Residents and supervisors share a common goal: We want our residents to听graduate from our Program being听competent and well equipped for their career in Family Medicine.
What is Feedback?
Feedback links teaching with assessment and is the cornerstone of competency-based medical education. 听You will receive feedback after most clinical encounters.听听The听purpose听of giving听feedback听is to听reinforce the knowledge, skills, and behaviours you have听demonstrated听that are essential to听be听competent. It is also important to听constructively identify specific ways in which you can continue to听improve. "It is normal to have skills that require improvement during residency." The Section of Residents has produced an excellent document that can guide you to make the most of the feedback you receive.
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What are Field notes?
Field Notes is written feedback from your听case discussions with supervisors, observed clinical encounters and听encounters with team members, your patient听charting, your听assessments of radiology and laboratory reports, and听procedure skills.
The goal of the field note is to听track your听progress through residency听and to ensure that all the听competencies expected from the College of Family Physicians (CFPC)听are being assessed. Reviewing field notes with your academic advisor during your periodic review meetings is important to explore together which skills you should focus on to develop.
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What is an ITER?
In-Training Evaluation Reports (ITERs) are the summary evaluations of your performance on a given rotation. They are completed by the rotation supervisor听at the end of each rotation/training experience.听 The ITER听report should be a听fair representation of your achievement of that rotation's objectives according to your level of training.
All ITERs are completed using a system called One45. (Residents will receive a username and password at the beginning of residency).听 You must review these summary evaluations and make a plan to work on the skills identified as areas for ongoing improvement.
There is a section at the end of each ITER in which the resident is asked to provide feedback about the rotation and about clinical supervisors. You can also report any instances of mistreatment you may have experienced or observed. Your feedback is collected by the one45 system and remains anonymous. We use residents鈥� feedback to improve rotations and to help supervisors improve their teaching skills. Your feedback will have the most impact if you express it constructively and are as specific as you can.
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What is a procedure log?
Procedure logs are a way of keeping track of the procedures performed during residency.听 They are an important aspect of clinical practice.听 Memory often fades and keeping track of procedures is an essential way of ensuring that there is adequate exposure to a variety of procedures.
If important procedures are missing during course of residency the academic advisor meetings can be used to address these gaps in exposure.听 Keeping the procedure log up to date is important part of the data collection involved in preparing for the academic advisor meeting.
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What is the purpose of an academic advisor meeting? (Sometimes called a 鈥淧eriodic Review鈥�)
Your academic advisor is your 鈥渃ompetency coach鈥�.听 Your advisor will be scheduled to meet with you every 3 months to work with you on your learning goals by reviewing your fieldnotes, ITERs, procedure logs, and patient encounter statistics. Your Academic Advisor will help you plan and develop your progress and career goals through residency.
The Section of Residents recently developed a useful guide to help your and your advisor make these Periodic Reviews/Academic Advisor meetings.
An additional resource for Academic Advisors is the:
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How do you progress through residency?
You will meet with your academic advisor every 3 months to evaluate your progress and comparing it to the 苹果淫院 Evaluation Benchmarks for your level of training. As an adult learner, you are expected to identify and propose interventions to help you progress to the next benchmark.
- 苹果淫院 Benchmarks for Level of Training
First 6 months听 > 听 12 months听 > 听 18 months听 > 听 24 months
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Residents who receive a Borderline or Unsatisfactory on a rotation ITER, or whose academic difficulties persist despite less formal learning interventions will meet with their site director and academic advisor to develop a formalized remediation period called FLEX (Focused Learning Experience).
A full description of how residents are promoted to the next level of residency is found in the Promotion Guidelines:
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鈥淎s much as talent counts, effort counts twice鈥�
- Angela Duckworth, Grit: The Power of Passion and Perseverance
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