Clinical Competency Committee June 5 2018 Committee Members
* Clinical Competency Committee June 5, 2018 Committee Members:
* Research Mentor: Career Mentor: Clinical Experience: Site Past 6 months Total Fellowship Goal UWMC NICU - 12 24 SCH NICU 12 12 22 UWMC MFM - 2 2 SCH CICU 2 2 4 SCH Peds Surg - - 2 PRMCE - - 2 HRIF - 0 - Call Nights 32 54 150
* * Signature Assets: * Things to work on:
* * What do you like most about this physician? :
* * Things to work on:
* Competency PC 1. Provide transfer of care that ensures seamless transitions PC 2. Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment PC 3. Develop and carry out management plans PC 4. Provide appropriate role modeling NICU (5 Evals) F 1 -1 Score 3. 3 3 2. 8 3 3. 2 3 3
* Fellowship Year Score National Average SD F-1 66 63 7 100 90 80 70 60 50 40 30 20 10 0 F-1 Score National Average
* Competency MK 1. Locate, appraise, and assimilate evidence from scientific studies related to their patients’ health problems NICU (5 Eval) F 1 -1 Score 3 3
* Competency NICU (5 Evals) F 1 -1 Score 2. 88 3 3 3 2. 75 2 SBP 4. Work in inter-professional teams to enhance patient safety and improve patient care quality 3. 2 3 SBP 5. Participate in identifying system errors and implementing potential systems solutions 3. 5 3 SBP 1. Work effectively in various health care delivery settings and systems relevant to their clinical specialty SBP 2. Coordinate patient care within the health care system relevant to their clinical specialty SBP 3. Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population-based care as appropriate
* Competency NICU (5 Evals) F 1 -1 Score 3. 2 3. 5 PBLI 2. Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement 3 3 PBLI 3. Use information technology to optimize learning and care delivery 2. 9 3 PBLI 4. Participate in the education of patients, families, students, residents, fellows, and other health professionals 3. 1 3 PBLI 1. Identify strengths, deficiencies, and limits in one’s knowledge and expertise
* Competency PROF 1. Professional Conduct: High standards of ethical behavior which includes maintaining appropriate professional boundaries PROF 2. Trustworthiness that makes colleagues feel secure when one is responsible for the care of patients PROF 3. Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system/environment with the ultimate intent of improving care of patients PROF 4. The capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertainty NICU (5 Evals) F 1 -1 Score 3. 2 3. 5 3. 3 3. 0 3. 1 3. 0
* Percent Submitted Duty Hour Submission 1/1/18 -5/25/18 Conference Attendance 100% Required 80% Total (39/58) 67. 2%
* Competency ICS 1. Communicate effectively with physicians, other health professionals, and health-related agencies ICS 2. Work effectively as a member or leader of a health care team or other professional group ICS 3. Act in a consultative role to other physicians and health professionals NICU (5 Evals) F 1 -1 Score 3. 2 3 3. 0 3
* Competency EPA 1. Lead and work within interprofessional health care teams EPA 2. Manage patients with complex, multisystem diseases in the NICU EPA 3. Provide care to patients in the NICU with surgical problems in collaboration with pediatric and subspecialty surgeons. NICU (5 Evals) F 1 -1 Score Scale: 1 – Observe only 3. 2 3 2 – Direct supervision 3 – Indirect supervision 2. 8 3 3 3 EPA 4. Provide resuscitation and stabilization of neonates and infants that aligns care with severity of illness 3. 2 2 EPA 5. Manage patients with acute, common single system diseases in an inpatient setting 3. 6 3 4 – Oversight 5 – Supervise others
* Research Mentor: Career Mentor: Clinical Experience: Site Past 6 months Total Fellowship Goal UWMC NICU 12 12 24 SCH NICU - 12 22 UWMC MFM 2 2 2 SCH CICU 2 2 4 SCH Peds Surg -- -- 2 PRMCE -- -- 2 HRIF 0 0 - Call Nights 28 52 150
* * Signature Assets: * Things to work on:
* * Signature Assets: * Things to work on:
* * Signature Assets: * Things to work on:
* Competency NICU (1 Eval) 360 (3 Evals) F 1 -1 Score PC 1. Provide transfer of care that ensures seamless transitions 3 -- 2. 5 PC 2. Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment 2. 5 3 2. 5 PC 3. Develop and carry out management plans 2. 5 3. 17 2. 5 3 -- 2. 5 PC 4. Provide appropriate role modeling
* Competency MK 1. Locate, appraise, and assimilate evidence from scientific studies related to their patients’ health problems NICU (1 Eval) 360 (3 Evals) F 1 -1 Score 3 3. 17 2. 5
* Fellowship Year Score National Average SD F-1 63 63 7 70 60 50 40 30 20 10 0 F-1 Score National Average
* Competency NICU (1 Eval) 360 (3 Evals) F 1 -1 Score 3 3. 5 2. 5 3 -- 2. 5 SBP 3. Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or populationbased care as appropriate 2. 5 -- 2. 5 SBP 4. Work in inter-professional teams to enhance patient safety and improve patient care quality 3. 5 3. 33 2. 5 SBP 5. Participate in identifying system errors and implementing potential systems solutions 2. 5 -- 2. 5 SBP 1. Work effectively in various health care delivery settings and systems relevant to their clinical specialty SBP 2. Coordinate patient care within the health care system relevant to their clinical specialty
* Competency PBLI 1. Identify strengths, deficiencies, and limits in one’s knowledge and expertise PBLI 2. Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement PBLI 3. Use information technology to optimize learning and care delivery PBLI 4. Participate in the education of patients, families, students, residents, fellows, and other health professionals NICU (5 Evals) 360 (3 Evals) F 1 -1 Score 3 -- 2. 5 -- 2. 5 3 3 2. 5
* Competency PROF 1. Professional Conduct: High standards of ethical behavior which includes maintaining appropriate professional boundaries PROF 2. Trustworthiness that makes colleagues feel secure when one is responsible for the care of patients PROF 3. Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system/environment with the ultimate intent of improving care of patients PROF 4. The capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertainty NICU (1 Eval) 360 (3 Evals) F 1 -1 Score 3 3. 83 3 3 3. 17 2. 5 -- 2. 5
* Percent Submitted Duty Hour Submission 1/1/18 -5/25/18 Conference Attendance 95. 5% Required 80% Total (40/58) 68%
* Competency ICS 1. Communicate effectively with physicians, other health professionals, and health-related agencies ICS 2. Work effectively as a member or leader of a health care team or other professional group ICS 3. Act in a consultative role to other physicians and health professionals NICU (1 Eval) F 1 -1 Score 2. 5 3 2
* Competency EPA 1. Lead and work within interprofessional health care teams EPA 2. Manage patients with complex, multisystem diseases in the NICU EPA 3. Provide care to patients in the NICU with surgical problems in collaboration with pediatric and subspecialty surgeons. EPA 4. Provide resuscitation and stabilization of neonates and infants that aligns care with severity of illness EPA 5. Manage patients with acute, common single system diseases in an inpatient setting NICU (1 Eval) 360 (3 Evals) F 1 -1 Score Scale: 1 – Observe only 3 2. 67 2 2 – Direct supervision 3 – Indirect supervision 3 -- 3 3 -- 2 4 – Oversight 5 – Supervise others
* Research Mentor: Career Mentor: Clinical Experience: Site Past 6 months Total Fellowship Goal UWMC NICU 3 18 24 SCH NICU - 15 22 UWMC MFM - 2 2 SCH CICU - 4 4 SCH Peds Surg 2 2 2 PRMCE - - 2 HRIF - 2 - Call Nights 23 103 150
* * Signature Assets:
* * Things to work on:
* * What did you like most about this physician? * How could this physician improve?
* * Signature Assets: * How could this physician improve?
* Competency PC 1. Provide transfer of care that ensures seamless transitions PC 2. Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment PC 3. Develop and carry out management plans PC 4. Provide appropriate role modeling F 1 -1 F 1 -2 F 2 -1 2. 5 3 3 2. 5 3
* Competency NICU (1 Eval) 360 (3 Evals) F 2 -1 Score 4 -- 3 3. 5 3. 17 3 PC 3. Develop and carry out management plans 4 3. 17 3 PC 4. Provide appropriate role modeling 4 -- 3 PC 1. Provide transfer of care that ensures seamless transitions PC 2. Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment
* Competency MK 1. Locate, appraise, and assimilate evidence from scientific studies related to their patients’ health problems F 1 -1 F 1 -2 F 2 -1 2 2. 5 3
* Competency MK 1. Locate, appraise, and assimilate evidence from scientific studies related to their patients’ health problems NICU (1 Eval) 360 (3 Evals) F 2 -1 Score 4 3. 17 3
* Fellowship Year Score National Average SD F-1 51 59 9 F-2 56 65 6 70 60 50 40 30 20 10 0 Score National Average F-1 F-2
* Competency SBP 1. Work effectively in various health care delivery settings and systems relevant to their clinical specialty SBP 2. Coordinate patient care within the health care system relevant to their clinical specialty SBP 3. Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or populationbased care as appropriate SBP 4. Work in inter-professional teams to enhance patient safety and improve patient care quality SBP 5. Participate in identifying system errors and implementing potential systems solutions F 1 -1 F 1 -2 F 2 -1 2. 5 3 3 2. 5 3 2 3 3 2. 5 3 3
* Competency NICU (1 Eval) 360 (3 Evals) F 2 -1 Score SBP 1. Work effectively in various health care delivery settings and systems relevant to their clinical specialty 4 3 3 SBP 2. Coordinate patient care within the health care system relevant to their clinical specialty 3. 5 -- 3 SBP 3. Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population-based care as appropriate 3. 5 -- 3 3. 5 3. 17 3 4 -- 3 SBP 4. Work in inter-professional teams to enhance patient safety and improve patient care quality SBP 5. Participate in identifying system errors and implementing potential systems solutions
* Competency PBLI 1. Identify strengths, deficiencies, and limits in one’s knowledge and expertise PBLI 2. Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement PBLI 3. Use information technology to optimize learning and care delivery PBLI 4. Participate in the education of patients, families, students, residents, fellows, and other health professionals F 1 -1 F 1 -2 F 2 -1 2. 5 3 3. 5 2 2. 5 3. 5
* Competency PBLI 1. Identify strengths, deficiencies, and limits in one’s knowledge and expertise NICU (1 Eval) 360 (3 Evals) F 2 -1 Score 4. 5 -- 3. 5 PBLI 2. Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement PBLI 3. Use information technology to optimize learning and care delivery -- -- 3. 5 4. 5 -- 3. 5 PBLI 4. Participate in the education of patients, families, students, residents, fellows, and other health professionals 4 3. 17 3. 5
* Competency F 1 -1 F 1 -2 F 2 -1 PROF 1. Professional Conduct: High standards of ethical behavior which includes maintaining appropriate professional boundaries 2. 5 3 3 PROF 2. Trustworthiness that makes colleagues feel secure when one is responsible for the care of patients 2. 5 3 2. 5 3 PROF 3. Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system/environment with the ultimate intent of improving care of patients PROF 4. The capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertainty
* Competency PROF 1. Professional Conduct: High standards of ethical behavior which includes maintaining appropriate professional boundaries PROF 2. Trustworthiness that makes colleagues feel secure when one is responsible for the care of patients PROF 3. Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system/environment with the ultimate intent of improving care of patients PROF 4. The capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertainty NICU (1 Eval) 360 (3 Evals) F 2 -1 Score 4 3. 33 3 4. 5 3. 33 3 4 -- 3
* Percent Submitted Duty Hour Submission 1/1/2018 -5/31/2018 86. 4% Required Total (35/58) 80% 60. 3% Conference Attendance
* Competency F 1 -1 F 1 -2 F 2 -1 ICS 1. Communicate effectively with physicians, other health professionals, and health-related agencies 2 2. 5 3 ICS 2. Work effectively as a member or leader of a health care team or other professional group 2 2. 5 3 ICS 3. Act in a consultative role to other physicians and health professionals 2 2. 5 3
* Competency ICS 1. Communicate effectively with physicians, other health professionals, and health-related agencies ICS 2. Work effectively as a member or leader of a health care team or other professional group ICS 3. Act in a consultative role to other physicians and health professionals NICU (1 Eval) 360 (3 Evals) F 2 -1 Score 4 3. 17 3 4. 5 3. 17 3 4 -- 3
* Competency EPA 1. Lead and work within interprofessional health care teams EPA 2. Manage patients with complex, multisystem diseases in the NICU EPA 3. Provide care to patients in the NICU with surgical problems in collaboration with pediatric and subspecialty surgeons. EPA 4. Provide resuscitation and stabilization of neonates and infants that aligns care with severity of illness EPA 5. Manage patients with acute, common single system diseases in an inpatient setting NICU (1 Eval) 360 (3 Evals) F 1 -1 5 3. 33 3 Scale: 1 – Observe only 2 – Direct supervision 3 – Indirect supervision 4 -- 3 4 – Oversight 5 – Supervise others 4 -- 3 5 -- 3
* Research Mentor: Career Mentor: Clinical Experience: Site Past 6 months Total Fellowship Goal UWMC NICU 3 18 24 SCH NICU 4 15 22 UWMC MFM - 2 2 SCH CICU - 4 4 SCH Peds Surg - 2 2 PRMCE - - 2 14 - 104 150 HRIF Call Nights 26
* * Signature Assets: * Things to work on:
* Competency F 1 -1 F 1 -2 F 2 -1 PC 1. Provide transfer of care that ensures seamless transitions 2. 5 3 PC 2. Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment 2. 5 3 PC 3. Develop and carry out management plans 2. 5 3 3 PC 4. Provide appropriate role modeling 2. 5 3 3
* Competency PC 1. Provide transfer of care that ensures seamless transitions PC 2. Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment PC 3. Develop and carry out management plans PC 4. Provide appropriate role modeling NICU (2 Evals) F 2 -1 Score 4 3 3. 75 3 4. 25 3 4 3
* Competency MK 1. Locate, appraise, and assimilate evidence from scientific studies related to their patients’ health problems F 1 -1 F 1 -2 F 2 -1 2. 5 3 3
* Competency MK 1. Locate, appraise, and assimilate evidence from scientific studies related to their patients’ health problems NICU (2 Evals) F 2 -1 Score 4. 25 3
* Fellowship Year Score National Average SD F-1 52 59 9 F-2 57 65 6 70 65 60 55 50 45 40 35 30 F-1 F-2 Score National Average
* Competency F 1 -1 F 1 -2 F 2 -1 2. 5 3. 5 2 3 3 2 3. 5 3 SBP 4. Work in inter-professional teams to enhance patient safety and improve patient care quality 2 2. 5 3 SBP 5. Participate in identifying system errors and implementing potential systems solutions 2 3 3. 5 SBP 1. Work effectively in various health care delivery settings and systems relevant to their clinical specialty SBP 2. Coordinate patient care within the health care system relevant to their clinical specialty SBP 3. Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or populationbased care as appropriate
* Competency NICU (2 Evals) F 2 -1 Score 4. 25 3. 75 3 4 3 SBP 4. Work in inter-professional teams to enhance patient safety and improve patient care quality 3. 75 3 SBP 5. Participate in identifying system errors and implementing potential systems solutions 4. 25 3. 5 SBP 1. Work effectively in various health care delivery settings and systems relevant to their clinical specialty SBP 2. Coordinate patient care within the health care system relevant to their clinical specialty SBP 3. Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or populationbased care as appropriate
* Competency F 1 -1 F 1 -2 F 2 -1 2 2. 5 3 PBLI 2. Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement 2 3 3. 5 PBLI 3. Use information technology to optimize learning and care delivery 2 3. 5 2. 5 3 3. 5 PBLI 1. Identify strengths, deficiencies, and limits in one’s knowledge and expertise PBLI 4. Participate in the education of patients, families, students, residents, fellows, and other health professionals
* Competency NICU (2 Evals) F 2 -1 Score 4 3 PBLI 2. Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement 4. 25 3. 5 PBLI 3. Use information technology to optimize learning and care delivery 4. 25 3. 5 PBLI 4. Participate in the education of patients, families, students, residents, fellows, and other health professionals 4. 5 3. 5 PBLI 1. Identify strengths, deficiencies, and limits in one’s knowledge and expertise
* Competency PROF 1. Professional Conduct: High standards of ethical behavior which includes maintaining appropriate professional boundaries PROF 2. Trustworthiness that makes colleagues feel secure when one is responsible for the care of patients PROF 3. Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system/environment with the ultimate intent of improving care of patients PROF 4. The capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertainty F 1 -1 F 1 -2 F 2 -1 3 3 3. 5 3 3 3 2. 5 3. 5 4 3 3 3
* Competency PROF 1. Professional Conduct: High standards of ethical behavior which includes maintaining appropriate professional boundaries PROF 2. Trustworthiness that makes colleagues feel secure when one is responsible for the care of patients PROF 3. Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system/environment with the ultimate intent of improving care of patients PROF 4. The capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertainty NICU (2 Evals) F 2 -1 Score 5 3. 5 4. 5 3 4. 25 4 4 3
* Percent Submitted Duty Hour Submission 1/1/18 -5/25/18 86. 4% Required Total (27/58) 80% 46. 5% Conference Attendance
* Competency ICS 1. Communicate effectively with physicians, other health professionals, and health-related agencies ICS 2. Work effectively as a member or leader of a health care team or other professional group ICS 3. Act in a consultative role to other physicians and health professionals F 1 -1 F 1 -2 F 2 -1 2. 5 3 3. 5
* Competency ICS 1. Communicate effectively with physicians, other health professionals, and health-related agencies ICS 2. Work effectively as a member or leader of a health care team or other professional group ICS 3. Act in a consultative role to other physicians and health professionals NICU (2 Evals) F 2 -1 Score 4. 5 3. 5
* Competency EPA 1. Lead and work within interprofessional health care teams EPA 2. Manage patients with complex, multisystem diseases in the NICU EPA 3. Provide care to patients in the NICU with surgical problems in collaboration with pediatric and subspecialty surgeons. EPA 4. Provide resuscitation and stabilization of neonates and infants that aligns care with severity of illness EPA 5. Manage patients with acute, common single system diseases in an inpatient setting NICU (2 Evals) F 2 -1 Score 4. 5 3 Scale: 1 – Observe only 2 – Direct supervision 3 – Indirect supervision 4 4 4 – Oversight 5 – Supervise others 4 3 5 3 4. 5 4
* Research Mentor: Career Mentor: Clinical Experience: Site Past 6 months Total Fellowship Goal UWMC NICU - 24 24 SCH NICU 2 22 22 UWMC MFM - 2 2 SCH CICU 2 4 4 SCH Peds Surg - 2 2 Valley 2 2 2 HRIF ? 2 -- Call Nights 23 152 150
* * Signature Assets: * Things to work on:
* Competency F 1 -1 F 1 -2 F 2 -1 F 2 -2 F 3 -1 PC 1. Provide transfer of care that ensures seamless transitions 2. 5 3 3 3. 5 4 2. 5 2. 5 4 4 PC 2. Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment PC 3. Develop and carry out management plans PC 4. Provide appropriate role modeling
* Competency 360 (4 Evals) F 3 -1 -- 4 PC 2. Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment 3. 88 3. 5 PC 3. Develop and carry out management plans 4. 25 4 -- 4 PC 1. Provide transfer of care that ensures seamless transitions PC 4. Provide appropriate role modeling
* Competency MK 1. Locate, appraise, and assimilate evidence from scientific studies related to their patients’ health problems F 1 -1 F 1 -2 F 2 -1 F 2 -2 F 3 -1 2. 5 3 3 3. 5 4
* Competency MK 1. Locate, appraise, and assimilate evidence from scientific studies related to their patients’ health problems 360 (4 Evals) F 2 -2 4. 33 4
* Fellowship Year Score National Average SD F-1 63 60 8 F-2 66 62 9 F-3 65 66 7 67 66 65 64 63 62 61 60 59 58 57 F-1 F-2 Score National Average F-3
* Competency F 1 -1 F 1 -2 F 2 -1 F 2 -2 F 3 -1 2. 5 3 3 3. 5 4 2. 5 3 3 4 SBP 4. Work in inter-professional teams to enhance patient safety and improve patient care quality 2. 5 3 3. 5 SBP 5. Participate in identifying system errors and implementing potential systems solutions 2. 5 3 3. 5 4 SBP 1. Work effectively in various health care delivery settings and systems relevant to their clinical specialty SBP 2. Coordinate patient care within the health care system relevant to their clinical specialty SBP 3. Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population-based care as appropriate
* Competency 360 (4 Evals) F 3 -1 4. 5 4 -- 4 SBP 4. Work in inter-professional teams to enhance patient safety and improve patient care quality 3. 88 3. 5 SBP 5. Participate in identifying system errors and implementing potential systems solutions -- 4 SBP 1. Work effectively in various health care delivery settings and systems relevant to their clinical specialty SBP 2. Coordinate patient care within the health care system relevant to their clinical specialty SBP 3. Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population-based care as appropriate
* Competency F 1 -1 F 1 -2 F 2 -1 F 2 -2 F 3 -1 PBLI 1. Identify strengths, deficiencies, and limits in one’s knowledge and expertise 2. 5 3 3 4 4. 5 PBLI 2. Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement 2. 5 3. 5 4 2. 5 3 3 3. 5 4 PBLI 3. Use information technology to optimize learning and care delivery PBLI 4. Participate in the education of patients, families, students, residents, fellows, and other health professionals
* Competency PBLI 1. Identify strengths, deficiencies, and limits in one’s knowledge and expertise PBLI 2. Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement PBLI 3. Use information technology to optimize learning and care delivery PBLI 4. Participate in the education of patients, families, students, residents, fellows, and other health professionals 360 (4 Evals) F 3 -1 -- 4. 5 -- 4 4. 5 4
* Competency PROF 1. Professional Conduct: High standards of ethical behavior which includes maintaining appropriate professional boundaries PROF 2. Trustworthiness that makes colleagues feel secure when one is responsible for the care of patients PROF 3. Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system/environment with the ultimate intent of improving care of patients PROF 4. The capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertainty F 1 -1 F 1 -2 F 2 -1 F 2 -2 F 3 -1 3 3 3 3. 5 4 2. 5 4 4 2. 5 3 4. 5
* Competency PROF 1. Professional Conduct: High standards of ethical behavior which includes maintaining appropriate professional boundaries PROF 2. Trustworthiness that makes colleagues feel secure when one is responsible for the care of patients PROF 3. Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system/environment with the ultimate intent of improving care of patients PROF 4. The capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertainty 360 (4 Evals) F 3 -1 4. 12 4 4. 5 4 -- 4. 5
* Percent Submitted Duty Hour Submission 1/1/18 -5/29/18 59. 1% Required Total (29/58) 80% 50. 0% Conference Attendance
* Competency ICS 1. Communicate effectively with physicians, other health professionals, and health -related agencies ICS 2. Work effectively as a member or leader of a health care team or other professional group ICS 3. Act in a consultative role to other physicians and health professionals F 1 -1 F 1 -2 F 2 -1 F 2 -2 F 3 -1 2. 5 2 3 3. 5 4 2. 5 3 3. 5 4
* Competency ICS 1. Communicate effectively with physicians, other health professionals, and health-related agencies ICS 2. Work effectively as a member or leader of a health care team or other professional group ICS 3. Act in a consultative role to other physicians and health professionals 360 (4 Evals) F 3 -1 4. 5 4 -- 4
* Competency EPA 1. Lead and work within inter-professional health care teams EPA 2. Manage patients with complex, multisystem diseases in the NICU EPA 3. Provide care to patients in the NICU with surgical problems in collaboration with pediatric and subspecialty surgeons. EPA 4. Provide resuscitation and stabilization of neonates and infants that aligns care with severity of illness EPA 5. Manage patients with acute, common single system diseases in an inpatient setting F 1 -1 2 F 1 -2 3 F 2 -1 3 F 2 -2 4 F 3 -1 4 Scale: 1 – Observe only 2 – Direct supervision 2 3 3 4 4 3 – Indirect supervision 4 – Oversight 5 – Supervise others -- 3 3 3 4 2 3 3 4 4
* Competency EPA 1. Lead and work within interprofessional health care teams EPA 2. Manage patients with complex, multisystem diseases in the NICU 360 (4 Evals) F 3 -1 Scale: 1 – Observe only 4. 25 4 2 – Direct supervision 3 – Indirect supervision -- 4 EPA 3. Provide care to patients in the NICU with surgical problems in collaboration with pediatric and subspecialty surgeons. -- 4 EPA 4. Provide resuscitation and stabilization of neonates and infants that aligns care with severity of illness -- 4 EPA 5. Manage patients with acute, common single system diseases in an inpatient setting -- 4 4 – Oversight 5 – Supervise others
* Research Mentor: Career Mentor: Clinical Experience: Site Past 6 months UWMC NICU 2 Total Fellowship Goal 24 24 SCH NICU 22 22 UWMC MFM 2 2 SCH CICU 4 4 SCH Peds Surg 2 2 8 -- 150 VALLEY 5 2 HRIF Call Nights 23
* * Signature Assets: * Things to improve:
* * Signature Assets:
* * Things to improve:
* * Signature Assets: * Things to work on:
* Competency PC 1. Provide transfer of care that ensures seamless transitions PC 2. Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment PC 3. Develop and carry out management plans PC 4. Provide appropriate role modeling F 1 -1 F 1 -2 F 2 -1 F 2 -2 F 3 -1 3 3. 5 4 3 3. 5 3. 5 4
* Competency NICU (1 Eval) F 3 -1 PC 1. Provide transfer of care that ensures seamless transitions 4 4 PC 2. Make informed diagnostic and therapeutic decisions that result in optimal clinical judgment 4 4 PC 3. Develop and carry out management plans 4 4 PC 4. Provide appropriate role modeling 4 4
* Competency MK 1. Locate, appraise, and assimilate evidence from scientific studies related to their patients’ health problems F 1 -1 F 1 -2 F 2 -1 F 2 -2 F 3 -1 2. 5 3 3 3. 5 4
* Competency MK 1. Locate, appraise, and assimilate evidence from scientific studies related to their patients’ health problems NICU (1 Eval) F 3 -1 4 4
* Fellowship Year Score National Average SD F-1 66 60 8 F-2 68 62 9 F-3 73 66 7 75 70 65 60 55 50 F-1 F-2 Score National Average F-3
* Competency F 1 -1 F 1 -2 F 2 -1 F 2 -2 F 3 -1 2. 5 3 3 3. 5 4. 5 SBP 2. Coordinate patient care within the health care system relevant to their clinical specialty 2. 5 3 3 3. 5 4 SBP 3. Incorporate considerations of cost awareness and riskbenefit analysis in patient and/or population-based care as appropriate 2. 5 3 3 3 4 SBP 4. Work in inter-professional teams to enhance patient safety and improve patient care quality 3 3. 5 4 SBP 5. Participate in identifying system errors and implementing potential systems solutions 2. 5 3 3. 5 4 SBP 1. Work effectively in various health care delivery settings and systems relevant to their clinical specialty
* Competency NICU (1 Eval) F 3 -1 4 4. 5 SBP 2. Coordinate patient care within the health care system relevant to their clinical specialty 3. 5 4 SBP 3. Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or populationbased care as appropriate 3. 5 4 4 4 SBP 1. Work effectively in various health care delivery settings and systems relevant to their clinical specialty SBP 4. Work in inter-professional teams to enhance patient safety and improve patient care quality SBP 5. Participate in identifying system errors and implementing potential systems solutions
* Competency PBLI 1. Identify strengths, deficiencies, and limits in one’s knowledge and expertise PBLI 2. Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement PBLI 3. Use information technology to optimize learning and care delivery PBLI 4. Participate in the education of patients, families, students, residents, fellows, and other health professionals F 1 -1 F 1 -2 F 2 -1 F 2 -2 F 3 -1 3 3. 5 3. 5 4 3 3. 5 4 4
* Competency NICU (1 Eval) F 3 -1 Score 3. 5 4 3 4 PBLI 3. Use information technology to optimize learning and care delivery 3. 5 4 PBLI 4. Participate in the education of patients, families, students, residents, fellows, and other health professionals 3. 5 4 PBLI 1. Identify strengths, deficiencies, and limits in one’s knowledge and expertise PBLI 2. Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement
* Competency PROF 1. Professional Conduct: High standards of ethical behavior which includes maintaining appropriate professional boundaries PROF 2. Trustworthiness that makes colleagues feel secure when one is responsible for the care of patients PROF 3. Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system/environment with the ultimate intent of improving care of patients PROF 4. The capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertainty F 1 -1 F 1 -2 F 2 -1 F 2 -2 F 3 -1 3 3. 5 4 4. 5 2. 5 3. 5 4 4 2. 5 3. 5 4
* Competency NICU (1 Eval) F 3 -1 Score 4 4. 5 PROF 3. Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system/environment with the ultimate intent of improving care of patients 3. 5 4 PROF 4. The capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertainty 3. 5 4 PROF 1. Professional Conduct: High standards of ethical behavior which includes maintaining appropriate professional boundaries PROF 2. Trustworthiness that makes colleagues feel secure when one is responsible for the care of patients
* Percent Submitted Duty Hour Submission 1/1/18 -5/30/18 Conference Attendance 81. 8% Required Total (37/58) 80% 63. 8%
* Competency ICS 1. Communicate effectively with physicians, other health professionals, and health-related agencies ICS 2. Work effectively as a member or leader of a health care team or other professional group ICS 3. Act in a consultative role to other physicians and health professionals F 1 -1 F 1 -2 F 2 -1 F 2 -2 F 3 -1 3 3. 5 3. 5 4. 5 2. 5 3. 5 4 4. 5
* Competency ICS 1. Communicate effectively with physicians, other health professionals, and health-related agencies ICS 2. Work effectively as a member or leader of a health care team or other professional group ICS 3. Act in a consultative role to other physicians and health professionals NICU (4 Evals) F 3 -1 3. 5 4 4. 5 3. 5 4. 5
* Competency EPA 1. Lead and work within interprofessional health care teams EPA 2. Manage patients with complex, multisystem diseases in the NICU EPA 3. Provide care to patients in the NICU with surgical problems in collaboration with pediatric and subspecialty surgeons. EPA 4. Provide resuscitation and stabilization of neonates and infants that aligns care with severity of illness EPA 5. Manage patients with acute, common single system diseases in an inpatient setting F 1 -1 F 1 -2 F 2 -1 F 2 -2 F 3 -1 2 3 3 4 4 Scale: 1 – Observe only 2 3 3 3 4 2 – Direct supervision 3 – Indirect supervision -- 3 3 3 4 4 – Oversight 5 – Supervise others 3 3 4 2 4 4
* Competency EPA 1. Lead and work within interprofessional health care teams EPA 2. Manage patients with complex, multisystem diseases in the NICU EPA 3. Provide care to patients in the NICU with surgical problems in collaboration with pediatric and subspecialty surgeons. EPA 4. Provide resuscitation and stabilization of neonates and infants that aligns care with severity of illness EPA 5. Manage patients with acute, common single system diseases in an inpatient setting NICU (1 Eval) F 3 -1 4 4 Scale: 1 – Observe only 2 – Direct supervision 4 4 3 – Indirect supervision 4 – Oversight 5 – Supervise others 4 4 5 4
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