation process for each rotation that any issues of excessive workload and/or prolonged duty times is addressed and if not in compliance with the stated ACGME/AOA and GRMC hospital policies are corrected.

F. Core Competencies:

CDE will develop and make recommendations to the PD regarding the use and implementation core competency based evaluations.

CDE will monitor the implementation of core competency based evaluations into all curricular components.

CDE will serve as a resource to faculty and attendings to instruct them in the use of core competencies as defined by the ACGME/AOA.

III. Faculty Evaluations:

CDE will monitor and compile resident evaluations, maintaining resident anonymity, of attending physicians and faculty.

CDE will inform all attendings of these results at least annually in writing and be available for discussion of this information with the attending physician.

CDE will discuss the results of the faculty evaluations with each individual faculty member during regularly scheduled meetings.

 

GENESYS REGIONAL MEDICAL CENTER

Family Practice Residency Program

Memorandum

______________________________________________________________________________

DATE:

TO:

FROM:            Richard M. Rankl, M.D.

                        Director, CDE

SUBJECT:      Failed Quiz

COPY:                        Kenneth E. Yokosawa, M.D. / Richard J. Georgakopolous, D.O.

 

You received a score of ______ on your Block ______ Rotation Quiz.  As you know, a score of

90% or higher is required on rotation quizzes in order to pass.  You must retake the quiz and

attain a passing score by the end of Block ______ (                       ). 

 

Please remember that successful completion of all Block Rotation Quizzes is a requirement for

promotion and graduation.

 


 

GENESYS REGIONAL MEDICAL CENTER

Family Practice Residency Program

Memorandum

______________________________________________________________________________

DATE:

TO:

FROM:            Richard M. Rankl, M.D.

                        Director, CDE

SUBJECT:      Assignment of Jeopardy Call

COPY:                        Kenneth E. Yokosawa, M.D. / Richard J. Georgakopolous, D.O.

 

This memo serves to notify you that the Chief Residents have been asked to assign you a

jeopardy call for failure to turn in your Block ______ Rotation Quiz by the last Friday of the

block - __________.  This jeopardy call must be served no later than ten (10) days after the date

of this memo. 

 

 


 

GENESYS REGIONAL MEDICAL CENTER

Family Practice Residency Program

Memorandum

______________________________________________________________________________

DATE:

TO:

FROM:            Richard M. Rankl, M.D.

                        Director, CDE

SUBJECT:      Failed Exam

COPY:                        Kenneth E. Yokosawa, M.D / Richard J. Georgakopolous, D.O.

 

You received a score of ______ on the Quarterly Exam you took on _____________. The CDE Committee will contact you regarding a topic and time to present to the Faculty

 

Please remember that successful completion of all Quarterly Exams is a requirement for promotion and graduation.

 

 


 

GENESYS REGIONAL MEDICAL CENTER

Family Practice Residency Program

Memorandum

______________________________________________________________________________

DATE:

TO:

FROM:            Richard M. Rankl, M.D.

                        Director, CDE

SUBJECT:      Assignment of Jeopardy Call

COPY:                        Kenneth E. Yokosawa, M.D. / Richard J. Georgakopolous, D.O.

 

This memo serves to notify you that the Chief Residents have been asked to assign you a

jeopardy call for failure to take the Quarterly Exam on the date it was scheduled.  This jeopardy

all must be served no later than ten (10) days after the date of this memo.  Excused absences

from the quarterly exam include only the following:

 

1.      Sick day phoned in to the Family Practice Office at 606-5985.

2.      Away rotation with location a minimum of 50 miles away from GRMC.

3.      Approved vacation time with a scheduled make-up date with prior to vacation with Program Administrator 606-5981 (Bev) or Family Practice Assistant 606-5985 (Nancy).

 

All Quarterly Exams must be taken as a requirement for promotion and / or graduation

If you feel you fall into one of the above categories or that there were other extenuating

circumstances that should be considered please contact Dr. Rankl.


 

Appendix

 

CDE Specific Policies
 

 

GENESYS REGIONAL MEDICAL CENTER

FAMILY PRACTICE RESIDENCY PROGRAM

POLICY/PROCEDURE

 

SUBJECT: Family Practice Residency Lecture Attendance Policy

 

APPROVAL: Curriculum Development / Evaluation Committee               DATE:  1/22/02

 

DISTRIBUTION:     Family Practice Resident Manual, CDE Manual

                                    All Family Practice Faculty and Residents

 

 

Policy: All Family Practice Residents are required to attend ALL morning lectures, Wednesday afternoon educational conferences, MSU-COM SCS Family Practice Educational Day (formerly COGMET) and noon lectures regarding Managed Care and EPEC (Educational Physician End of Life Care).

 

Purpose: To provide Family Practice Residents with high quality didactics and skill workshops in all areas of Family Practice.

 

Attendance Requirement: All residents must attend ALL the required lectures. Residents can be excused from morning lectures and required noon lectures (Managed Care and EPEC) if they are on sick leave, on vacation, emergent patient care, or doing and outside rotation (defined as 50 or more miles from Genesys Health Park).  Residents will be excused from Wednesday afternoon educational conferences if they have aforementioned reasons or if they are post-call, part of the skeleton crew, or on the Ambulatory Surgery rotation.  Residents who are on surgery rotation can be excused from morning lectures except Wednesday Morning Surgical Grand Rounds.  Specific policy regarding SCS (COGMET) is already in place.  You must follow the policy for SCS attendance.

Residents must report to work no later than 7:00 a.m., sign-in for morning lectures by 7:15 a.m.  Conference attendance sheets for morning lectures will be removed at 7:20 a.m.  For required noon lectures, residents need to sing-in by 12:15 p.m.  Sign-in sheets will be removed at 12:20 p.m. For Wednesday afternoon conferences, sing-in is by 1:15 p.m.  Sign-in sheets will be removed at the end of that day.

Implementation:  This policy will be strictly enforced! To ensure this, random spot checks will be done from time to time by program directors or his designee.  If a resident fails to attend a required lecture without legitimate excuse for the first time, he or she will be given a written notice.  If a second unexcused absence occurs, he or she will be placed on either additional skeleton crew assignments or jeopardy call at the program director’s discretion.  In addition, a summary of the resident’s lecture attendance will be presented at the quarterly faculty meetings.  The records will go into the resident’s file and be part of the program director’s recommendation letter upon graduation.  Residents should only sign in for those lectures that he or she actually attends.  Random spot checks will also be done from time to time to ensure residents do not violate this rule.  If a resident signs in for a lecture and he or she is not in attendance, the resident will be place on both additional skeleton crew assignment AND jeopardy call at the program director’s discretion.  Such unprofessional behavior will also be recorded in the residents permanent file and be part of the program director’s recommendation letter upon graduation.

Director of Didactics

CC:         Beverly Kittle

              Nancy Wagner

 

 

GENESYS REGIONAL MEDICAL CENTER

Family Practice Program

POLICY/PROCEDURE

 

SUBJECT:     Elective Rotations

 

APPROVAL:     Curriculum Development/Evaluation Committee      DATE:   6/2001

 

DISTRIBUTION:     Family Practice Resident Manual, CDE Manual

 

 

Policy:           All away rotations must be requested 90 days in advance and limited to one (1) month peryear depending on the resident’s performance and at the discretion of the Program Director and the CDE Committee.

                 Regular elective rotations must be requested 60days (8 weeks) in advance to assure the proper scheduling of your Family Health Center time. 

Procedure: Completion of the Out Rotation/Elective Form (Salmon Color available in Family Practice Office and FHC/Goals & Objective Sheet Attached) 90 days for away elective and 60 days for local area elective.

 

Note:  BLS & ACLS Certification must be current to do an out /elective rotation.

 

GENESYS REGIONAL MEDICAL CENTER

FAMILY PRACTICE RESIDENCY PROGRAM

POLICY/PROCEDURE

 

SUBJECT: Family Medicine Minimal Requirements for Logs

 

APPROVAL: Curriculum Development / Evaluation Committee               DATE:  4/2001

 

DISTRIBUTION:     Family Practice Resident Manual, CDE Manual

 

Policy:  All Family Practice Residents are required to document and maintain a log of all procedures, admission, consultations and patients where they have had significant care responsibilities.  This includes those you observe, assist or perform in both the inpatient and outpatient settings.  These logs must be submitted at the end of each block and will be reviewed by the Director of Medical Education and the Program Director(s).

 

Logs may differ for first year osteopathic interns according to the AOA requirements.  (See AOA Internship Log located in this manual).

 

OMT done by interns and residents both in the inpatient and outpatient settings must also be logged.

 

Procedure:  Procedures, admissions and consultations must be documented in a log using the form supplied by Medical Education (please note there are different forms by PGY status and for AOA residents).  A printed output of an electronic version with all of the same information as the required form is an acceptable substitute.

 

All logs must be submitted to CDE Section of Medical Education at the end of each block.  Residents who’s logs are overdue greater than one block will be assigned a jeopardy call for each additional day overdue.  Residents will also be held accountable to the Procedure Log Compliance Policy in the Department of Medical Education’s Administrative Manual.

 

Log completion and content will be reviewed at each Quarterly Meeting of the Program Director and the resident.


 

GENESYS REGIONAL MEDICAL CENTER

FAMILY PRACTICE RESIDENCY PROGRAM

POLICY/PROCEDURE

 

SUBJECT: Review of History and Physical Reports

 

APPROVAL: Curriculum Development / Evaluation Committee               DATE:  2/2001

 

DISTRIBUTION:     Family Practice Resident Manual, CDE Manual

 

Policy:  History and Physical (H&P) reports dictated by Family Practice residents will be regularly review by Family Practice Faculty to ensure high quality of care provided, completeness of medical record and adherence to established H&P format.

 

Purpose:  The provision of quality care to patients is often reflected in the medical record.  The H&P report is a central element of the medical record that helps to direct care for patients admitted to the hospital.  Therefore, the Family Practice residency reviews these reports to ensure that individual residents are performing this critical report in a satisfactory manner.

 

Policy Details: H&P reports will be reviewed in the following manner:

1)       The first review of H&P is conducted during Basic Clinical Skills Assessment I (BCSA 1) which is conducted at the beginning of the residency as part of resident orientation or, as part of orientation to new residents transfers.

a)       A faculty member will observe the H&P being conducted

b)       The resident will dictate the report

c)       The report will be evaluated by the faculty member and an evaluation form completed

d)       Residents receiving rating less than three (satisfactory) in any are will receive a copy of the H&P along with a memo to contact the evaluator and discuss the deficiency.

 

2)       Future H&P will be reviewed in the following manner:

a)       GRMC medical records will send a copy of all H&P reports completed by a family practice resident to the Coordinator of CDE

b)       The Coordinator of CDE will initially review these H&P reports and select those to be reviewed.  The criteria for selections will be:

i)         First year resident dictation

ii)       Not a surgical H&P

iii)      Resident has not met criteria for successful completion of H&P (see below)

c)       Faculty will review the H&P report and complete the evaluation form

d)       Residents receiving ratings less than three (satisfactory) will receive a copy of the H&P along with a memo to contact the evaluator to discuss the deficiency

e)       The evaluation reports will be included in the CDE evaluation database and reviewed by the CDE committee on a regular basis.  Recommendations about the need for additional reviews will by made by the committee.

Criteria for Completion of H&P Review Process:

1) Successful completion (ratings of satisfactory or higher in all areas) of BCSA 1.

2) Successful completion (ratings of satisfactory or higher in all areas) of two additional H&Ps within the first six months or residency training at GRMC.


 

GENESYS REGIONAL MEDICAL CENTER

FAMILY PRACTICE RESIDENCY PROGRAM

POLICY/PROCEDURE

 

SUBJECT: Rotation Reading Assignments and Rotation Quizzes

 

APPROVAL: Curriculum Development / Evaluation Committee               DATE:  6/2001

 

DISTRIBUTION:     Family Practice Resident Manual, CDE Manual

 

Policy: All Family Practice Residents must complete all Rotation Quizzes.

 

Purpose:  To provide Family Practice Residents with a structured didactic reading resource specifically designed for the broad spectrum of family practice.

 

Rotation Reading Assignments and Rotation Quizzes

 

1.       For each rotation the assigned AAFP monograph readings and quizzes are to be completed by the end of each 4-week block.

 

2.       A pass rate of 90% on all the assigned AAFP monograph quizzes is required for successful completion of the rotation

 

3.       Completed quizzes are to be turned in no later than the last FRIDAY of each block

 

4.       Failure to submit the Rotation Quiz and Rotation Evaluation by the last Friday of the block will result in an immediate Jeopardy Call for each working day late.

 

5.       For extenuating circumstances only, late submission of quizzes must have prior approval of the Program Director(s).

 

6.       Completion of all Rotation Quizzes is a requirement for promotion or graduation.

 

7.       The assigned rotation specific monographs are listed in the rotation manual.

 

8.       Success completion of the monograph readings and quizzes are required for determination of basic knowledge mastery as well as one of the requirement for academic promotion and graduation.

 

Note: The AAFP Monograph series is provided to you as a concise educational resource that is specific to Family Practice.  The American Family Physician monographs are designed to provide family physicians with high-quality continuing medical education that reflects the spectrum of family practice.  For more information, in general, about the monograph series please visit the AAFP web site at http://www.aafp.org/afp/monograph/.


 

GENESYS REGIONAL MEDICAL CENTER

FAMILY PRACTICE RESIDENCY PROGRAM

POLICY/PROCEDURE

 

SUBJECT: Quarterly Exams

 

APPROVAL: Curriculum Development / Evaluation Committee               DATE:  10/2003

 

DISTRIBUTION:     Family Practice Resident Manual, CDE Manual

 

Policy: All Family Practice Residents must complete all Rotation Quizzes.

 

Purpose:  To provide Family Practice Residents with a structured didactic reading resource specifically designed for the broad spectrum of family practice.

 

Rotation Reading Assignments and Rotation Quizzes

 

9.       For each Quarterly Quiz the assigned AAFP monograph readings and quizzes are to be completed by the assigned date.

 

10.    A pass rate of 85% on all the quarterly exams is required.

 

11.    Failure to submit the Quarterly exam by the scheduled date will result in an immediate Jeopardy Call for each working day late.

 

12.    For extenuating circumstances only, late submission of quarterly exam must have prior approval of the Program Director(s).

 

13.    Completion of all Quarterly Exams is a requirement for promotion or graduation.


 

GENESYS REGIONAL MEDICAL CENTER

FAMILY PRACTICE RESIDENCY PROGRAM

POLICY/PROCEDURE

 

SUBJECT: MSU-COM SCS Family Practice Educational Day Policy

 

APPROVAL: Curriculum Development / Evaluation Committee               DATE:  4/2001

 

DISTRIBUTION:     Family Practice Resident Manual, CDE Manual

 

Policy:  All Family Practice Residents are required to attend the monthly Family Practice Educational Day (typically held at MSU-COM)

 

Purpose: To provide Family Practice Residents across the State of Michigan with high quality didactics and skill workshops.

 

Attendance Requirement: All residents are expected to attend.  The only residents excused from attending are those assigned to night float rotations, out on approved vacation time (PTO), personal illnesses, (see FP sick policy), out-time, or approved leave (i.e., bereavement, maternity, etc.)

The Program Director(s) must be notified in advance.  Unexcused absences will result in the assignment of one jeopardy call.

An eighty percent (80%) average over three (3) years attendance is required for the Statewide Campus System Family Practice Educational Days.  This includes excused absences.

 

Patient Care Responsibilities: Family Practice Residents on General Medicine, Pediatrics, OB and covering FHC patients must see and complete notes on their patients prior to departing for SCS Family Practice Educational Days.

Pager Coverage: Pagers are passed to covering interns / attendings at 6:45 am in the Doctor’s Dining Room.  The Night Float Team at 5:00 p.m. then picks up pagers that day, also in the Doctor’s Dining Room.  Covering interns are assigned at the beginning of the year.