EVALUATION, CORRECTIVE ACTION, AND DISCIPLINARY POLICY FOR RESIDENTS

II. Evaluation

A. Responsible Official. The Director of Residency Training ("Director") is responsible for the evaluation and discipline of each resident in his/her program. A resident whose performance is deemed less than satisfactory should be notified of that conclusion, both verbally and in writing, as soon as it is determined, in accordance with the provisions of Section IV.B., Written Warning with Remediation.

B. Frequency. Each resident shall be formally evaluated in writing at least semi-annually and shall meet with the Director or his/her designee at that time to discuss the resident's performance. The Director may conduct any supplemental assessments s/he deems necessary; moreover, there may be program-specific requirements for more frequent evaluations. In addition to preparing at least semi-annual evaluations, the Director must prepare a final summative written evaluation at the time of the resident's completion of or termination from the program.

C. Maintenance of the Records. The Director shall maintain an evaluation file for each resident in his/her department ("Director's file"). A copy of each formal written evaluation and the resident's final, summative evaluation shall be kept on record in that file. Copies of the final evaluation shall be forwarded to the NYU Office of House Staff Affairs and to all relevant Hospital Medical Directors.

D. Residents' Rights. The Family Educational Rights and Privacy Act and ACGME Common Program Requirements stipulate that information maintained in the resident's department file must be accessible to the resident. If a resident disagrees with or elects to comment on statements included in a written evaluation in his/her file, the resident has the right to submit a written response, which shall become part of the resident's department file.

E. Basis for Evaluations. Each resident shall be evaluated based on written and oral feedback from clinical supervisors, administrative supervisors, and course instructors at NYU and all affiliated sites. Evaluations shall be based on the written goals and objectives of the residency program and on the assessment of a resident's specific knowledge, skills, and attitudes in each of the following areas:

1. Professional competence, clinical performance, and judgment including, but not limited to:

a. Patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health;

b. Medical knowledge about established and evolving biomedical, clinical, and cognate (e.g., epidemiological and social-behavioral) sciences and the application of this knowledge to patient care;

c. Practice-based learning and improvement that involves investigation and evaluation of the resident's patient care, appraisal and assimilation of scientific evidence, and improvements in patient care;

d. Interpersonal and communication skills that result in effective information exchange and teaming with patients, their families, and other health professionals;

e. Professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population; and

f. Systems-based practice, as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system for health care, and the ability to effectively call on system resources to provide care that is of optimal value.

2. Compliance with established practices, rules, regulations, procedures, and policies of NYU.

3. Compliance with established practices, rules, regulations, procedures, and policies of any off-site and affiliate clinical rotations.

4. Completion and verification of educational and training requirements.

5. Compliance with standards of professional conduct as set forth in New York State law and/or applicable codes of professional ethics.

6. In addition, the resident must:

a. Develop a personal program of learning to foster continued professional growth with guidance from the teaching staff;

b. Participate fully in the educational and scholarly activities of their program and, as required, assume responsibility for teaching and supervising other residents and students;

c. Participate in appropriate institutional committees and councils whose actions affect their education and/or patient care;

d. Submit to the program director or to a designated institutional official at least annually confidential written evaluations of the faculty and of the educational experiences.

1. Each resident also must participate actively in scholarly activity. Scholarship is defined as one of the following:

a. The scholarship of discovery, as evidenced by peer-reviewed funding or publication of original research in peer-reviewed journals.

b. The scholarship of dissemination, as evidenced by review articles or chapters in textbooks.

c. The scholarship of application, as evidenced by the publication or presentation at local, regional, or national professional and scientific society meetings (e.g., case reports or clinical series).

d. Active participation in clinical discussions, rounds, journal clubs, and research conferences in a manner that promotes a spirit of inquiry and scholarship; the offering of guidance and technical support (e.g., research design, statistical analysis) for residents involved in research; and the provision of support for resident participation, as appropriate, in scholarly activities.

Preamble

Evaluation

Physician Impairment

Performance Deficiencies

Appeals

Reporting