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Psychiatry Residency Training Program
 
  Applicants Department GME Office Home School of Medicine UW UWHA

Residency Policies & Procedures
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VI. COMPETENCY AND PERFORMANCE EVALUATIONS: PROCEDURES FOR ADDRESSING PERFORMANCE DISAGREEMENTS

GENERAL

A. Examinations

Each year all residents, except those in the first year of the program, take the annual American College of Psychiatrists National Examination (PRITE).  At the end of each year PGY-2 and PGY-3 residents sit for a “mini-oral” examination (“Mock Boards”) patterned after Part II of the American Board of Psychiatry and Neurology.  PGY-4 residents sit for Mock Boards in January.  The results of these tests are given to the resident and his or her preceptor for review and feedback discussion.  The general performance and competence of the residents who fail these examinations and are given “deficiency” ratings is reviewed by the RESC.

B. Ongoing Performance Evaluations

  1. Residents are both evaluators of the training system and are evaluated by it.  Residents provide evaluations of their psychotherapy supervisors, their clinical rotation Attendings, and the didactic lecturers, so that the program can be responsive to their needs.  These evaluations allow the program to drop inadequate supervisors and promote good ones.  Teaching evaluations are a major basis for promotion of regular faculty.
  2. All supervisors, either of clinical rotations or individual psychotherapy, fill out quarterly, and end of rotation forms on the general performance of all Residents.  These are reviewed by the Resident, the preceptor, and the Residency Training Director.  Performance problems and issues are discussed at the monthly Clinical Site Coordination meeting, which may make recommendations for remedial action or refer the case to the RESC for review (see below).
  3. In addition to following a list of training objectives that are to be completed on each rotation, a number of clinical sites have developed, in collaboration with the Residents, the Director’s office and the RESC, specific rotation performance criteria.  Residents who fall below the minimum expectation level as described in these criteria, and have not satisfactorily completed the rotation, are required to complete the rotation afterwards (i.e., until the requirements are met). 
  4. The Site Coordination Committee performs a monthly resident progress review, discussing observed performance, performance problems reported on the evaluation forms, and issues in meeting specific rotation criteria.

C.  Procedures for Addressing Performance Problems

1. Informal procedures

  • Performance problems or  concerns reported to the residency training office, or to one of the Chief Residents or Assistant Training Directors, by Residents, supervisors, or Attendings, orally or in writing, are discussed by the Site Coordinators’ Committee.  Faculty should report problems immediately and realize that only timely feedback allows for problem solving and corrective action.  Residents who disagree with performance evaluations or who would like clarification about feedback, or who would like to receive additional feedback on their progress, can request a review of their performance by the committee.
  • The committee may initiate formal procedures or may determine that the problems are minor and/or incidental and that they can be resolved by supportive or remedial action.  For instance, the committee may recommend that Attendings monitor a particular resident more closely or provide more direct support and supervision; the committee may recommend meetings between the Resident and certain faculty for progress review and performance counseling; the committee may recommend special tutoring in particular skills or knowledge areas.
  • The residency training office is responsible for informing the Resident about the fact that concerns have been raised and for implementing the committee’s recommendations.  However, should a resident feel that the evaluation was not made in good faith, he or she should feel free to initiate formal evaluation review procedures.

2. Formal evaluation review procedures; formal evaluation review procedures can be initiated:

  1. by a faculty supervisor who reports major performance problems and request formal action;
  2. by the Residency Training Director, especially if immediate action is required;
  3. by the Site Coordination Committee;
  4. by the Resident when the informal procedures are experienced as unsatisfactory.

Please see Probation Policy for a description of formal review procedures.

Revised August 2, 2002

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Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560
206-543-6577
email: psychres@u.washington.edu