The faculty is responsible for ensuring that residents proceed through their educational/training program in a satisfactory manner. Clinical skills and competence should reflect a gradual and steady maturation with each rotation and new level of training. Academic requirements should be completed in a timely fashion, consistent with the department’s standards. The resident evaluation is based on cognitive, technical, and interpersonal skills. Residents who, for whatever reason, are not making satisfactory progress will be promptly informed of this. Similarly, residents who demonstrate exceptional ability in clinical skills, teaching, and research should receive appropriate and timely praise. Residents must meet the requirements outlined in the “Essential Abilities” policy to enter and continue in residency training.

Mechanisms for Evaluation

A. Clinical Rotations

Faculty should provide formative comments to the residents on a daily basis throughout the clinical rotations. At the conclusion of each rotation, 3 times yearly, all attending faculty will complete a summative written evaluation. The division chief for that rotation will discuss progress with the resident. The program director will determine if the evaluation represents satisfactory performance. If not, the performance will be discussed at a staff or residency training committee meeting. If the performance of a resident is unsatisfactory, he/she will be placed on probation and may not receive credit for the rotation. The final evaluation form will be retained in the resident’s permanent file. The resident and faculty may review the file at any time during usual working hours. The evaluation process is web-based and allows residents to see their evaluations from each site once they are completed. The evaluation form is based on the ACGME competencies of patient care, medical knowledge, practice-based learning, systems-based practice, interpersonal skills, and professionalism.

B. Coursework

UW policies and those outlined in the residency “Academic Guidelines” regarding classwork performance and scholarly activities will be followed. Participation in the departmental conference schedule is also expected. A yearly inservice examination is required for formal testing of cognitive skills. The chairman and program director review the results.

C. Departmental Review

Review of resident performance occurs on a semi-annual basis. A mid-year evaluation occurs with the program director during a one-on-one meeting with a full written evaluation placed in the residents file. Once a year, resident performance is reviewed by the full clinical and research faculty at the annual faculty retreat. This review and all previous yearly rotational reviews will then be discussed in a meeting between the chair and each resident. This formal meeting each summer allows discussion of areas of progress and excellence as well as frank discussion of deficiencies. Written documentation of the review will be maintained in the resident's file. Resident evaluations are used to determine appointment renewal status, board eligibility, and to summarize the resident’s performance each year to the American Board of Otolaryngology-Head and Neck Surgery.