Appendix E: Clinical Chair Site Visits

Chair’s Site Visit

Hospital:               Date of Visit:          
Department:   Reviewer:  
Clerkship Director:   Chair:  
DME:   Med-Ed Coordinator:  
Number of Students:   3rd year: 4th year:

______________________________________________________________________

NBME Average Grade for that Clerkship:
______________________________________________________________________

Review of the Student Feedback Questionnaire and Comment on the Strengths and Weaknesses of the Program from the Students’ Point of View:
______________________________________________________________________

Rate the following on a scale of 1-5

5 = Excellent, 4 = Very Good, 3 = Good, 2 = Fair, 1 = Poor, 0 = Not Done

  • Orientation to the department

    Does it include; an introduction to the key faculty and coordinators, tour of the department’s service areas and facilities, distribution of schedules, confirmation that students are familiar with the clinical training manual, an explanation of course objectives, introduction to web-based learning requirements, emphasis on developing communication skills, discussion of manual skills requirements, discussion of professional behavior?

5                           4                            3                           2                            1

Comments:

  • Daily Schedule

    Is there an appropriate amount of time allotted for experience in inpatient, outpatient, and sub-specialty, urgent or emergency care?

5                           4                            3                            2                            1

Comments:

 

  • Supervision:

    Is the experience appropriately supervised in all areas of the rotation? Are the students given schedules? Are the students taught the foundations of patient care and manual skills? Are students allowed to document charts or do they use alternative methods for documenting clinical information? Do the students participate in adequate night and weekend calls?

5                           4                            3                            2                            1

Comments:

 

  • Quality of Patient Rounds:

    Are there daily rounds, are they led by a faculty member, is there student participation, are there student presentations, are there input from residents, are students assigned to a team?

5                           4                            3                            2                            1

Comments:

 

  • Lectures, Clinical Discussions and Preceptor Sessions:

    Are they adequate in number, interactive, relevant to the curriculum, include students as presenters and discussion leaders? Is there feedback to students when they are presenters or discussion leaders? Is the web-based department curriculum being completed? Are the required Drexel modules being completed, is USMLE world being utilized?

5                           4                            3                            2                            1

Comments:

 

  • Write – ups:

    Is the required number being submitted in a timely manner? Are the write-ups being critiqued and returned to students in a timely manner so that students can achieve ongoing improvement in their written expression?

5                           4                            3                           2                            1

Comments:

 

  • Facilities:

    Are the students given access to electronic medical records and laboratory data utilizing personal identification numbers? Do they have access to a library with appropriate reference material and internet access? Do they have lockers or a safe place to leave their belongings?

5                           4                            3                            2                            1

Comments:

 

  • Mid-Core Evaluations:

    Are they being done midway through the clerkship or earlier as needed? Are more frequent evaluations done when problems are encountered? Are the evaluations formative? Do they include review of the electronic patient encounter logs and inquiry into manual skills experience? Is there an inquiry into progress on web-based requirements? Are the student’s communication skills being assessed? Is the student made aware of his/her positive/negative behaviors as perceived by the faculty? Are the evaluations being documented and submitted?

5                           4                            3                            2                            1

Comments:

 

  • Resident Teaching:

    Are the residents eager to teach, knowledgeable and do they integrate the students into the clinical activities?

5                           4                            3                            2                            1

Comments:

 

  • Attending Physicians:

    Are the Attendings available experts in their field and eager to teach? Do they motivate and inspire the students? Are they role models for professional behavior?

5                           4                            3                            2                            1

Comments:

 

  • Integration into Clinical Activities:

    Are the students integrated into the care team? Have they developed interactive relationships with the nursing staff, physician assistants, nurse practitioners, technicians and social workers? Is the staff welcoming to the students and have the students learned to seek out these relationships? Do the students dress appropriately? Do the students; behave professionally, are they punctual, responsible, understand and complete their assignments, offer their assistance to patients and peers to accomplish improved patient outcomes?

5                           4                            3                            2                            1

Comments:

 

  • Educational Objectives and Guidelines:

    Overall, how well does the clerkship meet the objectives and follow the guidelines as published in the Clinical Training Manual?

5                           4                            3                            2                            1

Comments:

 

Meeting with students:

  • Issues raised by students:

Issues to be discussed with Faculty:

  • Discuss issues raised by students and formulate a response from the faculty.
  • Review and discuss the most recent Student Questionnaire and Comments.
  • Discuss changes compared to the Student Questionnaire and Comments of prior site visits.
  • Issues raised by faculty.
  • Faculty’s familiarity with the stated objectives in the Clinical Training Manuals and grading procedure and are they being followed?
  • Are the students informed of the course requirements and web-based learning requirements at the start of the rotation?
  • Are the students being evaluated for communication skills?
  • Are the students being assessed regarding professional behavior?
  • Faculty’s impression of student’s preparedness.
  • Faculty’s knowledge of the process for obtaining faculty appointments and ability to obtain appointments.

 

Strengths:

 

Weaknesses:

 

Corrective Actions:

 

Summary & Conclusions:

 

Miscellaneous Comments:

 

Print Name:

 

Date:

 

SURGERY SITE VISIT FORM

CHAIR'S SITE VISIT REPORT

Prepared BY: ________________________________ Signature: ____________________

Site of Visit: _________________________________ Date of Visit: ___________________

Address: _________________________________________________________________

Program Director: ___________________________ Number of students: _________

  • FACILITIES/ACCOMMODATIONS:

On call rooms

Excellent

Very good

Good

Fair

Poor

Library Facilities

Excellent

Very good

Good

Fair

Poor

Computer access

Excellent

Very good

Good

Fair

Poor

Comments: ____________________________________________________________

 

 

  • ORIENTATION INTERVIEW:

Interview Conducted: Yes       No

Conducted By:        Program Director                  Other Faculty                Both

Aims Objectives Outlined:  Yes       No              Schools Manual Used: Yes     No        

Comments:

 

  • MIDROTATION INTERVIEW:

(1) Interview Conducted: Yes       No     (2) Conducted By Program Director: Yes      No

(3) With Documentation: Yes       No     (4) One-on-one: Yes         No

Image removed.Comments: ____________________________________________________________

 

IV. EXIT INTERVIEW WITH PROGRAM DIRECTOR:

EXIT INTERVIEW:     Yes                      No

Image removed.Comments: __________________________________________________________

Image removed.What did you think of the structure of the rotation?       

 

Gen Surgery

Anesthesia

ENT

G.U.

Ophthalmology

Orthopedics

Trauma

Vascular

SICU

3 weeks

1 week

1 week

1 week

____Weeks

______Weeks

_____Weeks

_____Weeks

1 Week

 

 

Comments:_____________________________________________________________________________________________________________________________________________

 

VI. ON-CALL SCHEDULE/ACTIVITIES: 

On Call every ____ Days     |    24 hours call: Yes        No   |    Weekends         Weekdays

 

Stay Overnight: Yes     No     |     Morning Report Presentations: Yes     No     

Teaching:        Excellent       Very Good       Good      Fair       Poor

--------------------------------------------------------------------------------------

VI. General Surgery, Clinic And O.R. Exposure

General Surgery

  Excellent Very Good Good Fair Poor Hands On Good Teaching Variety & Volume Student Friendly Structured
Clinical                    
O.R.                    

Subspecialties

  Excellent Very Good Good Fair Poor Hands On Good Teaching Variety & Volume Student Friendly Structured
Anesthesia                    
Orthopedics                    
ENT                    
Urology                    
ICU                    
Vascular & Trauma                    


Comments:

VII. TEACHING SCHEDULE:

SCHEDULE:  Didactic lecture, Interactive Sessions, Bedside, H&Ps, and Clinical skills

DIDACTIC LECTURE & INTERACTIVE SESSION

  • per week

(2)

Scheduled:

Variable:

 

 

(3) Curriculum covered: Yes

No

(4)

Conducted By:   Program Director

Faculty

 

Residents

 

(5)

Excellent

Very good

 

Good

Poor

 

 

 

FORMAL BEDSIDE TEACHING ROUNDS

 

(1)

Done:  Yes

No

 

 

 

 

(3) Excellent

Very Good

Good

Fair

Poor

Comments:
 

COMMENTS: In SICU

H&Ps

(1) Document on charts: Yes          No         (2) per rotation     (3) Graded:     Yes     No

(4) Countersigned by: Residents                            Attending                       P.A.

 

Clinical Skills

(1) Done: Yes                 No                          (2) Addressed Formally: Yes              No 
     Supervised by: (a)

(3) Residents                                                Attending                        P.A.

(4) Excellent                Very Good                Good                   Fair                Poor

Comments:  _______________________________________________

 

VIII. EXAMINATIONS AND EVALUATIONS

(1) Examinations and Evaluations By Program Director: Yes                        No

(2) One-on-one:                            Yes                No

IX. INTERVIEW WITH PROGRAM DIRECTOR

Interview with Program Director:                      Yes                     No

Students Problems Identified:                           Yes                    No

NARRATIVE ANALYSIS

STRENGTHS:

  • Teaching
  • Autonomy - hands/on
  • Volume of cases
  • Clinics

RECOMMENDATIONS

  • Study time requires structure & supervision-mixed revisions
  • Word of caution about autonomy to be kept in check.
  • Improve on-call experience to allow all students to see acute patients and then follow to O.R.