UWHC GME Oversight Committee
Annual Training Program Evaluation Checklist
Section V.C. of the ACGME Common Program Requirements (effective July 1, 2007) states: “The program must document formal, systematic evaluation of the curriculum at least annually”.
All program directors must submit, on an annual basis, a completed Annual Program Evaluation Checklist, certifying that all components of the annual training program evaluation have been met. Copies of the minutes of all meetings at which the program evaluation occurred must be attached.
Program:______
1. The educational effectiveness of the program was evaluated on ______
Date
2. The program director, representative faculty, and at least one resident were present. □
3. Goals and objectives and the effectiveness of the program in achieving them were reviewed □
4. Comments, from the faculty, regarding the quality of the program were reviewed. □
5. The most recent report from the GMEOC (Internal Review) was reviewed, if applicable. □
6. The most recent accreditation letter(s) from the RRC were reviewed. □
7. Any recent communications from the ACGME or RRC were reviewed, if applicable. □
8. Results of the most recent ACGME resident survey were reviewed and responses developed to the Program-appropriate questions, according to the UWHC GMEOC Resident Survey Response policy. □
Note: Each Program’s written survey responses should be submitted to the GME Office along with their
Annual Program Evaluation document and Action Plan
9. Confidential written evaluations of the program submitted by the residents and faculty were reviewed. □
10. Resident performance and outcome assessment were used in the evaluation of the educational
effectiveness, including but not limited to performance on certification exams. □
11. A specific action plan to address any deficiencies was reviewed and approved by the faculty and
documented. □
I hereby certify that all requirements have been met.
______
Program Director Signature Date
______
Department Chair Signature Date
All programs are encouraged to use Med Hub to develop and house a Program Portfolio for assessment of program effectiveness. All program annual evaluations and actions plans are due to the GME Office by June 15, 2011.
Annual Program Evaluation and Improvement Plan
Report Template
Purpose
To evaluate the University of Wisconsin ______Residency/ Fellowship Program as required by the UWHC Graduate Medical Education Oversight Committee and the ACGME. The Program Director reviewed and assessed with key program faculty the following areas of outcomes: resident performance, graduate performance, program quality and faculty development. A written improvement plan was developed in response to the gaps identified during the assessment of these data.
Program Description
The ______Residency/Fellowship program is a ___ year program with ____ ACGME approved positions. There are currently ____ trainees in the program. The most recent ACGME Site Visit occurred on ______(date) and resulted in a ______year cycle with ___ citations.
Time Period of Evaluation
July 2010-June 2011
Review Participants (Must include at least one trainee)
Residents/Fellows:
Faculty:
Materials Used in Evaluation
For Resident Performance
In-Training and Certification Scores and Percentile Rankings
Aggregate Faculty Evaluation Scores & Written Comments
Aggregate Multi-source Evaluation Scores & Written Comments
Clinical Skills Assessments (Logs, Mini-CEXs, OSCEs)
Other Core Competency Assessments (Professionalism History)
Number and Quality of Presentations and Publications
Participation in Quality Improvement or Systems Redesign project
Mock Orals
Learning Portfolio
Self-Assessments and Reflection
For Graduate Performance
Board Pass Rate
Tracking Private Practice
Tracking Academic Careers through pubs, presentations
Tracking Fellowship Training
Annual Graduate Surveys
Employer Surveys
Employment Opportunities
Other Career Choices
MOC Pass rate
For Program Quality
ACGME Resident Survey Results (required, if available)
Confidential Resident Evaluation of Program Results
Confidential Faculty Evaluation of Program Results
ACGME Citations
Internal Review Citations and Recommendations
Aggregate Program Evaluation by Faculty results
Aggregate Program Evaluation by Trainee results
Academic Production
For Faculty Development
Aggregate Evaluation Scores from Residents by Subspecialty
Written Resident Comments
Faculty CME aimed at Teaching Abilities
Faculty CVs
Annual Faculty Workload Statements
Promotions for Excellence in Education
Participation/Presentation at Education Grand Round Session
Mentoring
Directed QI Project or Practice Improvement Self-Study
Participation in QI/SBP project
Award for Teaching Excellence
Participation in Peer Review
Faculty Portfolios
When discussing and prioritizing areas to address through your improvement plan, pick at least one category the program is struggling with to develop in depth. In addition, be certain to develop 3 to 4 action items in each category or you are likely to receive a citation at the time of your next site visit.
Report
On Resident Performance
Discussion
Action Plan
On Graduate Performance
Discussion
Action Plan
On Program Quality
Discussion
Action Plan
On Faculty Development
Discussion
Action Plan
Summary and Improvement Plan for 2010-11