Rotating Resident End of Shift Evaluation

At the end of each shift in the emergency department it will be your responsibility to have one of the Attendings with whom you worked competed the "Rotating Resident End-of-Shift Evaluation" form.  The Attending will discuss your performance with you and fill out the evaluation.  You should obtain this form at the beginning of your shift (these forms will be available in a labeled folder in area one of the ED or you can print by pasting this form into word if necessary) and on the back of the form affix the patient stickers and diagnosis of those patients you see during your shift.  At the end of the rotation you will be responsible for turning these evaluations into Estrel in the department offices (177 Murdock).  You must turn in the evaluation for at least 80% of your shifts completed (i.e. 8 of your 10 shifts in a 2 week rotation) to successfully pass the rotation.

	0 unacceptable performance	1 below average	2 average	3 above average
PROFESSIONALISM & ACCOUNTABILITY
Showed up on time to shift	> 20 min late	< 20 min late	On time	Early
Picked up patients	Couldn’t find you most of the time	Saw less than 5 patients during the shift	Saw 5+ patients but had to be told to pick up patients	Saw more than 8 patients and/or proactive about asking if patients to be seen
PATIENT CARE
Patient presentations (comdplete, focused, provides plan)	Not able to effectively synthesize H&P (incomplete, unfocused, no plan)	Mediocre presentation (1 of 3 criteria)	Satisfactory presentation (2 of 3 criteria)	Focused, organized presentation (complete, focused, provides plan)
Differential Diagnosis	Did not recognize or downplayed life threats	Omitted some common life threats	Recognized most but omitted less common life threats	Complete DDx including subtle presentation life threats
Knowledgeable about their patients (aware of developments, follow up results)	Did not take ownership or follow results on patient	At times not engaged in patient’s care	Generally took ownership of patient	Remained involved and engaged throughout ED course
MEDICAL KNOWLEDGE
Fund of Knowlegde for level of training	Substantially below expected level	Less than average for level of training	At or slightly above level of training	Substantially above level of training
Data Synethesis & Knowledge Application	Unable to reliably interpret lab & radiologic data & formulate/implement treatment plan	At times able to interpret lab & radiologic data & formulate/implement treatment plan	Consistently able to correctly interpret lab & radiologic data & formulate/implement treatment plan	Superior ability to interpret lab & radiologic data & formulate/implement treatment plan
Procedural Skill (record procedures performed in space provided on back)	Refuses to perform procedure and/or endangers patient safety	Poor procedure performance and/or endangers patient safety	Satisfactory completion of procedure	Superior for level of training & will be able to teach others - also aware of indications/contraindications
COMMUNICATION & COLLABORATION
Teamwork & Communication Skills	Did not effectively work as team player or did not communicate with team, patient & family	Mediocre team work and communication with team, patient & family	Consistent team player & effectively communicates with team, patient & family	Superior communication skills and team work
PRACTICE BASED LEARNING
Gaps in Knowledge	Did not acknowledge or address gaps in knowledge	Waited for gaps in knowledge to be filled by attending faculty	Acknowledged & addressed gaps but did not apply to clinical setting	Proactive about finding and addressing gaps during shift and applied to clinical setting

Resident Name: ________________________________           

Attending Signature: __________________________________

Date: _____________________ Shift #: _____________

Strengths & Areas for Improvement: _______________________________________________________________________________
                                                                _______________________________________________________________________________

Procedures Performed: _________________________________________________________________________________________
Affix Patient Sticker Below and Final Diagnsis Adjacent to Sticker: