Resident Name Email Faculty Name ---- None Selected ---- Knoop Polsinelli Jackson Gray Minnick Conroy Kyle Payne Forsythe Sparks Alex Other Other Faculty Name Date Shift ---- None Selected ---- R1 Day R1 Evening R1 Night R2 Day R2 Evening R2 Night Emergency Recognition and Stabilization (PC 1) Observed Not Observed Pre-Entrustable (MS4/PGY-1) Beginning Advanced • Participates as observer in resuscitations • May not recognize when patient is unstable • Able to assess ABCs and perform basic interventionsSometimes Entrustable (PGY-1/2) Beginning Advanced • Recognize abnormal vital signs • Seeks immediate help for critically ill patients • Prioritizes patient care by time of arrival • Initiates advanced resuscitation proceduresMostly Entrustable (PGY-2) Beginning Advanced • Recognizes subtle abnormalities in vital signs • Prioritizes patient by vital signs/acuity • Performs appropriate initial evaluation to form diagnostic plan on critically ill patient • Reassesses patient after stabilizing interventionsComments Data Gathering (PC 2) Observed Not Observed Pre-Entrustable (MS4/PGY-1) Beginning Advanced • Sometimes incomplete HPI gathered • History presentations may lack critical information • Physical exam is completed but findings are frequently missedSometimes Entrustable (PGY-1/2) Beginning Advanced • Histories may be unfocused and give extraneous details, but are usually complete • Performs an adequate physical exam with few missed findingsMostly Entrustable (PGY-2) Beginning Advanced • Gains most critical information on initial patient interview • Histories focused to patient complaint with detailed PMH/SH/FH etc. • Appropriately focused physical exam performed with infrequent missed findingsComments Care Plan Development (PC 3,4) Observed Not Observed Pre-Entrustable (MS4/PGY-1) Beginning Advanced • Reports data gathered with attempt made to form plan • Differentials narrow and occasionally lacks emergent considerations • Relies on prebuilt/ordered pathways • Infrequently utilizes EBM or decision toolsSometimes Entrustable (PGY-1/2) Beginning Advanced • Reports focused HPI giving adequate differentials with emergent considerations • Orders appropriate diagnostics and performs bedside diagnostics as indicated • Has working knowledge of EBM and decision tools for key chief complaintsMostly Entrustable (PGY-2) Beginning Advanced • Efficient HPI reported with thorough DDx ordered by most emergent considerations • Frequently and appropriately uses decision tools • Understands statistical limitations of diagnostic modalities • Adjusts differential when confronted with dynamic informationComments Pharmacotherapy (PC 5) Observed Not Observed Pre-Entrustable (MS4/PGY-1) Beginning Advanced • Knows the different classifications of pharmacologic agents and their mechanism of action. • Consistently asks patients for drug allergiesSometimes Entrustable (PGY-1/2) Beginning Advanced • Applies medical knowledge for selection of appropriate agent for therapeutic intervention • Considers potential adverse effects of pharmacotherapyMostly Entrustable (PGY-2) Beginning Advanced • Considers array of drug therapy for treatment. • Selects appropriate agent based on mechanism of action, intended effect, and anticipates potential adverse side effects • Considers and recognizes potential drug to drug interactionsComments Patient Reassessment and Disposition (PC 6) Observed Not Observed Pre-Entrustable (MS4/PGY-1) Beginning Advanced • Recognizes need for patient re-assessment • May not consider disposition until end of patient care • Describe basic discharge instructions • May be unaware of resources for safe dispositionSometimes Entrustable (PGY-1/2) Beginning Advanced • Monitors that interventions are accomplished • Gives appropriate updates and reports on patient status when instructed • Updates patients on results and anticipated next steps • Speaks early to likely disposition • Frequently identifies who requires admissionMostly Entrustable (PGY-2) Beginning Advanced • Addresses likely disposition in initial presentation • Does NOT require prompting for patient reassessment • Provides patient education effectively • Involves appropriate resources (PCP, consultants, care coordination) • Appropriate disposition and level of care decisionsComments Task Switching (PC7) Observed Not Observed Pre-Entrustable (MS4/PGY-1) Beginning Advanced • Able to manage a single patient at a time • May not recognize when they are the limiting factor to patient care progressionSometimes Entrustable (PGY-1/2) Beginning Advanced • Able to manage 2-3 patients and task switch effectively • May have some inefficiencies present but generally they are not the limiting factor in patient care progressionMostly Entrustable (PGY-2) Beginning Advanced • Able to manage multiple patients efficiently and in a timely manner • Able to recognize systems issues that need to be addressed to move patient care forwardComments Procedural Competency And Airway Management (PC 8) Observed Not Observed Pre-Entrustable (MS4/PGY-1) Beginning Advanced • Understands indications and contraindications to procedures • Requires frequent guidance during basic procedures such as suturing • May need assistance collecting basic procedural supplies • May require multiple attempts for intubation • Limited knowledge of procedural sedationSometimes Entrustable (PGY-1/2) Beginning Advanced • Effectively obtains informed consent and ensures appropriate supplies in place for procedure • Can identify key anatomical landmarks for procedures and techniques • May be noted to avoid more difficult procedures • Can perform RSI with basic medication knowledge • Often successful with intubation with multiple techniques to confirm placementMostly Entrustable (PGY-2) Beginning Advanced • Performs common procedures with low-moderate risk of complication • Able to delineate results of procedure (LP/Aspiration, Post procedural films, etc.) • Capable of assisting medical students with procedures • Multiple modes of preoxygenation and post-intubation management • Able to perform procedural sedation pre to post assessmentComments Medical Knowledge (MK 1-2) Observed Not Observed Pre-Entrustable (MS4/PGY-1) Beginning Advanced • Demonstrated scientific and bedside knowledge of common presentations and conditions • Identifies types of clinical reasoning errors with guidanceSometimes Entrustable (PGY-1/2) Beginning Advanced • Demonstrates scientific and bedside knowledge of complex conditions • Identifies types of clinical reasoning errors and biases within patient careMostly Entrustable (PGY-2) Beginning Advanced • Integrates knowledge of comorbid conditions within complex clinical conditions • Demonstrates knowledge of impact of patient factors on treatment options • Able to retrospectively identify cognitive errorsComments Safety (SBP 1): How effective is the resident at adhering to safety standards or furthering patient safety? MS4 R1 R2 R3 Safety (SBP 1) Comments Technology and Documentation (SBP 3): How effectively does the resident use the EMR to review patient information, clearly document management and avoid common EMR pitfalls? MS4 R1 R2 R3 Technology and Documentation (SBP 3) Comments Team Management (ICS 2,3): How effectively does the resident participate, communicate and manage tasks within the team? (setting expectations, confirming lab and imaging orders, and establishing rapport with support staff and nursing) MS4 R1 R2 R3 Team Management (ICS 2,3) Comments Patient Centered Communication (ICS 1): How effectively does the resident build a therapeutic relationship with the patient and family? MS4 R1 R2 R3 Patient Centered Communication ICS 1 Comments Professionalism (PROF 1,2,3): What level of professionalism does the resident display? (timeliness, chart completion, HIPAA, self-awareness) MS4 R1 R2 R3 Professionalism (PROF 1,2,3) Comments Do you have any immediate concerns?