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This guide outlines the evaluation and promotion process for PGY1 residents at McGill. It introduces the CanMEDS framework, highlighting essential roles such as Medical Expert, Communicator, Collaborator, and more. Feedback plays a crucial role in both formative and summative evaluations. Residents are encouraged to actively seek feedback, reflect on their performance, and engage in the evaluation process. The document clarifies who sees evaluations and the implications of McGill’s promotions rules. Understanding these guidelines is vital for professional development and academic success.
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Thomas Maniatis, MD, CM, MSc (Bioethics), FACP, FRCPC Chair, Faculty Postgraduate Promotions Committee July 30, 2014 Evaluation and Promotions: Introduction for PGY1s
Conflict of interest None to declare
CanMEDS framework • Medical Expert: knowledge, skills, judgment • Communicator: patients, colleagues • Collaborator: team-work • Manager: computer skills, time management, leadership • Health Advocate: standing up for patients • Scholar: reading around cases, bringing the evidence to the bedside, teaching
CanMEDS framework • Professional: ethics, integrity, honesty • may be addressed both in rotations and outside of rotations
Principles of evaluation • Feedback: communication to another person which gives information about how he/she affects and is perceived by others… • Evaluation: rating an individual’s performance based on predetermined expectations
The Role of Feedback in Evaluation A B Formative Feedback SummativeEvaluation
Formative vs. Summative • Formative feedback: done with the intent of providing ongoing information for individual modification • Summative evaluation: done at the end of a course or program to determine whether the individual has met a set of predetermined expectations
Good feedback is… • Based on a common understanding of expectations • goals and objectives, level-specific • Based on observations and not inferences • Specific • Descriptive
Good feedback is… • Timely • Constructive
Bad feedback is… • Based on a subjective set of expectations • Based on inferences and assumptions • Very general or vague • “you’re doing fine…” “keep reading…” • Delayed • Destructive
Resident’s role in feedback • Ask for it if not volunteered • every 2 weeks or at change of shifts • chance to improve • Think about how you did ahead of time • see if your perceptions are aligned with how others see you • Ask for specific things to work on to improve • Listen!
Resident’s role in feedback • If you’re not sure you agree, ask for specific examples to better understand • Think about it afterwards • reflection is the most important part of integrating feedback • avoid quickly brushing off feedback • recognize the difference between “personality” and “behaviours” • the first is relatively fixed and the other is changeable
Resident’s role in evaluation • Look in one45 regularly • Must evaluate rotation and teachers before looking at own evaluations • Professional responsibility to look at and think about evaluations received • logs in one45 • acknowledge seeing them by “clicking” on the button
Resident’s role in evaluation • Recognize the importance of multiple independent observations • should be taken seriously
Evaluations and Promotions • McGill has a set of rules guiding evaluation and promotion of residents • Doing OK overall • Satisfactory…meets or sometimes exceeds…average or above average…80% of residents/rotations/grades • Superior…consistently exceeds…excellent…10% residents/rotations/grades
Evaluations and Promotions • Weaknesses identified • Borderline…some weaknesses identified • Unsatisfactory…falls short of expectations
Evaluations and Promotions • It’s usually okay to have some borderline elements in the occasional evaluation • Overall borderline or unsatisfactory • equivalent to “failed” rotation • specific requirements as per Promotions Rules • meet with Program Director to discuss
Who sees your evaluations? • First and foremost, you! • Program Director • delegate (Site Director, Evaluation Director) • Program Admin. • PGME
Who sees your evaluations? • Formal meeting with PD q6month to review evals and overall progress • PD and you are the only people who have a bigger perspective on your progress • generally speaking, no forward feeding at McGill
Program Promotions Committee (PPC) • Monitors progress of residents in program • Promotes residents each year to next level, if appropriate • Identifies residents in academic difficulty and monitors progress • Applies McGill’s Promotions rules if remediation or other actions are needed
Faculty Postgraduate Promotions Committee (FPPC) • Monitors and ratifies decisions of PPC • Ensures McGill’s Promotions rules are applied fairly • Monitors residents in academic difficulty
What if I don’t agree? • First, discuss it with your Program Director and/or rotation supervisor • Appeals are an option… • please see “Evaluation and Promotions in Postgraduate Training Programs” (updated for July 1, 2014 academic year)
McGill’s “75% rule” • McGill Promotions rule states that a residents must complete at least 75% of a given rotation for it to be considered complete • Otherwise, the evaluator may enter it as “incomplete” • “repeat” rotation needed • Be careful with time off and potential tensions with this rule!
Summary • CanMEDS is the basic framework guiding all evaluations during your residency • Feedback and evaluation are part of the day-to-day fabric of being a resident • McGill’s has a well structured process for evaluations and promotions