Annual Program Evaluation and Improvement Plan



Annual Training Program Evaluation Checklist

Section V.C. of the ACGME Common Program Requirements (effective July 1, 2007) states: “The program must document formal, systematic evaluation of the curriculum at least annually”.

All program directors must submit, on an annual basis, a completed Annual Program Evaluation Checklist, certifying that all components of the annual training program evaluation have been met. Copies of the minutes of all meetings at which the program evaluation occurred must be attached.

Program:_______________________________________

1. The educational effectiveness of the program was evaluated on ________________________

Date

The program director, representative faculty, and at least one resident were present. □

Goals and objectives and the effectiveness of the program in achieving them were reviewed □

Comments, from the faculty, regarding the quality of the program were reviewed. □

The most recent report from the GMEOC (Internal Review) was reviewed, if applicable. □

The most recent accreditation letter(s) from the RRC were reviewed. □

Any recent communications from the ACGME or RRC were reviewed, if applicable. □

Results of the most recent ACGME resident survey were reviewed and responses developed to the Program-appropriate questions, according to the UWHC GMEOC Resident Survey Response policy. □

Note: Each Program’s written survey responses should be submitted to the GME Office along with their

Annual Program Evaluation document and Action Plan

Confidential written evaluations of the program submitted by the residents and faculty were reviewed. □

Resident performance and outcome assessment were used in the evaluation of the educational

effectiveness, including but not limited to performance on certification exams. □

A specific action plan to address any deficiencies was reviewed and approved by the faculty and

documented. □

I hereby certify that all requirements have been met.

_________________________________________________ _______________________

Program Director Signature Date

_____________________________________________ _____________________

Department Chair Signature Date

All programs are encouraged to use Med Hub to develop and house a Program Portfolio for assessment of program effectiveness. All program annual evaluations and actions plans are due to the GME Office by June 15, 2011.

Annual Program Evaluation and Improvement Plan

Report Template

Purpose

To evaluate the University of Wisconsin _________________ Residency/ Fellowship Program as required by the UWHC Graduate Medical Education Oversight Committee and the ACGME. The Program Director reviewed and assessed with key program faculty the following areas of outcomes: resident performance, graduate performance, program quality and faculty development. A written improvement plan was developed in response to the gaps identified during the assessment of these data.

Program Description

The __________ Residency/Fellowship program is a ___ year program with ____ ACGME approved positions. There are currently ____ trainees in the program. The most recent ACGME Site Visit occurred on ______ (date) and resulted in a ______ year cycle with ___ citations.

Time Period of Evaluation

July 2010-June 2011

Review Participants (Must include at least one trainee)

Residents/Fellows:

Faculty:

Materials Used in Evaluation

For Resident Performance

In-Training and Certification Scores and Percentile Rankings

Aggregate Faculty Evaluation Scores & Written Comments

Aggregate Multi-source Evaluation Scores & Written Comments

Clinical Skills Assessments (Logs, Mini-CEXs, OSCEs)

Other Core Competency Assessments (Professionalism History)

Number and Quality of Presentations and Publications

Participation in Quality Improvement or Systems Redesign project

Mock Orals

Learning Portfolio

Self-Assessments and Reflection

For Graduate Performance

Board Pass Rate

Tracking Private Practice

Tracking Academic Careers through pubs, presentations

Tracking Fellowship Training

Annual Graduate Surveys

Employer Surveys

Employment Opportunities

Other Career Choices

MOC Pass rate

For Program Quality

ACGME Resident Survey Results (required, if available)

Confidential Resident Evaluation of Program Results

Confidential Faculty Evaluation of Program Results

ACGME Citations

Internal Review Citations and Recommendations

Aggregate Program Evaluation by Faculty results

Aggregate Program Evaluation by Trainee results

Academic Production

For Faculty Development

Aggregate Evaluation Scores from Residents by Subspecialty

Written Resident Comments

Faculty CME aimed at Teaching Abilities

Faculty CVs

Annual Faculty Workload Statements

Promotions for Excellence in Education

Participation/Presentation at Education Grand Round Session

Mentoring

Directed QI Project or Practice Improvement Self-Study

Participation in QI/SBP project

Award for Teaching Excellence

Participation in Peer Review

Faculty Portfolios

When discussing and prioritizing areas to address through your improvement plan, pick at least one category the program is struggling with to develop in depth. In addition, be certain to develop 3 to 4 action items in each category or you are likely to receive a citation at the time of your next site visit.

Report

On Resident Performance

Discussion

Action Plan

On Graduate Performance

Discussion

Action Plan

On Program Quality

Discussion

Action Plan

On Faculty Development

Discussion

Action Plan

Summary and Improvement Plan for 2010-11

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