Name Ben Davis PGY-1 Categorical Track Residency Start...

Name Ben Davis

PGY-1 Categorical Track Residency Start date: July 1,2008 End date: June 30,201 1

Date-3/17/2009 meeting with Dr. Rouan A

Director's Comments:

Subspecialty Interests:

Awards and Recognition:

CEX cxams completed 08-09:

Professionalism Index:

ITE exam Results:

Pre-/Post- Rotation Examination Scores:

Duty Hour Compliance Report and Comments: Hem/Onc

7/1/2008 7/1/2008 Call lue 6:OOAM l l :00 PM Intern 3:27:30 PM

Res 17.00 Comments Details On Call

7/2/2008 7/2/2008 HO-Ward

r Edit Wed 6:00 AM 400 PM 121312008 Res Res 10.00 Comments Details Intern Nan- 3:27:30 pM

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7/3/2008 7/3/2008 Shift HO-Ward r a t Thu 6:OOAM 3:00 PM 12/312008 Res Res 9.00 Comments Details Intern 3:27:30 pM

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HO-Ward r Edit Fri 7/4/2008 7/4/2008 Shift Intern 7:00 AM 4:00 PM 12/312008 Res Res 9.00 Comments Details

Call Shift 3:27:30 PM

7/5/2008 7/5/2008 can Hem/Onc !- ~ d i t Sat 7:00 AM 10:OO PM 1213/2008 Res Res 15.00 Comments Details Ward Intern 3:27:30 PM On Call

7/6/2008 7/6/2008 Call Hem/Onc r m t

7:00 AM 9:00 PM 121312008 Res Res 14.00 Comments Details Ward Intern 3:27:30 pM On Call

HO-Ward b Edit 7/7/2008 7/7/2008 Shift Intern No,,-

7:OOAM 3:00 PM 12/312008 Res Res 8.00 Comments Details Call Shift 3:29:25 PM

r Edit 7/8/2008 7/8/2008 Shift Tue 6:00 AM 2:00 PM HO-Ward 121312008 Res Res 8.00 Comments Details Intern Non- 3:29:25 PM

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HO-Ward 7/9/2008 7/9/2008 Shift Intern Nan- 7:00 AM 3:00 PM 1213/2008 Res Res 8.00 Comments Details


7/10/2008 7/10/2008 Call Hem/Onc

7:00 AM 9:00 PM 121312008 Res Res 14.00 Comments Ward Intern 3:29:25 pM On Call

7/11/2008 7/11/2008 HO-Ward 6:00 AM 4:00 PM 1213/2008 Res Res 10.00 Comments Details Intern Nan- 3:29:25 PM

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HO-Ward 7/12/2008 7/12/2008 Shift Intern No,,- 7:00 AM 5:00 PM 1213/2008 Res Res 10.00 Comments Details


HO-Ward 7/13/2008 7/13/2008 Shift Intern No,,- 7:00 AM 2:00 PM 1213/2008 Res Res 7.00 Comments Details


7/14/2008 7/14/2008 Call Hem/Onc

6:00 AM 9:00 PM 12/3/2008 Res Res 15.00 Comments Details Ward Intern 3:30:45 pM On Call

7/15/2008 7/15/2008 Shift HO-Ward

7:00 AM 5:00 PM 12/3/2008 Res Res 10.00 Comments Details Intern Nan- 3:30:45 pM Call Shift

7/16/2008 7/17/2008 Call 8:00 PM 10:OO AM

Night Float- 12/3/2008 Res Res 14.00 Comments Details Cross Cover 3:30:45 PM

7/17/2008 7/18/2008 Call Night Float- 12/3/2008 Res Res 14,00 8:00 PM 10:OO AM Cross Cover 3:30:45 PM

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7/18/2008 7/19/2008 call Night Float- 12/3/2008 Res Res 14.00 8:00 PM 10:OO AM Cross Cover 3:30:45 PM

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7/21/2008 7/22/2008 Call Night Float- 12/3/2008 Res Res 14.00 8:00 PM 10:OO AM Cross Cover 3:31:32 PM

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7/22/2008 7/23/2008 Call Night Float- 12/3/2008 Res 8:00 PM 6:00 AM Cross Cover 3:31:32 PM

10.00 Comments Details

7/23/2008 7/24/2008 Call Night Float- 12/3/2008 Res Res 12.00 8:00 PM 8:00 AM Cross Cover 3:31:32 PM

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7/24/2008 7/25/2008 Call Night Float- 12/3/2008 Res Res 12m00 8:00 PM 8:00 AM Cross Cover 3:31:32 PM

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7/29/2008 7/30/2008 Call 8:00 PM 8:00 AM

Night 1213/2008 Res Res 12.00 Comments Details Cross Cover 3:36:01 PM


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8/4/2008 8/4/2008 Elective Elective 12/30/2008

8:00 AM 6:00 PM 11:56:56 Res Res 10.00 Comments Details AM

12/30/2008 8/5/2008 8/5/2008 Elective Elective 8:00 AM 6:00 PM

11:56:56 Res Res 10.00 Comments Details AM

12/30/2008 8/6/2008 8/6/2008 Elective Eledive 8:00 AM 6:00 PM 11:56:56 Res Res 10.00 Comments Details

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12/30/2008 8/8/2008 8/8/2008 Elective Elective 8:00 AM 1:00 PM 11:56:56 Res Res 5.00 Comments Details

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8/11/2008 8/11/2008 Elective Elective 8:00 AM 6:00 PM 12/3012008 Res Res 10.00 Comments Details 11:58:11

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12/30/2008 8/12/2008 8/12/2008 Elective Elective 8:00 AM 6:00 PM 11 :58 :1 ResRes 10.00

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81 131 2008 81 1312008 Elective Elective 12/30/2008

8:00 AM 6:00 PM 1 : 5 8 : ResRes 10.00 AM


8:00 AM 6:00 PM 1 : 8 : 1 ResRes 10.00 AM


8:00 AM 6:00 PM 12:00:31 Res Res 10.00 PM

12/30/2008 '

8/19/2008 8/19/2008 Elective Eledive 8:00 AM 6:00 PM 12:00:31 Res Res 10.00

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12/30/2008 8/20/2008 8/20/2008 Elective Elective 8:00 AM 6:00 PM 12:00:31 Res Res 10.00

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12/30/2008 8/21/2008 8/21/2008 Elective Elective 8:00 AM 6:00 PM 12:00:31 Res Res 10.00

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8:00 AM 6:00 PM 12:00:31 Res Res 10.00 PM


12:01:40 Res Res 10.00 PM


12:01:40 Res Res 10.00 PM


12:01:40 Res Res 10.00 PM


12:01:40 Res Res 5.00 PM

8/29/2008 8/29/2008 Shift 12/30/2008

6:00 AM 3:00 PM VA-lCU 12:01:40 Res Res 9.00 Call Shift pM

8/30/2008 8/31/2008 Call 12/30/2008

6:00 AM 12:OO AM VA-ICU 3 Call 12:01:40 Res Res 18.00

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8/31/2008 8/31/2008 Call 12/30/2008

12:OO AM 1:00 PM VA 3 Call 12:02:10 Res Res 13.00

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9/2/2008 9/2/2008 Shift 12/30/2008

6:00 AM 1:00 PM Call 12:02:10 Res Res 7.00 Shift

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9/3/2008 9/3/2008 Shift 12/30/2008

6:00 AM 5:00 PM Call 12:02:10 Res Res 11.00 Shift PM

9/4/2008 9/5/2008 Call 12/30/2008 6:00 AM 1:00 PM

VA 3 Call 12:02:10 Res Res 31.00 PM

9/7/2008 9/7/2008 Shift 12/30/2008

6:00 AM 2:00 PM Call 12:02:10 Res Res 8.00 Shift PM

9/8/2008 9/8/2008 Shift VA 3 Non Call 12/30/2008 Res Res 6:00 AM 4:00 PM Shift 12:02:10

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9/9/2008 9/10/2008 Shift 12/30/2008

6:00 AM 1:00 PM Call 12:02:10 Res Res 31.00 Comments ~etails ShifT PM

9/12/2008 9/12/2008 Shift 12/30/2008

6:00 AM 2:00 PM Call 12:02:10 Res Res 8.00 Comments Details Shift PM

9/13/2008 9/13/2008 Shift 12/30/2008

6:00 AM 5:00 PM 12:02: 10 Res Res 11.00 Comments Shift PM

9/14/2008 9/15/2008 Shift 12/30/2008

6:00 AM 12:OO PM 12:02:10 Res Res 30.00 Comments Details Shift PM

9/16/2008 9/16/2008 Shift 12/30/2008

6:00 AM 1:00 PM 12:02:10 Res Res 7.00 Comments Details

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12/30/2008 9/16/2008 9/16/2008 Clinic Medicine 12:02:10 Res Res 5.00 Comments &%& 1:00 PM 6:00 PM Clinic PM pM

91 17/2008 9/17/2008 Shift 12/30/2008

6:00 AM 1:00 PM 12:02:10 Res Res 7.00 Comments Details Call Shift pM

9/18/2008 9/18/2008 Shift 12/30/2008

6:00 AM 1:00 PM VA-lCU 12:02:10 Res Res 7.00 Comments Call Shift pM

9/19/2008 9/20/2008 Shift 12/30/2008

6:00 AM 12:OO AM 12:04:03 Res Res 18.00 Comments Details Call Shift pM

9/20/2008 9/20/2008 Call 12/30/2008

VA-ICU 3 Call 12:04:03 Res Res 13.00 Comments Details 12:OO AM 1:00 PM PM

9/22/2008 9/22/2008 Call 12/30/2008

VA-ICU 3 Call 12:05:28 Res Res 7.00 Comments Details 6:00 AM 1:00 PM PM

9/23/2008 9/23/2008 Call 12/30/2008

6:00 AM 6:00 PM VA-ICU 3 Call 12:05:28 Res Res 12.00 Comments Details

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9/24/2008 9/25/2008 Call 12/30/2008


9/26/2008 9/26/2008 Call 12/30/2008


9/27/2008 9/27/2008 Call 12/30/2008

6:00 AM 2:00 PM VA-ICU 3 Call 12:05:28 Res Res 8.00 Comments

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9/28/2008 9/28/2008 Call 12/30/2008


9/29/2008 9/30/2008 Call 12/30/2008


12/30/2008 10117/2008 Meeting Duty Hours 12:10:02 Res Res 13.00 Comments Details

8:00 PM 9:00 AM PM

12/30/2008 10/18/2008 1011912008 Meeting Duty Hours 12:10:02 Res Res 4.00 Comments Details 8:00 PM 12:OO AM PM

10/19/2008 101 19/2008 Call 12:OO AM 9:00 AM

Night 1213012008 Res Res 9.00 Comments Details Admit Ward 12:11:16

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12/30/2008 Night Float- 12.11:16 Res Res 13.00 Comments Details Admit Ward pi

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12/30/2008 Night 12.11:16 Res Res 13.00 Comments Details Admit Ward pi

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12/30/2008 Night 12-12:14 Res Res 13.00 Comments Details AdmitWard pi

12/30/2008 Night 12.12:14 Res Res 13.00 Comments Details Admit Ward

12/30/2008 Night 12:12:14 Res Res 13.00 Comments Details Admit Ward pM

12/30/2008 12:14:07 Res Res 30.00 Comments Details Shift PM



12/30/2008 12:14:07 Res

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12/30/2008 Medicine 12:14:07 Res Res 5.00 Comments Details Clinic PM pM



12/30/2008 12:15:21 Res Res 29.00 Comments

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VA 2 Non Call 12/30/2008 Res Res 6m00

Shift 12:15:21 Comments Details

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12/30/2008 Call 12:16:25 Res Res Shift

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12/30/2008 Call 12: 16:25 Res Res

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12/30/2008 Medicine 12:16:25 Res Res Clinic PM pM

12/30/2008 Call 12: 16:25 Res Res Shift

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12/30/2008 12: 16:25 Res Res

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12/30/2008 Call 12:18:08 Res Res

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12/30/2008 Call 12: 18:53 Res Res Shift PM

12/30/2008 Call 12:18:53 Res Res Shift PM

Renal Ward Intern Non- Call Shift








Renal Ward Intern Non-

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Call Shift AM

Renal Ward 2/15/2009 12/13/2008 12/13/2008 Shift In te rn Non- 11:42:16 Res Res 16.00 Comments Details 5:00 AM 9:00 PM Call Shift AM

Renal Ward 2/15/2009 12/14/2008 12/14/2008 Shift I n t e rn Non- 11:42:16 Res Res 9.00 Comments Details 6:00 AM 3:00 PM Call Shift AM

Renal Ward 2/15/2009 12/15/2008 12/15/2008 Shift I n t e rn Non- 11:43:06 Res Res 9.00 Comments Details 6:00 AM 3:00 PM Call Shif t AM




Renal Ward 2/15/2009 12/19/2008 12/19/2008 Shift I n t e rn Non- 11:43:06 Res Res 9.00 Comments Details 6:00 AM 3:00 PM

Call Shift AM

Renal Ward 2/15/2009 12/21'2008 12/21/2008 Shift In te rn Non- 11:43:59 Res Res 15.00 Comments Details 6:00 AM 9:00 PM Call Shif t AM

Renal Ward 2/15/2009 12/22/2008 12/22/2008 Shift In te rn Non- 11:43:59 Res Res 10.00 Comments Details 6:00 AM 4:00 PM Call Shift

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12/30/2008 12/31/2008 Call 2/15/2009

6:00 AM 11:OO AM VA 1 Call 11:46:21 Res Res 29.00 Comments Details

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1/2/2009 1/3/2009 Call 2/15/2009

8:00 PM 9:00 AM Night Float- 11:49:00 Res Res 13.00 Comments Details Cross Cover

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1/3/2009 1/4/2009 Call 2/15/2009

8:00 PM 8:00 AM Night Float- 11.49:00 Res Res 12.00 Comments Details Cross Cover

1/4/2009 1/5/2009 Call 2/15/2009

8:00 PM 8:00 AM Night Float- 11:49:00 Res Res 12.00 Comments Details Cross Cover

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1/6/2009 1/6/2009 Elective Elective 8:00 AM 6:00 PM 2'15/2009 Res Res 10.00 Comments Details 11:49:00

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1/7/2009 1/7/2009 Elective Elective 2/ 15/2009

8:00 AM 6:00 PM 11:49:00 Res Res 10.00 Comments Oetails AM







1/13/2009 1/13/2009 Elective Elective 2/15/2009 11:50:05 Res Res 10.00 Comments Details

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2/15/2009 1/14/2009 14/2009 Elective Elective 11:50:05 Res Res 10.00 Comments m 8:00 AM 6:00 PM AM

2/15/2009 1/15/2009 1/15/2009 Elective Elective 11:50:05 Res Res 10.00 Comments @$& 8:00 AM 6:00 PM AM

1/17/2009 1/18/2009 Call 2/15/2009

Night 11:50:05 Res Res 13.00 Comments Details 8:00 PM 9:00 AM Admit Ward AM

1/18/2009 1/19/2009 Call 2/15/2009

Night Float- 11:50:05 Res Res 13.00 Comments Q&&s 8:00 PM 9:00 AM Admit Ward AM

1/19/2009 1/20/2009 Call 2/15/2009

8:00 PM 8:00 AM Night 11:50:05 Res Res 12.00 Comments Details Admit Ward AM

1/20/2009 1/21/2009 Call 2/15/2009

Night 11:50:05 Res Res 13.00 Comments 8:00 PM 9:00 AM Admit Ward AM

2/15/2009 1/21/2009 1/22/2009 Call Night 11:50:05 Res Res 13.00 Comments Details 8:00 PM 9:00 AM Admit Ward AM


2/15/2009 1/23/2009 1/24/2009 Call Night 11:50:05 Res Res 13.00 Comments 8:00 PM 9:00 AM Admit Ward AM

2/15/2009 1/24/2009 1/25/2009 Call Night 11:50:05 Res Res 13.00 Comments 8:00 PM 9:00 AM Admit Ward AM

1/26/2009 1/26/2009 Call 2/15/2009

Night 11:50:05 Res Res 9.00 Comments Details 12:OO AM 9:00 AM Admit Ward AM

1/26/2009 1/27/2009 Call 2/15/2009

8:00 PM 9:00 AM Night Float- 11:50:05 Res Res 13.00 Comments Admit Ward AM

1/27/2009 1/28/2009 Call 2/15/2009

Night 11:50:05 Res Res 13.00 Comments Qi&& 8:00 PM 9:00 AM Admit Ward AM


1/29/2009 1/29/2009 Service 2/15'2009 Res Res 7.00 Comments Q&&s 9:00 AM 4:00 PM Cards/6south 11:50:05

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2/15/2009 !- m t Fri 1130/2009 113012009 Service Cards/6south 11:50:05 Res Res 13.00 Comments 5:00 AM 6:00 PM

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2/15/2009 113112009 21112009 Service Cards/6south 11:50:05 Res Res 33.00 Comments Details 5:00 AM 2:00 PM

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2/15/2009 21212009 212'2009 Sewice Cards/6south 11:50:05 Res Res 8.00 Comments Details 5:00 AM 1:00 PM

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2/2/2009 2/2/2009 Clinic 2/15/2009

1:00 PM 7:00 PM Medicine 11:50:05 Res Res 6.00 Comments Details Clinic PM AM

2/15/2009 21312009 21312009 Service Cards/6south 11:50:05 Res Res 13.00 Comments Details 5:00 AM 6:00 PM AM

2/15/2009 214/2009 21512009 Service Cards/6south 11:50:05 Res Res 19.00 Comments Details 5:00 AM 12:OO AM AM

2/15/2009 2/512009 21512009 Sewice Cards/6south 11:50:05 Res Res 18.00 Comments Details 5:00 AM 11:OO PM

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2/15/2009 21612009 21612009 Service Cards/6south 11:50:05 Res Res 15.00 CommentsDetails 5:00 AM 8:00 PM AM

2/15/2009 21712009 21712009 Service Cards/6south 11:50:05 Res Res 13.00 Comments Details 5:00 AM 6:00 PM

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2/15/2009 2/812009 21812009 Sewice Cards/Gsouth 11:50:05 Res Res 17.00 Comments Details 5:00 AM 10:OO PM AM



2/15/2009 2/1212009 2/1312009 Service Cards/6south 11:50:05 Res Res 19.00 Comments Details 5:00 AM 12:OO AM AM

2/15/2009 211312009 2/1312009 Service Cards/6south 11:50:05 Res Res 14.00 Comments Details 5:00 AM 7:00 PM AM

2/15/2009 211412009 211412009 Service Cards/6south 11:50:05 Res Res 11.00 Comments Details 5:00 AM 4 0 0 PM AM

Delinquent Medical Record:

Resident Rotation/Faculty/Program Evaluation Compliance:

MentorIDr. Diers Reports and Comments:

Letters of Commendation/Concern:

Clinical Quality Performance Reports:

l~xarnples l0ral Presentation I l ~ a t e

Performance Review: Strengths: Overall:

Procedures and Comments: - -- .- - - - - - - - - - . %of Confirmed

CPTTredent~al Total Confirmed (Not O/O for Credent~al T a Procedure . .,. . ., Code Tarqet Loqoed Loqqed [Passed) Passed) LConfirmedlPassed) Refused

IExamples /Poster Presentation

Abdominal Paracentesis (Internal Medicine)

Arterial Line (Internal Medicine)

Arterial Puncture Blood Gas (Internal Medicine)

Bone Marrow Biopsy (Internal Medicine)

Bone Marrow Bx (Internal Medicine)

Bronchoscopy (Internal Medicine)

Central Venous Femoral Line Insert (Internal Medicine)

Central Venous Intemal Jugular (Internal Medicine)

Central Venous Subclavian Pun (Internal Medicine)

Certified By Acls-L1 (Internal Medicine)

Certified By Acls-L2 (Internal Medicine)

Certified By Laboratory Medicine Course (Internal Medicine)

Chest Roentgenogram Interp (Internal Medicine)

Chest Tube Insertion (Internal Medicine)

Colposcopy (Internal Medicine)

Conscious Sedation IMIIV (Internal Medicine)

Cordis Catheter Internal Jugular (Internal Medicine)

Cordis Catheter Subclavian (Internal Medicine)

Echcardiography (Internal Medicine)

Ekg Interpretation (Internal Medicine)

Ekg Perform (Internal Medicine)

Emergent Cardioversion

l ~ a t e

(Internal Medicine) Endotracheal Intubation (Internal Medicine) Floey Catheter (Male) (Internal Medicine) Fluoroscopy (Internal Medicine)

Foley Catheter (Female) (Internal Medicine) Gram Stain Of Sputum (Internal Medicine) Holter Monitor Interp (Internal Medicine) I & D of Abscess (Internal Medicine) I And D Abcess (Internal Medicine) Indirect Laryngoscopy (Internal Medicine) Insert/Plcmt Swan Ganz (Internal Medicine) Insertion Arterial Line (Internal Medicine) Insertion Central Line Catheter (Internal Medicine) Interp Rightside Catheter Tracing (Internal Medicine) Intradennal Injection (Internal Medicine) Intubation Endotracheal (Internal Medicine) Joint Aspiration (Internal Medicine) Joint Aspiration Knee (Internal Medicine) Joint Injections (Internal Medicine) Laceration ClosureIRepair (Internal Medicine) Lumbar Puncture (Internal Medicine) Maintenance Of Open Airway (Internal Medicine)

Manage-Mechanical Vent (Internal Medicine) Microscopic Exam Of Urine (Internal Medicine) Mini-CEX (Internal Medicine) Mole Removal (Internal Medicine) Nasogastric Intubation (Internal Medicine) Orogastic Intubation (Internal Medicine) Pap And Pelvic Examination (Internal Medicine) Pericardioncentesis Emergent (Internal Medicine)

Comments:

Summary and Evaluation Comments: - - - - - . - - - - . . - - - . . .. . . . - .... . . - .~- -- . - Questionna~re R- 1 Standard Name/Title Category/Question Average Average Minimum Maxinlum Deviation

Evaluation of PATIENT CARE Resident 2008-2009 Incomplete, inaccurate Superb, accurate, UNIVERSm medical interviews, comprehensive medical

OF physical examinations, interviews, physical CINCINNATI and review of other examinations, review of

data; incompetent other data, and 1 performance of CENTER procedural skills; always 6.89 7.60 6.00 9.00 1.14

essential procedures; makes diagnostic and OF INTERNAL fails to analyze clinical therapeutic decisions

MEDICINE data and consider based on available

EVALUAnON patient preferences evidence, sound

OF RESIDENT when making medical judgement, and patient

2008-2009 decisions preferences

PATIENT CARE

Medical Interviewing: Incomplete, illogical, Logical, thorough, 6.84 7.40 6.00 9.00 1.14

superficial and efficient.

PATIENT CARE

Physical Examination: Incomplete, Complete and 6.78 inaccurate, cursory, nondirected, accurate. 7.60 6.00 9.00 1.14

unreliable

PATIENT CARE

Procedural Skills: Inept, Proficient, careless, disregards risk and minimizes patients' 6.93 7.40 5.00 9.00 1.52

discomfort to patients discomfort.

MEDICAL KNOWLEDGE

Limited knowledge of basic and clinical sciences; minimal interest in learning; does not understand complex relationships, mechanisms of disease

Exceptional knowledge of basic and clinical sciences; highly resourceful development of knowledge; comprehensive understanding of complex relationships, mechanisms of disease

PRACTICE-BASED LEARNING AND IMPROVEMENT

Fails to perform self- Constantly evaluates evaluation; lacks insight, own performance, initiative; resists or incorporates feedback 6.86 7.40 5.00 9.00 1.52 ignores feedback; fails into improvement to use information activities; effectively uses technology to enhance technology to manage patient care or pursue information for patient

self-improvement care and self- improvement

INTERPERSONAL AND COMMUNICATION SKILLS

Does not establish adequate, effective, humanistic and therapeutic relationships with patients and families; conveys poor, ineffective listening, narrative or nonverbal skills; does not provide education or counseling to patients, families, or

Establishes highly effective humanistic and therapeutic relationships with patients and families; demonstrates excellent listening, 7.30 narrative and nonverbal skills; successful in educating and counseling patients, families, and colleagues; always "interpersonally" engaged

PROFESSIONALISF'

Lacks respect, Always demonstrates compassion, integrity, respect, compassion, honesty; disregards integrity, honesty; need for self- teacheslrole models assessment; fails to responiible behavior; 7,42 8.00 9.00 acknowledae errors: total commitment to self- does not consider ' assessment; willingly needs of patients, acknowledges errors; families, colleagues; consistently considers does not display needs of patients, responsible behavior families, colleagues

SYSTEM-BASED LEARNING

Unable to access/mobilize outside resources; resists efforts to improve systems of care; does not use systematic approaches to reduce error and improve patient care

Effectively accesses/utilizes outside resources; effectively uses systematic approaches to reduce errors and improve patient care; enthusiastically assists in developing systems' improvement

OVERALL CLINICAL COMPETENCE

This rating represents your assessment of the resident's overall performance during this month of training.

Superior: Far exceec ~ l e expectations.

Satisfactory: Always meets ana occasionally 3.36 3.40 3.00 4.00 0.55 exceeds reasonable expectations.

Marginal: Meets some expectations but occasionally falls short.

Unsatisfactory: Consistently falls short of reasonable expectations.

OVERALL CLINICAL COMPETENCE No Has this form be reviewed by the resident? (3) yes

(1) OVERALL CLINICAL COMPETENCE

l2 Number of patients admitted during this rotation

OVERALL CLINICAL COMPETENCE No

13 Number and types of procedures done during this (1) Yes rotation were reviewed and documented (3)


14 Medical Records, e.g, dictation/signatures, are Yes

complete (5)


l5 Attending's Comments (Required): - 7 - - - - - , - - - -

6aluaky Questlon ~ornrnents '

12) approx~mately 30

12) 91 admissions during the month of December 08

15) Ben served as the night float and presented patients to me in the AM aRer admitting them during the night. He demonstrated excellent basic knowledge and is obviously a major plus to have in our program. I will look forward to working with him in the future.

15) He did very well with his presentations.

15) enjoyed working with this resident should develop into a fine resident

15) insufficient contact to judge

15) Dr. Davis is serious and committed. Hard working and reliable, with a good sense of priorities. Presentations on rounds have improved, but can be polished more.

15) He was an excellent intern.

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