| Question |
Not Applicable |
Strongly Disagree |
Somewhat Disagree |
Neutral
|
Somewhat Agree |
Strongly Agree |
Comments |
| A. Inpatient Training Experience |
| 1. Patient diagnoses are sufficiently diverse. |
|
|
|
|
|
|
|
| 2. There are a sufficient number of basic medicine ("bread and butter") cases. |
|
|
|
|
|
|
|
| 3. I am involved in caring for a sufficient number of patients. |
|
|
|
|
|
|
|
| 4. I have sufficient autonomy in managing my patients. |
|
|
|
|
|
|
|
| 5. Ward Teaching Rounds (9:30-11:00) are valuable. |
|
|
|
|
|
|
|
| 6. Ward Management Rounds (11:00-12:00) are valuable. |
|
|
|
|
|
|
|
| 7. Multidisciplinary rounds on Cardiology are valuable. |
|
|
|
|
|
|
|
| 8. Multidisciplinary rounds on Oncology are valuable. |
|
|
|
|
|
|
|
| 9. Multidisciplinary rounds on ID are valuable. |
|
|
|
|
|
|
|
| 10. There is adequate teaching on CHF private patients |
|
|
|
|
|
|
|
| 11. Team based social work and care coordination improve efficiency and discharge planning |
|
|
|
|
|
|
|
| 12. Attendings are readily available and provide adequate supervision. |
|
|
|
|
|
|
|
| 13. Orders are placed exclusively by residents and not attendings. |
|
|
|
|
|
|
|
| 14. There are sufficient opportunities to perform required procedures. |
|
|
|
|
|
|
|
| 15. There is adequate supervision for procedures. |
|
|
|
|
|
|
|
| 16. (PGY 1 only) As an intern my resident accompanied me on bedside rounds of my patients. |
|
|
|
|
|
|
|
| 17. (PGY 1 only) As an intern I did bedside presentations of my patients. |
|
|
|
|
|
|
|
| 18. (PGY 1 only) As an intern, my attendings participated in bedside teaching on my patients. |
|
|
|
|
|
|
|
| Question |
Not Applicable |
Strongly Disagree |
Somewhat Disagree |
Neutral
|
Somewhat Agree |
Strongly Agree |
Comments |
19. Multi-disciplinary services are available and effective: |
| a. Nursing |
|
|
|
|
|
|
|
| b. Social Work and Care Coordinators |
|
|
|
|
|
|
|
| c. Nutrition |
|
|
|
|
|
|
|
| d. Pharmacy |
|
|
|
|
|
|
|
| Question |
Not Applicable |
Strongly Disagree |
Somewhat Disagree |
Neutral
|
Somewhat Agree |
Strongly Agree |
Comments |
| 20. Ancillary Services are available and effective: |
| a. Lab ordering and data retrieval |
|
|
|
|
|
|
|
| b. Radiology ordering and data retrieval |
|
|
|
|
|
|
|
| c. IV teams |
|
|
|
|
|
|
|
| d. Phlebotomy services |
|
|
|
|
|
|
|
| e. Transport services |
|
|
|
|
|
|
|
| f. Ward clerks/clerical staff |
|
|
|
|
|
|
|
| g. Respiratory therapy technicians |
|
|
|
|
|
|
|
| h. Physical and occupational therapies |
|
|
|
|
|
|
|
| i. The availability of interpreter services for inpatients is sufficient. |
|
|
|
|
|
|
|
| Question |
Not Applicable |
Strongly Disagree |
Somewhat Disagree |
Neutral
|
Somewhat Agree |
Strongly Agree |
Comments |
| 21. The daily workload is too much. |
|
|
|
|
|
|
|
| 22. There is adequate time to conduct work rounds. |
|
|
|
|
|
|
|
| 23. There is adequate time to teach medical students and/or interns. |
|
|
|
|
|
|
|
| 24. I am involved with management decisions on private patients. |
|
|
|
|
|
|
|
| 25. I am involved with management decisions on service patients. |
|
|
|
|
|
|
|
| 26. Private attendings are available for discussion of management issues. |
|
|
|
|
|
|
|
| 27. Radiologists are available and helpful for consultation. |
|
|
|
|
|
|
|
| 28. There is a venue to report and review medical errors and system improvements. |
|
|
|
|
|
|
|
| 29. I am able to complete Dsumms in a timely manner. |
|
|
|
|
|
|
|
| Question |
Not Applicable |
Strongly Disagree |
Somewhat Disagree |
Neutral
|
Somewhat Agree |
Strongly Agree |
Comments |
| B. Intensive Care |
| 1. (PGY1 and PGY2) There is adequate teaching in the MICU. |
|
|
|
|
|
|
|
| 2. (PGY1 and PGY2) There is adequate teaching in the CCU. |
|
|
|
|
|
|
|
| 3. (PGY1 and PGY3) There is adequate teaching in the AICU. |
|
|
|
|
|
|
|
| 4. (PGY1 and PGY2) Fellows are sufficiently involved in teaching and supervision in the MICU. |
|
|
|
|
|
|
|
| 5. (PGY1 and PGY2) Fellows are sufficiently involved in teaching and supervision in the CCU. |
|
|
|
|
|
|
|
| 6. The MICU curriculum is of educational value. |
|
|
|
|
|
|
|
| 7. The central line (pre-MICU) sessions are of educational value. |
|
|
|
|
|
|
|
| 8. The CCU curriculum is of educational value. |
|
|
|
|
|
|
|
| 9. The Code (pre-CCU) sessions are of educational value. |
|
|
|
|
|
|
|
| Question |
Not Applicable |
Strongly Disagree |
Somewhat Disagree |
Neutral
|
Somewhat Agree |
Strongly Agree |
Comments |
| C. Outpatient Ambulatory Experience |
| 1. Continuity Clinics are a valuable experience. |
|
|
|
|
|
|
|
| 2. I am able to maintain and be available to care for my panel of continuity patients and hospital discharges. |
|
|
|
|
|
|
|
| 3. The ambulatory block (OPD) rotation is a valuable experience. |
|
|
|
|
|
|
|
| 4. The outpatient teaching conferences/lectures are valuable experiences. |
|
|
|
|
|
|
|
| 5. Clinic patients’ medical records are readily available (old notes, discharge summaries, Webcis data, old charts, etc.). |
|
|
|
|
|
|
|
| 6. The preceptors are accessible, helpful and good teachers. |
|
|
|
|
|
|
|
| 7. The clinic staff (clerks, nurses, MAs administrators) are helpful. |
|
|
|
|
|
|
|
| 8. Translation service in clinic works well (by person or by phone). |
|
|
|
|
|
|
|
| Question |
Not Applicable |
Strongly Disagree |
Somewhat Disagree |
Neutral
|
Somewhat Agree |
Strongly Agree |
Comments |
| D. Teaching Conferences |
| 1. I am able to get to conferences at least 60% of the time. |
|
|
|
|
|
|
|
| 2. Grand Rounds are valuable. |
|
|
|
|
|
|
|
| 3. Noon Conferences are valuable. |
|
|
|
|
|
|
|
| 4. (PGY2 and PGY3) Morning Reports are valuable. |
|
|
|
|
|
|
|
| 5. (PGY1 only) Intern Reports are valuable. |
|
|
|
|
|
|
|
| 6. Chief Residents' Clinical Pathology Conferences are valuable. |
|
|
|
|
|
|
|
| 7. Chief Residents’ M&M/QI conferences are valuable. |
|
|
|
|
|
|
|
| 8. (PGY2 and PGY3) Journal Club Conferences are valuable. |
|
|
|
|
|
|
|
| 9. Senior Talks are valuable. |
|
|
|
|
|
|
|
| 10. Geriatrics talks are valuable |
|
|
|
|
|
|
|
| Question |
Not Applicable |
Strongly Disagree |
Somewhat Disagree |
Neutral
|
Somewhat Agree |
Strongly Agree |
Comments |
| E. Educational and Information Resources |
| 1. There is adequate access to educational materials online (e.g. Library resources, UpToDate, textbooks, other on-line resources). |
|
|
|
|
|
|
|
| 2. The How To Be series is useful. |
|
|
|
|
|
|
|
| 3. The Residency Website is useful. |
|
|
|
|
|
|
|
| 4. The chief residents’ weekly bulletin is valuable. |
|
|
|
|
|
|
|
| 5. The House staff Library (on 6 Hudson South) has useful hardcopy materials, computer terminals and electronic materials. |
|
|
|
|
|
|
|
| 6. (PGY2 and PGY3) I feel well prepared to teach interns and/or students. |
|
|
|
|
|
|
|
| 7. iPhones/iPod touches add to my education |
|
|
|
|
|
|
|
| 8. I would use my iPhone/iPod touch to enter work hours if an App were available |
|
|
|
|
|
|
|
| Question |
Not Applicable |
Strongly Disagree |
Somewhat Disagree |
Neutral |
Somewhat Agree |
Strongly Agree |
Comments |
| F. Facilities |
| 1. Adequate numbers of call rooms are available. |
|
|
|
|
|
|
|
| 2. Call rooms are sufficiently private, secure and safe. |
|
|
|
|
|
|
|
| 3. Call rooms receive adequate housekeeping. |
|
|
|
|
|
|
|
| 4. There is adequate access to acceptable meals while on call. |
|
|
|
|
|
|
|
| 5. There is a secure place for my belongings. |
|
|
|
|
|
|
|
| 6. The House staff Lounge is comfortable and convenient. |
|
|
|
|
|
|
|
| 7. "There are adequate computer terminals to access electronic patient charts and educational materials." |
|
|
|
|
|
|
|
| Question |
Not Applicable |
Strongly Disagree |
Somewhat Disagree |
Neutral |
Somewhat Agree |
Strongly Agree |
Comments |
| G. Program Leadership and Staff |
| 1. The Chief Residents are accessible and available. |
|
|
|
|
|
|
|
| 2. The Chief Residents are advocates for the house staff. |
|
|
|
|
|
|
|
| 3. The Chief Residents' educational contributions are valuable. |
|
|
|
|
|
|
|
| 4. The Program Director is accessible and available. |
|
|
|
|
|
|
|
| 5. The Program Director is an advocate for the house staff. |
|
|
|
|
|
|
|
| 6. The Program Director is involved in educational activities for house staff. |
|
|
|
|
|
|
|
| 7. The Associate Program Directors are accessible and available. |
|
|
|
|
|
|
|
| 8. The Associate Program Directors are advocates for the house staff. |
|
|
|
|
|
|
|
| 9. The Associate Program Directors are involved in educational activities for the House staff. |
|
|
|
|
|
|
|
| 10. The Chair of Medicine, Dr. Donald Landry, is involved in educational activities for house staff. |
|
|
|
|
|
|
|
| 11. The Chair of Medicine, Dr. Donald Landry, is accessible and available. |
|
|
|
|
|
|
|
| 12. The Chair of Medicine, Dr. Donald Landry, is an advocate for the house staff. |
|
|
|
|
|
|
|
| 13. Noon Conference Town Meetings every other month are a good idea. |
|
|
|
|
|
|
|
| 14. Chief Rounds on Friday are a good idea. |
|
|
|
|
|
|
|
| 15. Program staff in the Milstein office are accessible, responsive and
helpful. |
|
|
|
|
|
|
|
| Question |
Not Applicable |
Strongly Disagree |
Somewhat Disagree |
Neutral |
Somewhat Agree |
Strongly Agree |
Comments |
| H. Evaluation and Counseling |
| 1. Biannual reviews with a faculty advisor have occurred regularly. |
|
|
|
|
|
|
|
| 2. Biannual reviews with a faculty advisor have been helpful. |
|
|
|
|
|
|
|
| 3. Rotation evaluations from faculty have been fair and helpful. |
|
|
|
|
|
|
|
| 4. Rotation evaluations from peers (i.e. residents’ evaluations of interns, interns’ evaluations of residents) have been fair and helpful. |
|
|
|
|
|
|
|
| 5. Faculty discuss feedback at the conclusion of a rotation. |
|
|
|
|
|
|
|
| 6. Fellowship and career counseling have been adequate. |
|
|
|
|
|
|
|
| 7. Faculty are available as mentors and advisors. |
|
|
|
|
|
|
|
| 8. Mentoring during my residency has been adequate. |
|
|
|
|
|
|
|
| 9. My faculty advisor provided me with necessary information and support for career planning. |
|
|
|
|
|
|
|
| 10. My faculty advisor was knowledgeable about resources to help me pursue my career path. |
|
|
|
|
|
|
|
| 11. My relationship with my faculty advisor has been a valuable one. |
|
|
|
|
|
|
|
| 12. My relationship with my firm chief has been a valuable one. |
|
|
|
|
|
|
|
| 13. The newly implemented firm system has been an effective and valuable tool for mentoring. |
|
|
|
|
|
|
|
| 14. E*Value is easy to use for completing and reviewing evaluations. |
|
|
|
|
|
|
|
| 15. E*Value provides useful information about my performance. |
|
|
|
|
|
|
|
| Question |
Not Applicable |
Strongly Disagree |
Somewhat Disagree |
Neutral |
Somewhat Agree |
Strongly Agree |
Comments |
| I. Other Aspects of Training |
| 1. My colleagues are reliable and supportive. |
|
|
|
|
|
|
|
| 2. There is sufficient teamwork and work-sharing among house staff. |
|
|
|
|
|
|
|
| 3. The training program promotes self assessment. |
|
|
|
|
|
|
|
| 4. Eclipsys Computer Provider Order Entry: |
| a. Eclipsys CPOE is reliable. |
|
|
|
|
|
|
|
| b. Eclipsys CPOE improves the safety of my patients. |
|
|
|
|
|
|
|
| c. There is adequate technical support available to assist with troubleshooting Eclipsys CPOE. |
|
|
|
|
|
|
|
| 5. (PGY1 only) Gold Lunches are a valuable experience. |
|
|
|
|
|
|
|
| 6. (PGY1 only) The Intern Retreat was a valuable experience. |
|
|
|
|
|
|
|
| 7. (PGY2 only) The New Junior Resident Retreat was a valuable experience. |
|
|
|
|
|
|
|
| 8. (PGY2 and PGY3) A senior resident retreat focusing on professional
development would be valuable. |
|
|
|
|
|
|
|
| 9. I would like to see the winter holiday vacation/coverage scheme continued next year. |
|
|
|
|
|
|
|
| 10. I feel well prepared to teach medical students and fellow residents. |
|
|
|
|
|
|
|
| Question |
Not Applicable |
Strongly Disagree |
Somewhat Disagree |
Neutral |
Somewhat Agree |
Strongly Agree |
Comments |
| 11. (PGY1 only) The CRC curriculum is a valuable experience. |
|
|
|
|
|
|
|
| 12. (PGY2 only) The Health Systems course is a valuable experience. |
|
|
|
|
|
|
|
| 13. The CHF Chief of Service Rounds are a valuable experience. |
|
|
|
|
|
|
|
| 14. The new oncology chief of service curriculum is a useful addition to the program. |
|
|
|
|
|
|
|
| 15. The Friday morning Oncology Curriculum is a valuable experience. |
|
|
|
|
|
|
|
| 16. My international elective was a valuable experience. |
|
|
|
|
|
|
|
| 17. My conference presentation was a valuable experience. |
|
|
|
|
|
|
|
| 18. The Primary Care Pathway has been a valuable addition to my training. |
|
|
|
|
|
|
|
| 19. The Research Pathway has been a valuable addition to my training. |
|
|
|
|
|
|
|
| J. Comments |
| 1. Please list the two (2) best things about the program. |
|
| 2. Please list the two (2) worst things about the program. |
|
| 3. Please list the two (2) biggest barriers to effective inpatient care. |
|
| 4. Please list the two (2) biggest barriers to timely discharge of patients. |
|
| 5. Please list the two (2) biggest barriers to effective outpatient care |
|
| 6. Please list any recurrent problems with any Consult Services (inpatient
or outpatient). |
|
| 7. Please describe the one (1) area in which you feel least prepared. |
|
| 8. Please list two (2) suggestions/ideas for improvements to any aspect of the residency program. |
|
| 9. Any additional comments: |
|