Resident Assessment

Residents and supervisors share a common goal: We want our residents to graduate from our Program being competent and well equipped for their career in Family Medicine.

What is Feedback?

Feedback links teaching with assessment and is the cornerstone of competency-based medical education.  You will receive feedback after most clinical encounters.  The purpose of giving feedback is to reinforce the knowledge, skills, and behaviours you have demonstrated that are essential to be competent. It is also important to constructively identify specific ways in which you can continue to improve. "It is normal to have skills that require improvement during residency." The Section of Residents has produced an excellent document that can guide you to make the most of the feedback you receive.

 

What are Field notes?

Field Notes is written feedback from your case discussions with supervisors, observed clinical encounters and encounters with team members, your patient charting, your assessments of radiology and laboratory reports, and procedure skills.

The goal of the field note is to track your progress through residency and to ensure that all the competencies expected from the College of Family Physicians (CFPC) are being assessed. Reviewing field notes with your academic advisor during your periodic review meetings is important to explore together which skills you should focus on to develop.

 

What is an ITER?

In-Training Evaluation Reports (ITERs) are the summary evaluations of your performance on a given rotation. They are completed by the rotation supervisor at the end of each rotation/training experience.  The ITER report should be a fair representation of your achievement of that rotation's objectives according to your level of training.

All ITERs are completed using a system called One45. (Residents will receive a username and password at the beginning of residency).  You must review these summary evaluations and make a plan to work on the skills identified as areas for ongoing improvement.

There is a section at the end of each ITER in which the resident is asked to provide feedback about the rotation and about clinical supervisors. You can also report any instances of mistreatment you may have experienced or observed. Your feedback is collected by the one45 system and remains anonymous. We use residents’ feedback to improve rotations and to help supervisors improve their teaching skills. Your feedback will have the most impact if you express it constructively and are as specific as you can.

 

What is a procedure log?

Procedure logs are a way of keeping track of the procedures performed during residency.  They are an important aspect of clinical practice.  Memory often fades and keeping track of procedures is an essential way of ensuring that there is adequate exposure to a variety of procedures.

If important procedures are missing during course of residency the academic advisor meetings can be used to address these gaps in exposure.  Keeping the procedure log up to date is important part of the data collection involved in preparing for the academic advisor meeting.

 

What is the purpose of an academic advisor meeting? (Sometimes called a “Periodic Review”)

Your academic advisor is your “competency coach”.  Your advisor will be scheduled to meet with you every 3 months to work with you on your learning goals by reviewing your fieldnotes, ITERs, procedure logs, and patient encounter statistics. Your Academic Advisor will help you plan and develop your progress and career goals through residency.

The Section of Residents recently developed a useful guide to help your and your advisor make these Periodic Reviews/Academic Advisor meetings.


An additional resource for Academic Advisors is the:

 

How do you progress through residency?

You will meet with your academic advisor every 3 months to evaluate your progress and comparing it to the McGill Evaluation Benchmarks for your level of training. As an adult learner, you are expected to identify and propose interventions to help you progress to the next benchmark.

Residents who receive a Borderline or Unsatisfactory on a rotation ITER, or whose academic difficulties persist despite less formal learning interventions will meet with their site director and academic advisor to develop a formalized remediation period called FLEX (Focused Learning Experience).

A full description of how residents are promoted to the next level of residency is found in the Promotion Guidelines:

 

“As much as talent counts, effort counts twice”
- Angela Duckworth, Grit: The Power of Passion and Perseverance

 

 

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