ŠĻą”±į>ž’ HJž’’’G’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’ģ„Į'` šæ4bjbjLULU 4@.?.?C,’’’’’’¤zzzzzzzŽRRR8Š¦LŽ‡'¶žžžžžŁó ’²&“&“&“&“&“&“&$=(h„*ŗŲ&iz­!ŁŁ­!­!Ų&zzžžŪA'ß#ß#ß#­!vzžzž²&ß#­!²&ß#ß#Z&zz‚&žņ €th[“ĖR#" r&²&W'0‡'z&_+Ć"Ä_+‚&_+z‚&0ŹŃß#atÕŲŲ&Ų&‡#X‡'­!­!­!­!ŽŽŽÄRŽŽŽRŽŽŽzzzzzz’’’’ Annual Training Program Evaluation Checklist Section V.C. of the ACGME Common Program Requirements (effective July 1, 2007) states: “The program must document formal, systematic evaluation of the curriculum at least annually”. All program directors must submit, on an annual basis, a completed Annual Program Evaluation Checklist, certifying that all components of the annual training program evaluation have been met. Copies of the minutes of all meetings at which the program evaluation occurred must be attached. Program:_______________________________________ 1. The educational effectiveness of the program was evaluated on ________________________ Date The program director, representative faculty, and at least one resident were present. ”% Goals and objectives and the effectiveness of the program in achieving them were reviewed ”% Comments, from the faculty, regarding the quality of the program were reviewed. ”% The most recent report from the GMEOC (Internal Review) was reviewed, if applicable. ”% The most recent accreditation letter(s) from the RRC were reviewed. ”% Any recent communications from the ACGME or RRC were reviewed, if applicable. ”% Results of the most recent ACGME resident survey were reviewed and responses developed to the Program-appropriate questions, according to the UWHC GMEOC Resident Survey Response policy. ”% Note: Each Program s written survey responses should be submitted to the GME Office along with their Annual Program Evaluation document and Action Plan Confidential written evaluations of the program submitted by the residents and faculty were reviewed. ”% Resident performance and outcome assessment were used in the evaluation of the educational effectiveness, including but not limited to performance on certification exams. ”% A specific action plan to address any deficiencies was reviewed and approved by the faculty and documented. ”% I hereby certify that all requirements have been met. _________________________________________________ _______________________ Program Director Signature Date _____________________________________________ _____________________ Department Chair Signature Date All programs are encouraged to use Med Hub to develop and house a Program Portfolio for assessment of program effectiveness. All program annual evaluations and actions plans are due to the GME Office by June 15, 2011. Annual Program Evaluation and Improvement Plan Report Template Purpose To evaluate the University of Wisconsin _________________ Residency/ Fellowship Program as required by the UWHC Graduate Medical Education Oversight Committee and the ACGME. The Program Director reviewed and assessed with key program faculty the following areas of outcomes: resident performance, graduate performance, program quality and faculty development. A written improvement plan was developed in response to the gaps identified during the assessment of these data. Program Description The __________ Residency/Fellowship program is a ___ year program with ____ ACGME approved positions. There are currently ____ trainees in the program. The most recent ACGME Site Visit occurred on ______ (date) and resulted in a ______ year cycle with ___ citations. Time Period of Evaluation July 2010-June 2011 Review Participants (Must include at least one trainee) Residents/Fellows: Faculty: Materials Used in Evaluation For Resident Performance In-Training and Certification Scores and Percentile Rankings Aggregate Faculty Evaluation Scores & Written Comments Aggregate Multi-source Evaluation Scores & Written Comments Clinical Skills Assessments (Logs, Mini-CEXs, OSCEs) Other Core Competency Assessments (Professionalism History) Number and Quality of Presentations and Publications Participation in Quality Improvement or Systems Redesign project Mock Orals Learning Portfolio Self-Assessments and Reflection For Graduate Performance Board Pass Rate Tracking Private Practice Tracking Academic Careers through pubs, presentations Tracking Fellowship Training Annual Graduate Surveys Employer Surveys Employment Opportunities Other Career Choices MOC Pass rate For Program Quality ACGME Resident Survey Results (required, if available) Confidential Resident Evaluation of Program Results Confidential Faculty Evaluation of Program Results ACGME Citations Internal Review Citations and Recommendations Aggregate Program Evaluation by Faculty results Aggregate Program Evaluation by Trainee results -Ø ÷ ū  ¾ Ą l n "$ŗ¼bd Bvxlnp`a¦ĖĢŸņäÓĄÓä²ä²ä²ä²ä²ä²ä²¤¤ä²ä²ä²ä€ärleÓ h;¶h;¶ hĘbCJhĘbB*CJOJQJph’hĘb5B*CJOJQJph’'h;¶h;¶5>*B*CJOJQJph’h;¶B*CJOJQJph’hĘbB*CJ OJQJph’$hĘb56>*B*CJOJQJph’!hĘb56B*CJOJQJph’hĘbB*CJOJQJph’hĘb5B*OJQJph’#-./ęē : ; < ˜ § Ø   Ā Ä öģģęģęģģģģŲģģĀģ¬¦„“`„“ & F ĘL’„Čū„äż„]„Čū^„äż`„ & F Ęäż„Čū„L’„˜ž]„Čū^„L’`„˜ž „äż„0ż„“]„äż^„0ż`„“„äż^„äż „0ż„“^„0ż`„“$„“`„“a$T4€4žžÄ p r &(¾ĄfhÜBĪz|ķēķēķēķēĪĮĮķē«ē „Čū„äż„h]„Čū^„äż`„h & F ĘL’„Čū„L’„˜ž]„Čū^„L’`„˜ž „Čū„L’]„Čū^„L’gd;¶ & F ĘL’„Čū„L’„˜ž]„Čū^„L’`„˜žgd;¶„“`„“ & F ĘL’„Čū„äż]„Čū`„äż|<prŽą;`a¦ĖĢØ×ēčéńņéŪŃĒÅĒĒĒ»¹“®©©ŸÅÅÅ „L’„äż]„L’^„äż$a$„äż^„äżgd;¶ „|ü„äż]„|ü`„äż „0ż„“^„0ż`„“ „|ü„“]„|ü`„“ „0ż„äż„h]„0ż^„äż`„h & F ĘL’„0ż„L’„˜ž]„0ż^„L’`„˜žŸ ØēčéņĪĻćäóõ$%^{™“Ŗ•­äLMļ0010ł1ü143>3?3@3Y3Z3x3‘3’3°3Ā3Å3ß3īŻĻĀĻ³§Ļ³Ļ§Ļ³§Ļ³§³Ļ§Ļ§Ļ–§Ļ§”§Ļ§Ļ§Ļ³Ļ³Ļ…³Ļ…³t… hĘb56>*B*OJQJph’hĘb56B*OJQJph’U hŪHŁhŪHŁ6B*OJQJph’hĘbB*OJQJph’hĘb5>*B*OJQJph’hĘb56CJOJQJhĘb5B*OJQJph’!hĘb56B*CJOJQJph’!hStĮ56B*CJOJQJph’-ņĪĻćäóōõ$%]^qr{|™š³ń(e›Ų NZżżżżżżżżżżżżżżżżżżżżż÷żż÷÷÷ż„Š`„ŠZn©ŗ¼× +EVp†•–Ŗ¬äL^¾ļ000żżżżżżż÷żż÷żżżżżżżīżżżżżżżż„Š`„ŠgdŪHŁ„Š`„Š Academic Production For Faculty Development Aggregate Evaluation Scores from Residents by Subspecialty Written Resident Comments Faculty CME aimed at Teaching Abilities Faculty CVs Annual Faculty Workload Statements Promotions for Excellence in Education Participation/Presentation at Education Grand Round Session Mentoring Directed QI Project or Practice Improvement Self-Study Participation in QI/SBP project Award for Teaching Excellence Participation in Peer Review Faculty Portfolios When discussing and prioritizing areas to address through your improvement plan, pick at least one category the program is struggling with to develop in depth. In addition, be certain to develop 3 to 4 action items in each category or you are likely to receive a citation at the time of your next site visit. 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