Residency Policies & Procedures
VI. COMPETENCY AND PERFORMANCE EVALUATIONS: PROCEDURES
FOR ADDRESSING PERFORMANCE DISAGREEMENTS
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
- 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.
- 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).
- 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).
- 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:
- by a faculty supervisor who reports major performance problems and
request formal action;
- by the Residency Training Director, especially if immediate action
- by the Site Coordination Committee;
- 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