Renal Fellows will be evaluated in 4 ways.
1. Attending evaluations of the fellow will be submitted following each of the clinical rotations. This will consist of an assessment of the fellow’s performance in the six areas of general competencies as defined by the ACGME: Patient care, Medical Knowledge, Practice-based Learning and Improvement, Interpersonal & Communication Skills, Professionalism, and Systems-based Practice. This evaluation will be reviewed with the fellow at the end of each rotation with signatures of both the attending and the fellow prior to submission to the program director.
2. Departmental in-service examinations will be administered at the beginning of the fellowship and then every six (6) months. Standardized questions will be used. The results will be reviewed with the fellow by the program director, and/or key faculty noting especially areas of strength and weakness. A passing score will be considered 70% or higher. Non-passing scores may result in re-examinations, remedial training/counseling, repeating portions of the fellowship, denial of moonlighting privileges, or discontinuation of the fellowship. Fellows will also take the National Nephrology in-service examination each year thus allowing the fellows to compare how one stands in comparison to others in training in preparation for the ABIM subspecialty boards.
3. 360° evaluations: These consist of written evaluations of the fellow as made by A) Patients in the fellow’s continuity or other clinics, on dialysis or ward rotations thus providing the fellow feedback as to his/her performance B) Other residents interfacing with the fellow C) Nurses, technicians, clerical workers who have interfaced with the fellow. Each fellow also will be required to submit to the program director a Mini-CEX documenting that a fellow on a quarterly basis has been observed and evaluated first hand in doing a history/physical/consultation. These evaluations are submitted to the program director.
4. Portfolio. Each fellow will be required to maintain a portfolio which is to contain minimally: 1) A Curriculum Vitae, 2) Reports from semiannual meetings with the program director, 3) Copies of Scholarly works submitted by the fellow (scientific articles, clinical reviews, letters to the editor, abstracts or posters), 4) A procedure log, 5) Supporting documentation for each of ACGME’s six core competencies. 6) Presentations made for case conferences, journal club, renal physiology conference, etc. 7) Progress on research project(s) including IRB standing. 8) Medical meetings/conferences attended. This portfolio will be reviewed with the program director at the semiannual meeting.
In addition to the above evaluations of the fellow, each fellow will also have the opportunity to fill out anonymous evaluation forms pertaining to the supervising attending. These will be forwarded to the program director. Additionally, the fellow will be asked for feedback regarding the program throughout the fellowship. At the conclusion of the fellowship the fellow will also be asked to complete a summative evaluation regarding the fellowship. This will be repeatedly sent to the graduate fellow over the next five years. Fellows will be asked for their input regarding the curriculum and overall experience of the program and this input will be used to guide continuous improvement of the fellowship and its curriculum.
Evaluations beginning in 2014 will reflect evaluations based on milestones/EPA’s (Entrustable Professional Activities) as required by the NAS (Next Accreditation System)