Nemours

Evaluation

Fellows will be evaluated in accordance with the requirements of the pediatric gastroenterology division, American Board of Pediatrics (Gastroenterology sub-board) requirements, and ACGME Institutional Requirements. Evaluation of Fellows will be in writing using standard evaluation forms for residents and maintained in personnel files in the division. Fellows may review their files and append comments to evaluations. Fellows may not remove evaluations from their files, copy evaluations, or alter evaluations.

The Fellow will meet with the Program Director or designee at least thrice during the first year for performance evaluations. The first evaluation will take place within the first 3 months of fellowship. The evaluators are all the Attendings within the division with whom the fellow has worked with. There will also be opportunities for the fellow to be evaluated by support/ancillary staff, nurses and families (on the outpatient rotation). Written summaries of the performance reviews will be maintained in the fellow’s file. The Program Director will prepare a final written evaluation of the fellow’s performance at the completion of fellowship training, which will be maintained indefinitely in the division, with a copy forwarded to the Office of Graduate Medical Education of AIDHC and the Office of House Staff Affairs at TJUH. This final evaluation will state that the Fellow is capable of practicing pediatric gastroenterology competently and independently.

Fellows are evaluated in the six General Competencies as defined by ACGME: patient care, medical knowledge, interpersonal and communication skills, professionalism, practice-based learning and systems-based practice. Specifically, each Fellow will be assessed on performance on the inpatient and outpatient services, the ability to obtain and analyze clinical data in order to develop a rational and appropriate diagnostic and therapeutic intervention, procedural skills, organization and interpersonal skills, and research development and teaching activities.

The Program Director will: 1) complete the annual evaluation of each fellow’s performance provided by the Chairman for Education and the GMEC; 2) facilitate the annual confidential evaluation of the faculty by the residents, consistent with institutional procedures established by the Chairman for Education and the GMEC; and 3) facilitate the annual evaluation of the program by the Fellows as provided by the GMEC, and conduct additional evaluations as deemed necessary by the Program Director to identify strengths and areas for improvement in the program.

The American Board of Pediatrics (ABP) offers Subspecialty In-Training Exams (SITE) for gastroenterology. The examination consists of 100 multiple-choice questions that are based upon the content outline for pediatric gastroenterology as listed by the ABP. The purpose of SITE is to assess a fellow’s knowledge of pediatric gastroenterology and can be used to gauge readiness for subspecialty certification. The results can be used to help identify strengths and areas in need of remediation. Starting January 2003, SITE will be offered at various testing centers around the country. Each Fellow is expected to participate in this activity. The registration fee will be subsidized by the Division.