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  2. 2014
  3. October
  4. G
  5. GOAL-BASED REGISTRAR EVALUATION FORM
0%
Exit Survey
 
 
GOAL-BASED OBJECTIVES & RESPONSIBILITIES

GOAL 1: Medical Expert
· Access relevant information and applies to clinical practice.
· Perform a patient-centered clinical assessment and establish management plans
· Demonstrate effective consultation services.
· Demonstrate diagnostic and therapeutic surgical and non-surgical skills
· Demonstrate leadership in emergent situations.
· Actively participate in the continuous improvement of health care quality and patient safety

GOAL 2: Communicator
· Establish professional therapeutic relationships with patients and their families.
· Listen effectively to obtain and synthesize relevant history from patients/families/communities.
· Engage and discuss appropriate information with patients, their families and the health care team
· Appropriately document and share clinical information to optimize decision-making, patient safety, and           confidentiality.

GOAL 3: Collaborator
· Work effectively with other physicians and other health care professionals.
· Effectively and safely hand over care to an appropriate health care professional

GOAL 4: Leader
· Utilize resources effectively and allocate finite health care resources wisely
· Work effectively and efficiently in a health care organization.
· Contribute to the improvement of health care delivery in teams, organizations and systems.

GOAL 5: Health Advocate
· Recognize and respond to those issues where advocacy is appropriate, both within and beyond the clinical        environment.
· Be proactive in patient care and health promotion within the system and community.

GOAL 6: Scholar
· Develop, implement and monitor a personal continuing-education strategy.
· Critically appraises sources of medical information to integrate evidence-based medicine into clinical care.
· Facilitate the learning of patients, hospital staff, students and other health professionals.
· Perform research to contribute to medical knowledge in an ethical manner.

GOAL 7: Professional
· Deliver care with integrity, honesty and compassion.
· Exhibit appropriate personal and interpersonal professional behaviours.
· Practice medicine ethically, consistent with the obligations of a physician.
 
 
 
GOAL 1: MEDICAL EXPERT
Anatomy/Physiology/Pathophysiology 
 
1. Inadequately recognizes clinical scenario and frequently unable to describe relevant anatomy and physiology.
 
2. Generally adequate knowledge, but has gaps which makes recognition and treatment variable.
 
3. Base of knowledge covers conditions and knowledge is sufficient to relate clinically.
 
4. Consistently in-depth knowledge in all areas including some uncommon or little known areas.
 
5. Equivalent to an excellent consultant or expert in the area- this level is rarely seen.
 
 
 
GOAL 1: MEDICAL EXPERT
Data Gathering: History and Physical Exam 
 
1. Routinely incomplete or inaccurate in reporting history at rounds. Depends on MO intern to present.
 
2. Generally complete but sometimes misses essential information or misinterprets findings. Relies on patient file to present hospital course during rounds.
 
3. Complete, accurate and systematic. Asks appropriate questions of patient and detects and understands important clinical signs.
 
4. Is able to summarize a complicated patient’s course without the file, including relevant clinical, laboratory and imaging findings over the hospitalization.
 
5. Equivalent to an excellent consultant or expert in the area- this level is rarely seen.
 
 
 
GOAL 1: MEDICAL EXPERT
Clinical Reasoning, Management and Judgment
 
1. Orders investigations blindly and doesn't follow clinical or investigative results, often delaying the care of the patient.
 
2. Sometimes lacks clinical judgment. Follows clinical course but is not timely in following up or making a new management plan.
 
3. Follows patient course and documents appropriately. Seeks senior and/or consultant review appropriately.
 
4. Consistently interprets clinical findings accurately and appropriately. Takes initiative in arranging consultations to other departments or the ICU.
 
5. Equivalent to an excellent consultant or expert in the area- this level is rarely seen.
 
 
 
GOAL 1: MEDICAL EXPERT
Diagnostic/Therapeutic Planning 
 
1. Relies on personal experience in guiding patient management and rarely makes use of protocols in patient management.
 
2. Does not consistently demonstrate a logical rationale or practical plan.
 
3. Consistently uses protocols and is able to point out when a protocol is inappropriately being ignored
 
4. Consistently uses protocols and is able to articulate when and why deviation from the protocol is necessary.
 
5. Equivalent to an excellent consultant or expert in the area- this level is rarely seen.
 
 
 
GOAL 1: MEDICAL EXPERT
Procedural Skills in Obstetrics and Surgery
 
1. Unable to carry out procedures appropriate for their level of training and/or puts patients at harm.
 
2. Able to carry out procedures appropriate for their level of training, but only with detailed instruction.
 
3. Technically competent in the performance of procedures appropriate for their level of training.
 
4. Precise and careful, with good attention to detail. Returns equipment in good condition for another registrar’s use.
 
5. Equivalent to an excellent consultant or expert in the area- this level rarely seen.
 
 
 
GOAL 1: MEDICAL EXPERT
Performance under stress
 
1. Unable to recognize urgency of situation or disappears/is unavailable.
 
2. Delays in acting appropriately in an urgent situation and is not able to take initiative.
 
3. Recognizes an urgent situation and can follow instructions given to perform with skill and competence in stressful situations.
 
4. Is confident in performing duties under stress. Shows leadership in delegating tasks and mobilizing resources efficiently and effectively.
 
5. Can anticipate a potentially emergent situation and is prepared to act. Equivalent to an excellent consultant or expert in the area- this level rarely seen.
 
 
 
GOAL 2: COMMUNICATOR
Physician/Patient Relationship
 
1. Is inappropriate in their verbal and body language with a patient and/or their family.
 
2. Uncomfortable communicating with patient and/or family. Communication lacks clarity and is unfocused. Relies on Mental Health counselor.
 
3. Develops rapport with patients but does not listen to or encourage the patient to express themselves.
 
4. Develops strong relationship with the patient and family. Is empathetic, listens and articulates well and puts the patient at ease.
 
5. The patient and family know the registrar’s name. Equivalent to an excellent consultant or expert in the area- this level rarely seen.
 
 
 
GOAL 2: COMMUNICATOR
Communicating management plan with patient
 
1. Patient under this registrar is unable to explain their condition or reason for the procedure.
 
2. Depends on others to communicate management plan to the patient.
 
3. Upon direction, is able to explain management plan or sensitive news regarding diagnosis and prognosis with a patient.
 
4. Is comfortable raising sensitive news regarding diagnosis and prognosis with a patient. Shows empathy.
 
5. Plans and organizes family meetings and is at ease discus sing sensitive news with the patient and her family. Equivalent to an excellent consultant or expert in the area- this level is rarely seen.
 
 
 
GOAL 2: COMMUNICATOR
Written Skills and Record Keeping
 
1. Notes lack organization and clarity and are late, incomplete or inaccurate.
 
2. Notes are generally legible and accurate but disorganized and not always up to date. Sometimes needs reminders to complete notes.
 
3. Notes are complete, accurate and easily understood and completed by deadline.
 
4. Notes are legible, succinct, well-written reports completed in a timely fashion.
 
5. Equivalent to an excellent consultant or expert in the area- this level rarely seen.
 
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