Evaluation

No discussion of curriculum is complete without discussion of evaluation:

Evaluation of residents serves two functions. Formative evaluation, with the information gained used to facilitate continuous improvement by means of constructive feedback via iterative dialogue between resident and faculty, and summative evaluation, used to determine the attainment of expected goals of knowledge, skills, and behaviors at progressive times during residency, especially at the end of each year of training. It is an ongoing effort of the department to use methods and instruments of evaluation which are valid (predictive of performance), reliable (consistent results from the instrument over time), and fair (not influenced by other issues or situations unrelated to the residency or learning), as well as feasible with respect to the amount of time and effort required of faculty, residents and staff. The "benchmarks" for these efforts are found in the general, "guiding" Learning Goals of the Department and the comprehensive, detailed CREOG Objectives and the ACGME Competencies. All evaluations are available to residents for review, and indeed, such review with the program directors, Mentors, or other faculty is encouraged on a regular basis. Biannual review with the resident is required.

System for Evaluation

The evaluation of residents involves the use of a diverse group of instruments mirroring the complex mixture of cognitive knowledge, skills, and behavioral objectives of CREOG and the ACGME and our department’s Educational Goals and Objectives.

1. Global Evaluations of Residents by Faculty
   The global evaluations are the primary written assessment of resident performance. A global evaluation form is used, developed by the department using a combination of rating (Likert) scales and free comment options, with items designed to address the CREOG objectives and ACGME competencies. They are done on-line on GME Toolkit.
2. Multiple Choice Question (MCQ) examinations associated with the Structured Resident Reading Program
   One a weekly basis, two or more structured resident reading program sessions are held with detailed discussion of a selected reading from a major OBGYN textbook, an ACOG Practice Bulletin or Committee Opinion, or a peer-reviewed article or reviews. A 16-question Multiple Choice examination is given at the start of each discussion session, prepared by the program directors.
3. Knowledge and Skills Evaluation Cards
   The procedures l knowledge and skills evaluation process using evaluation cards is one method used to monitor the knowledge about and skills in performing obstetric/gynecologic procedures. The goal, combined with the "global evaluations" contained in the rotation and on-call evaluations, is to identify where progress is satisfactory and where further detailed, focused evaluation is required so that individualized training addressing identified deficiency may occur. There is also opportunity to note those whose performance is substantially above that expected for their PGY year.
4. The Council for Resident Education In-service Examination (CREOG)
   Residents receive the secure CREOG In-Service examination annually.
5. Chart Stimulated Recall Oral Examinations
6. Written reports from Mentors
7. ACGME experience information
   The Medical Education / Resident Evaluation and Promotion Committee meets quarterly and in addition if needed, reviews the progress of each residents, and make recommendations to the Program Director and Chairman.