The Boise Internal Medicine residency uses a robust evaluation and formative feedback system that includes:
- Multisource evaluation, patient satisfaction, and webcam-based observations of patient care in continuity clinic
- Peer evaluations of handoffs in the ICU
- Global evaluations from every rotation
- Clinic performance and access/utilization data about your own clinic panel
- Yearly in-training examinations
- Simulator and standardized patient scenarios for procedures (central line, thoracentesis, intubation), codes, ‘the dirty dozen’ (common cross-cover problems), and several new ambulatory scenarios in development
These data are reviewed semi-annually, compared to competency-based developmental benchmarks, and then reported back individually by your mentor in a radar-plot format (see the example shown). A learning plan is collaboratively developed and also reviewed at the next evaluation meeting.
Guidance in career mentoring (elective selection, fellowship advice, etc.) is available from several hospitalists, generalists, and various subspecialists. We are working closely with the American Board of Internal Medicine and the Pacific Northwest Consortium for Outcomes in Resident Education (PNWCORE) to develop the next generation of residency evaluation assessments.