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Mutaz Alsheikh Hasan Evaluation
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Name of Educator
*
A- Patient Care
1. History Taking
Unsatisfactory
2
3
4
Proficient
Not Observed
Unsatisfactory
Item #1 Unsatisfactory
2
Item #1 2
3
Item #1 3
4
Item #1 4
Proficient
Item #1 Proficient
Not Observed
Item #1 Not Observed
Typically precise, logical, reliable, purposeful, and efficient. Establishes a broad base of information about patient.
2. Physical Examination
Unsatisfactory
2
3
4
Proficient
Not Observed
Unsatisfactory
Item #1 Unsatisfactory
2
Item #1 2
3
Item #1 3
4
Item #1 4
Proficient
Item #1 Proficient
Not Observed
Item #1 Not Observed
Typically complete, accurate, directed toward patient's problems. Properly sequenced. Elicits subtle findings.
3. Patient Management
Unsatisfactory
2
3
4
Proficient
Not Observed
Unsatisfactory
Item #1 Unsatisfactory
2
Item #1 2
3
Item #1 3
4
Item #1 4
Proficient
Item #1 Proficient
Not Observed
Item #1 Not Observed
Accurately utilizes literature to find up top date management to specific medical problems in the ICU.
4. Procedural Skills
Unsatisfactory
2
3
4
Proficient
Not Observed
Unsatisfactory
Item #1 Unsatisfactory
2
Item #1 2
3
Item #1 3
4
Item #1 4
Proficient
Item #1 Proficient
Not Observed
Item #1 Not Observed
Typically proficient. Minimizes risk and discomfort. Provides proper explanations of purpose of procedures.
B- Medical Knowledge
Unsatisfactory
2
3
4
Proficient
Not Observed
Unsatisfactory
Item #1 Unsatisfactory
2
Item #1 2
3
Item #1 3
4
Item #1 4
Proficient
Item #1 Proficient
Not Observed
Item #1 Not Observed
Typically reasonably well-informed and sound application. Sound knowledge of disease, pathophysiology, diagnosis and therapy. Reflects up-to-date knowledge.
C- Practice-Based Learning and Improvement
Unsatisfactory
2
3
4
Proficient
Not Observed
Unsatisfactory
Item #1 Unsatisfactory
2
Item #1 2
3
Item #1 3
4
Item #1 4
Proficient
Item #1 Proficient
Not Observed
Item #1 Not Observed
Constantly evaluates own performance. Pursues self-directed learning. Accepts feedback with enthusiasm. Positively responds to feedback. Uses literature to enhance patient care and fund of knowledge.
D- Interpersonal and Communication Skills
Unsatisfactory
2
3
4
Proficient
Not Observed
Unsatisfactory
Item #1 Unsatisfactory
2
Item #1 2
3
Item #1 3
4
Item #1 4
Proficient
Item #1 Proficient
Not Observed
Item #1 Not Observed
Always demonstrates integrity, respect, compassion and empathy for patients. Establishes trust. Primary concern is for the patient's welfare. Maintains creditability, excellent rapport with patients and families, and respects patient's need for information. Able to communicate in an effective and friendly manner with team members, nurses, support personnel and the patient/family.
E- Professionalism
Unsatisfactory
2
3
4
Proficient
Not Observed
Unsatisfactory
Item #1 Unsatisfactory
2
Item #1 2
3
Item #1 3
4
Item #1 4
Proficient
Item #1 Proficient
Not Observed
Item #1 Not Observed
Enthusiastic, responsive, reliable, committed, cooperative, respectful. Arrives on time. Shows regard for others’ opinions and demonstrates initiative and ability to provide appropriate leadership in the ICU setting. Medical records are legible and timely.
F- Systems-Based Practice
Unsatisfactory
2
3
4
Proficient
Not Observed
Unsatisfactory
Item #1 Unsatisfactory
2
Item #1 2
3
Item #1 3
4
Item #1 4
Proficient
Item #1 Proficient
Not Observed
Item #1 Not Observed
Effectively utilizes available resources. Effectively utilizes consultants and diagnostic services (rad/path). Makes appropriate use of critical paths and treatment protocols. Systematically approaches patient care to reduce errors. Enthusiastically assists in developing systems' improvement.
G-Teaching Junior Fellows
NA
Satisfactory
Needs improvement
Overall Assessment
Unsatisfactory
2
3
4
5
6
7
8
9
Proficient
Not Observed
Unsatisfactory
Item #1 Unsatisfactory
2
Item #1 2
3
Item #1 3
4
Item #1 4
5
Item #1 5
6
Item #1 6
7
Item #1 7
8
Item #1 8
9
Item #1 9
Proficient
Item #1 Proficient
Not Observed
Item #1 Not Observed
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