Evaluation
Assessment of Learning
DHMC recognizes learning on a continuum from novice to advanced beginner to competent at a level expected of a new practitioner. Each MHMH training program provides assessment of trainee learning in consideration of this continuum, aligned with basic RRC requirements as to the scope and number of both formative and summative evaluations.
Each MHMH residency program utilizes measures to assess residents' competence in patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice. Mechanisms are developed and updated to provide regular and timely performance feedback to residents. This process involves the use of assessment results to achieve progressive improvements in residents' competence and performance consistent with graduated roles and responsibilities as assigned.
Evaluation of Residents/Fellows
Written assessments of learning focus on a trainee's ability to perform up to defined expectations. These expectations are outlined in a program curriculum. Behavioral expectations are outlined in the DHMC Code of Ethical Conduct and include the recording of procedures in case logs if required by the ACGME Residency Review Committee (RRC), and the timely and accurate reporting of duty hours. At scheduled intervals during the training year, written formative evaluations are provided to the trainee. At the conclusion of a training year, and at the end of the training program, written summative evaluations are provided to the trainee.
Quality Assurance for Residents/Fellows
All residency programs participate in the medical center-wide quality assurance system. Performance evaluations of residents are coordinated and administered by Residency Program Directors (staff physicians within a particular specialty). Performance evaluations are reflective of both academic knowledge and patient care/clinical skills. These evaluations are considered to be confidential and privileged (by New Hampshire laws RSA 151:13a and RSA 329:29a).
Quality Assurance Algorithm
- Observation
- Recognize problem
- Develop plan
- Method of assessment
- Verbal notice to resident
- Written notice in program file, noting verbal interaction only
- Concern
- Culpable or recurring adverse behavior or failure to respond to observed concerns
- Written notification
- Fair hearing policy
- Remedial plan including problems, remediation, time frame, method to assess, and warning about possible need to report to the NH Board of Medicine.
- Notice to GME and resident's file
- Probation
- Failure to meet remedial plan
- Analysis of need for suspension
- Written evaluation considering dismissal, non-renewal
- Formal notice to GME and resident's file
- GME report to NH Board of Medicine as needed
Evaluation of Faculty
Each MHMH residency program monitors educational effectiveness of faculty and attending physicians. At prescribed intervals, residents are asked to provide written or electronic evaluations of individual faculty member. These evaluations are confidential.
Evaluation of Program
At prescribed intervals, residents are asked to provide written or electronic feedback about the program including curriculum, working environment, scholarly milieu, evaluation systems, and other features. These evaluations are confidential. Each MHMH residency program uses these resident assessments, combined with faculty input, to evaluate the educational effectiveness of the training program.
