r GI-Liver 9/81 - University of...

Name Shilpa Joshi

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

Date-1/29/09 - meeting with Dr. Rouan

Director's Comments:

Subspecialty Interests:

Awards and Recognition:

CEX exams completed 08-09:

Professionalism Index:

ITE exam Results: I<> 1n- raini in^ Exam A 1 2 0 ~ 14 1

-- C g c wd4..

Pre-/Post- Rotation Examination Scores:

Duty Hour - Compliance - Report and Comments: !w!f

pa^ % End mx Ass~qnment Checked Source By

0 Commen ts Details --

GI Liver 9/8/2008 Edit 7/1/2008 7/1/2008 Call Intern On 11:51:04 Res Res 16.50 Comments Details lue 6:00 AM 10:30 PM Call AM

GI-Liver 9/8/2008 'T- EdiJ 7/2/2008 7/2/2008 Shift Intern Non- 11:51:04 Res Res Wed 6:00 AM 6:00 PM call Shift AM

GI-Liver 9/8/2008 r Edit 7/4/2008 7/4/2008 Shift Intern Nan- 11:51:04 Res Res 10.00 Comments Details Fri 6:OOAM 400 PM call Shift AM

GI Liver 9/8/2008 i- Edit 7/5/2008 7/5/2008 Call Intern On 11:51:04 Res Res 16.50 Comments D%& Sat 6:00 AM 10:30 PM Call AM

GI-Liver 9/8/2008 !- Edit 7/6/2008 7/6/2008 Shift Intern Nan- 11:51:04 Res Res 7.50 Comments Details Sun 6:00 AM 1:30 PM call Shift AM

GI-Liver 9/8/2008 !- WiJ 717/2008 7/712008 Shift Intern Nan- 11:52:18 Res Res 13.00 Comments -

"On 6:00 AM 7:00 PM call Shift AM

GI-Liver 9/8/2008 r ~ d i ~ 7/812008 7/8/2008 Shift Intern Nan- 11:52:18 Res Res 10.50 Comments Details 6:00 AM 4:30 PM call Shift AM

r Edit 7/9/2008 7/9/2008 Call Wed 6:00 AM 10:OO PM

Liver 9/8/2008 Res Res 16.00 Comments Details Intern On 11:52:18

dit - I Shift ?s Res

Call AM

GI-Liver 9/8/2008 r m t 711012008 7/10'2008 Shift Intern Non- 11:52:18 Res Res Thu 6:30 AM 5:30 PM call Shift AM

1/2008 7/11/200 GI-Liver 9/8/2008 i--- 5 )AM 5:30 PM Intern Non- 11:52:18 Rf

call Shift AM

GI Liver 9/8/2008 r Bl~t 711312008 711312008 Call Intern On 11:53:28 Res Res Sun 6:00 AM 9:30 PM Call AM

GI-Liver 9/8/2008 I- Edit 711412008 711412008 Shift Intern Non- 11:53:28 Res Res 6:00 AM 6:30 PM call Shift AM

GI-Liver 9/8/2008 Is a 7115/2008 711512008 Shift Intern Non- 11:53:28 Res Res

Tue 6:00 AM 5:30 PM call Shift AM

GI Liver 9/8/2008 r Edit 711712008 711712008 Call Intern On 11:53:28 Res Res Thu 6:00 AM 8:30 PM Call AM

GI-Liver 9/8/2008 r m t 711812008 7118/2008 Shift Intern Non- 11:53:28 Res Res Fri 6:00 AM 5:00 PM call Shift AM

GI-Liver 9/81 r Edit 7/19/2008 7/19/2008 Shift Intern Nan- ll:! Sat 6:00 AM 2:00 PM

?s Res call Shift AM

B Edit 9/8/2008 712012008 712012008 Shift Intern Non- 3:14:05 PM Res Res Sun 6:00 AM 12:30 PM call Shift

r Edit Liver 9/8/2008 712112008 712112008 Call InternOn 3:14:05 PM Res Res 6:00 AM 9:30 PM Call

r a t 9/8/2008

712212008 712212008 Shift Intern Non- 3:14:05 PM Res Res Tue 6:00 AM 6:00 PM call Shift

r Edit 9/8/2008 712412008 712412008 Shift Intern Non- 3:14:05 PM Res Res

Thu 6:00 AM 6:30 PM call Shift

r Edit Liver 9/8/2008 712512008 7/2512008 Call Intern On 3:14:05 PM Res Res

Fri 6:00 AM 8:00 PM Call

r Edit 9/8/2008 7'2612008 712612008 Shift Intern Non- 3:14:05 PM Res Res Sat 6:00 AM 2:00 PM call Shift

GI-Liver r Edd 7/27/2008 7/27/2008 ShiR Intern 9/8/2008 Res Res

6:00 AM 3:00 PM call Shift 3.14 05 PM

r Edit Liver 9/8/2008 7129/2008 7/29/2008 Call Intern On PM Res Re*

Tue 6:00 AM 9:30 PM Call

r Ed< 9/8/2008

7/3012008 7/3012008 Shift Intern Non- 3,15,07 PM Res Res Wed 6:00 AM 6:00 PM call Shift

r Ed!t 7/31/2008 7/31/2008 Elective Elective 9/8/2008 Res Res Thu 8:00 AM 5:30 PM 3:15:07 PM

r Edit 8/1/2008 8/1/2008 Elective Elective 9/8/2008 Res Res Fri 8:00 AM 4:30 PM 3.15:07 PM

r a t 8/4/2008 8/4/2008 Elective Elective 9/8/2008 Res Res 8:00 AM 5:30 PM 3:15:07 PM

!-- 8/5/2008 8/5/2008 Elective Elective 9/8/2008 Res Res Tue 8:00 AM 4:30 PM 3:16.22 PM

11.00 Comments Details

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Comment s Details








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8/6/2008 8/6/2008 Elective Elective 9/8/2008 R ~ S Res 9.00 Comments Wed 8:00 AM 5:00 PM 3:16:22 PM

8/7/2008 8/7/2008 Elective Elective 9/8/2008 R ~ S Res 9.00 comments ~etails Thu 8:00 AM 5:00 PM 3:16:22 PM

8/8/2008 8/8/2008 Elective Elective 9/8/2008 R ~ S Res 5.00 Comments Fri 8:00 AM 1:00 PM 3:16:22 PM

Night Float- 9/8/2008 8/8/2008 8/9/2008 call cross Res Res 11.50 Comments @&&

Fri 8:00 PM 7:30 AM 3:16:22 PM Cover

Night Float- 9/8/2008 8/9/2008 8/10/2008 Call Cross Res Res 11.50 Comments &$?&

Sat 8:00 PM 7:30 AM 3:16:22 PM Cover

Night Float- 918/2008 8/10/2008 8/11/2008 Call Cross

3: 16: 22 PM Res Res 11.50 Comments D&&

Sun 8:00 PM 7:30 AM Cover 10/21/2008

8/12/2008 8112/2008 Elective Elective 11:22:52 Res Res 9.00 Comment Tue 8:00 AM 5:00 PM AM

3 Details

10/21/2008 8113/2008 8/1312008 Elective Elective 11:22:52 Res Res 9.00 Comments @&&

Wed 8:00 AM 5:00 PM AM

10/21/2008 8/14/2008 8114/2008 Elective Elective 11:22:52 Res Res 9.50 Comments &$?&

Thu 8:00 AM 5:30 PM AM

10/21/2008 Fri 8115/2008 8115/2008 Elective Elective 11:22:52 Res Res 9.00 Comments

8:00 AM 5:00 PM AM

10/21/2008 811712008 811712008 Elective Elective 11:22:52 Res Res 7.00 CoI?Xnents

Sun 7:00 AM 2:00 PM AM

10/21/2008 8f18/2008 8/18/2008 Elective Elective 11:24:42 Res Res 6.00 Comments 8:00 AM 2:00 PM AM

10/21/2008 8/19/2008 8119/2008 Elective Elective 11:24:42 Res Res 7.00 Comments Details

Tue 7:00 AM 2:00 PM AM

10/21/2008 8/20/2008 8/20/2008 Elective Elective 11:24:42 Res Res 11.00 Comments Details


10/21/2008 8/21/2008 8/21/2008 Elective Elective 11:24:42 Res Res 5.50 Comments Details

Thu 7:00 AM 12:30 PM AM

10/21/2008 Fri 8/22/2008 8/22/2008 Elective Elective 11:24:42 Res Res 8.50 Comments

7:00 AM 3:30 PM AM

10/21/2008 8/23/2008 812312008 Elective Elective 11:24:42 Res Res 8.00 CoITrrIentS -

Sat 7:00 AM 3:00 PM AM

10/21/2008 8/25/2008 812512008 Elective Elective 11:25:39 Res Res 7.00 Comments 7:00 AM 2:00 PM AM

10/21/2008 8126/2008 Elective Elective 11:25:39 Res Res 11.00 Comments Details


10/21/2008 8127/2008 812712008 Elective Elective 11:25:39 Res Res 9.50 Comments Details 7:00 AM 4:30 PM AM

10/21/2008 8/28/2008 8/28/2008 Elective Elective 11:25:39 Res Res 11.00 CorYIments Details


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10/21/2008 8/29/2008 8129/2008 Elective Elective . 11:25:39 Res Res 8.50 Comments Details

Fri 8:00 AM 4:30 PM AM

10/21/2008 91212008 9/212008 Elective Elective 11:28:19 Res Res 8.00 Comments -


10/21/2008 91312008 91312008 Elective Elective 11:28:19 Res Res 8.00 Comments Details


10/21/2008 91412008 91412008 Elective Elective 11:28:19 Res Res 5.00 Comments Details


10/21/2008 9/4/2008 9/4/2008 Clinic

Thu 1:00 PM 6:00 PM Medicine 11:28:19 Res Res 5.00 Comments Details Clinic PM AM

10/21/2008 91512008 915/2008 Elective Elective 11:28:19 Res Res 8.00 Comments Details


10/21/2008 918/2008 918/2008 Elective Elective 11:30:25 Res Res 7.00 CotWnentS 9:00 AM 4:OOPM AM

10/21/2008 919/2008 91912008 Elective Elective 11:30:25 Res Res 7.00 Comments Details


10/21/2008 9110/2008 9110/2008 Elective Elective 11:30:25 Res Res 8.00 ConTnentS Details


10/21/2008 9/11/2008 911112008 Elective Elective 11:30:25 Res Res 8.00 COrI7mentS Details


10/21/2008 9/12/2008 9/1212008 Elective Elective 11:30:25 Res Res 8.00 CommentS &&&


10/21/2008 15/2008 15/2008 Elective Elective 11:34:47 Res Res 7.00 ComTlents DetailS

9:00 AM 4:00 PM AM

10/21/2008 9/16/2008 9/1612008 Elective Elective 11:34:47 Res Res 7.00 Comments WS


10/21/2008 9/17/2008 9/17/2008 Elective Elective 11:34:47 Res Res 8.00 CorT7mentS Details


10/2l/2008 9/18/2008 9/18/2008 Elective Elective 11:34:47 Res Res 5.00 Comments Details


10/21/2008 9/18/2008 9/18/2008 Clinic Medicine 11:34:47 Res Res Comments u s

Thu 1:00 PM 6:00 PM Clinic PM AM

10/21/2008 9/19/2008 9/19/2008 Elective Elective 11:34:47 Re5 Res 8.00 co~t?lents &&&


10/21/2008 9/22/2008 9/22/2008 Elective Eledive 12:00:29 Res Res 7.00 C0mmentS Details 9:00 AM 4:00 PM PM

10/21/2008 9/23/2008 9/23/2008 Elective Elective 12:00:29 Res Res 7.00 CorTIm€!nts Details

Tue 9:00 AM 4:00 PM PM

10/21/2008 9/24/2008 9/2412008 Elective Elective 12:00:29 Res Res 8.00 Comments

Wed 8:00 AM 4:00 PM PM

10/21/2008 12:00:29 Res PM

10/21/2008 12:00:29 Res PM

10/21/2008 12:00:29 Res PM

10/21/2008 12:00:29 Res PM

10/21/2008 12:00:29 Res PM

10/21/2008 12:00:29 Res PM

11/13/2008 Res 4:02:11 PM

11/13/2008 Res 4:03:08 PM

1 I / 13/2008 Res 4:03:08 PM

Res 4.50 Comments Ma&

9/25/2008 9/25/2008 Clinic Medicine Thu 1:00 PM 5:00 PM Clinic PM Res 4.00 Comments Details

Res 9.00 Comments Details


VA-ICU 4 9/30/2008 9/30/2008 Shift Nan Call

Tue 6:30 AM 3:30 PM Shif t


VA-ICU 4 10/1/2008 10/1/2008 Shift Call

Wed 6:00 AM 5:00 PM Shif t

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10/2/2008 10/3/2008 Call VA-ICU 4 Thu 6:00 AM 1:30 PM Call


VA-ICU 4 Sun 10/5/2008 10/5/2008 Shift Call

6:00 AM 2:30 PM Shi f t

8.50 Comments Details Res

10/6/2008 10/7/2008 Call VA-ICU 4 6:00 AM 2:00 PM Call

Res

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VA-ICU 4 10/9/2008 10/9/2008 Shift Nan Call

Thu 6:00 AM 5:30 PM Shi f t 11.50 Comments Details

10/10/2008 10/11/2008 Call VA-ICU 4 Fri 6:00 AM 1:00 PM Call


VA-ICU 4 10/13/2008 10/13/2008 Shift Call 6:00 AM 5:30 PM Shif t




Tue 10/14/2008 101 15/2008 Call VA-ICU 4 6:00 AM 12:30 PM Call

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Res VA-ICU 4

10/17/2008 10/17/2008 Shift Call Fri 6:00 AM 5:00 PM Shif t


VA-ICU 4 Call

VA-ICU 4 Call

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UH CCU I n t e r n

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11.50 Comments



Edit 11/12/2008 11/12/2008 Call -. Wed 6:00 AM 5:30 PM

Edit 11/13/2008 11/13/2008 Call Thu 6:00 AM 11:30 PM

Edit 11/14/2008 11/14/2008 Call - Fri 5:30 AM 3:30 PM

Edit 11/15/2008 11/15/2008 Call Sat 6:30 AM 2:00 PM

Ed~t 11/18/2008 11/18/2008 Call

- Tue 6:00 AM 6:00 PM

Edit 11/19/2008 11/19/2008 Call -. Wed 6:00 AM 5:00 PM

Edit 11/20/2008 111 20/2008 Thu 6:00 AM 6:00 PM

Edit 11/21/2008 11/22/2008 Call Fri 6:00 AM 11:OO AM

Edit 11/23/2008 11/23/2008 Call Sun 6:00 AM 3:30 PM

Edit 11/24/2008 11/24/2008 Call -- 6:00 AM 5:00 PM

Edit 11/25/2008 11/25/2008 Call

-- Tue 6:00 AM 9:30 PM

Ed~t 11/26/2008 11/26/2008 Call - Wed 6:00 AM 5:00 PM

Edit 11/28/2008 11/28/2008 Call Fri 6:00 AM 6:00 PM

Edit 11/29/2008 11/30/2008 Call

Sat 6:00 AM 10:30 AM

Edit 12/1/2008 12/1/2008 Call 6:00 AM 12:30 PM

Edit 12/1/2008 12/1/2008 Clinic 1:00 PM 5:00 PM

12/2/2008 12/2/2008 Call Edit Delete Tue 6:00 AM -- 8:00 PM

Edit 12/3/2008 12/3/2008 Shift

-- Wed 6:00 AM 4:00 PM

Edit 12/6/2008 12/6/2008 Call

-- Sat 6:30 AM 8:30 PM

Edit 12/8/2008 12/8/2008 ShiR - 6:30 AM 3:30 PM

Edit 12/9/2008 12/9/2008 Clinic - lue 1:00 PM 5:30 PM

UH CCU 12/10/2008 Res In te rn 4:34:03 PM

UH CCU 12/10/2008 ReS In te rn 4:34:03 PM

UH CCU 1/8/2009 Res In te rn 8:55: 14 AM

UH CCU 1/8/2009 ReS In te rn 8:55: 14 AM

UH CCU 1/8/2009 Res I n t e rn 8:55: 14 AM

UH CCU 1/8/2009 ReS I n t e rn 8:56:22 AM

UH CCU 1/8/2009 Res In te rn 8:56:22 AM




UH CCU 1/8/2009 ReS In te rn 8:56:22 AM

UH CCU 1/8/2009 Res I n t e rn 8:57:53 AM






Medicine 1/8/2009 ReS Clinic PM 8:59:26 AM


Ward 1/8/2009 Res In te rn Non- Call Shift

6:59:26 AM

Ward 1/8/2009 Res I n t e rn Non- Call Shift 8:59:26 AM

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Ward 1/8/2009 Res I n t e rn On- 8:59:26 AM Call

Ward 1/8/2009 Res In te rn Non- Call Shift 9:00:28 AM

Ward 1/8/2009 Res Re5 I n t e rn Non- Call Shift 9:00:28 AM

Ward 1/8/2009 Res In te rn Nan- 9:00:28 AM Call Shift

Medicine 1/8/2009 Res Res Clinic PM 9:00:28 AM



























Renal Ward 1/8/2009 Res 121 10/2008 12/10/2008 Call Intern On- r &!@ &&&! Wed 6:30 AM 8:00 p~ 9:00:28 AM 13.50 Comments Details Call

r Edit 12/11/2008 12/11/2008 Shift Intern No,,- Thu 6:30 AM 4:00 PM

Renal Ward 118/2009 R e Res 9.50 Comments Detailr Call Shif t 9:00:28 AM

r Edit 12/12/2008 12/12/2008 Shift Intern Nan- Fri 6:30 AM 1:00 PM

Renal Ward 11812009 R e R e 6.50 Comments Call Shif t 9:00:28 AM

r EdiL 12/14/2008 121 1412008 Call Intern On-

Sun 7:00 AM 8:30 PM Renal Ward 1/812009 R e R e 13.50 Comments Call 9:00:28 AM

r Edit 12/15/2008 12/15/2008 Shift Intern Nan- 6:30 AM 3:30 PM

Renal Ward 11812009 Res Res 9.00 Comments w s Call Shif t 9:00:28 AM

r Edit 12/17/2008 12/17/2008 Shift Intern Wed 6:30 AM 1:30 PM

Renal Ward 118i2009 R e R e 7.00 Comments Call Shif t 9:00:28 AM

r Edit Renal Ward 1/8/2009 12/18/2008 12/18'2008 Shif t I n t e r n Non- 9:00:28 AM Res Res

Thu 6:30 AM 9:00 PM 14.50 Comments Details Call Shif t

r Wt 12/19/2008 12/19/2008 Shift Intern Nan- Fri 6:30 AM 2:30 PM

Renal Ward 1/8/2009 R e R e 8.00 Comments Call Shif t 9:00:28 AM

r Ed& 12/20/2008 12/20/2008 ShiR Intern Nan- Sat 6:30 AM 10:30 AM

Renal Ward 11812009 Res Res 4.00 Comments Call Shif t 9:00:28 AM

r Edit Renal Ward 1/8/2009 12/22/2008 12/22/2008 Call I n t e r n On- 9:00:28 AM Res Res 13.50 Comments 6:30 AM 8:00 PM Call

r w Renal Ward 1/8/2009 12123/2008 12/23/2008 Shift I n t e r n Non- 9:00:28 AM Res Res 8.50 Comments

Tue 6:30 AM 3:00 PM Call Shif t

r Edit 12/24/2008 12/24/2008 Shift Intern Nan- Wed 6:30 AM 1:30 PM

Renal Ward 11812009 R e Res 7.00 Comments Details Call Shif t

9:00:28 AM

r Edit 12/25/2008 12/25/2008 Shift Intern Non- Thu 6:30 AM 10:OO AM

Renal Ward 1/812009 R e Res 3.50 Comments Call Shif t

9:00:28 AM

r Edit Renal Ward 1/8/2009

12/26/2008 12/26/2008 Call I n t e r n On- 9:00:28 AM Res Res 16.00 Comments Details Fri 6:30 AM 10:30 PM Call

r Edit 12/27/2008 12/27/2008 Shift Intern No,,- Sat 6:30 AM 2:00 PM

Renal Ward 1Li8i2009 Res Res 7.50 Comments w Call Shif t 9:00:28 AM

r Edit 12/28/2008 12/28/2008 Shift Intern No,,- Sun 6:30 AM 1:00 PM

Renal Ward 1/8/2009 R e Res 6.50 Comments Call Shif t 9:00:28 AM

r Wt 12/29/2008 12/29/2008 Shift Renal Ward 1/8/2009 "On 6:30 AM 2:00 PM

I n t e r n Non- 9:00:28 AM Res Res 7.50 Comments w Call Shif t

N ight Float- 1/8,2009 r Edit 12/30/2008 12/31/2008 Call Admit

Tue 8:00 PM 10:OO AM 9:00:28 AM Res Res 14.00 Comments Details

Ward

r ~ d i t 12/31/2008 1/1/2009 Call Wed 8:00 PM 8:00 AM

Night Float- 1/812.009 Res Res 12.00 Comments Details Hospitalists 9:00:28 AM

Night Float- 118/2009 r Edt 1/1/2009 1/2/2009 Call Cross

Thu 8:00 PM 7:30 AM 9:00:28 AM Res Res 11.50 Comments Details

Cover

Night Float- 118/2009 r m t 1/2/2009 1/3/2009 Call Admit Fri 8:00 PM 8:30AM 9:00:28 AM Res Res 12.50 Comments m s

Ward

r EAt 1/3/2009 1/4/2009 Call N I g h t Float- 1/8/2009 Res Res Sat 8:00 PM 7:30AM Hospitalists 9.00:28 AM 11.50 Comments Details

Night Float- 11812009 I- a 1/5/2009 1/6/2009 Call Admit

8:00 PM 9:00 AM 9:00:28 AM Res Res 13.00 Comments @!k& Ward

r Ed~t 1/6/2009 1/7/2009 Call Tue 8:00 PM 8:30 AM Night Float- 1/812009 Res Res 12.50 Comments Details

Hospitalists 9:00:28 AM

Night Float- 1/812009 r mt 1/7/2009 1/8/2009 Call Cross Wed 8:00 PM 8:00 AM 9:00:28 AM Res Res 12.00 Comments Details

Cover

Delinquent Medical Record: + Resident Rotation/Faculty/Program Evaluation Compliance:

MentorIDr. Diers Reports and Comments:

Letters of Comniendation/Concern:

Clinical Quality Performance Reports:

10ral Presentation 1 l ~ a t e I l~oster Presentation l ~ a t e

Performance Review: strengtl~s: Overall:

Procedures and Comments:

rl ULCUUI e Name --

%of Confirmed CPT" Credent~al Total Total Confirmed --- O/O for Credent~al T m Code Tarqet Loqqed Loqqed (Passed) Passed) (Confirmed/Passed) Refused

Abdominal Paracentesis (Internal Medicine) 3 3 100% 2 0 66.67% 0

Arterial Line (Internal Medicine) 3 1 33.33% 1 0 33.33% 0

Arterial Puncture Blood Gas (Internal Medicine) 3 0 0% 0 0 0% 0

Bone Marrow Biopsy (Internal Medicine) 0 0 0% 0 0 0% 0

Bone Marrow Bx (Internal Medicine) 0 0 0% 0 0 0% 0

Bronchoscopy (Internal Medicine)

0 0 0% 0 0 0% 0

Central Venous Femoral Line Insert (Internal Medicine) 3 1 33.33% 1 0 33.33% 0

Central Venous Internal 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 Medicin

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 (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)

Intradermal 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-CM (Internal Medicine) Mole Removal (Internal Medicine)

Nasogastric Intubation (Internal Medicine) Orogastic Intubation (Internal Medicine) Pap And Pelvic Examination (Internal Medicine) Pericardioncentesis Emergent (Internal Medicine)

Peripheral Blood Smear Interp (Internal Medicine) Peripheral I v Lines (Internal Medicine) Peritoneal Lavage (Internal Medicine) Peritoneocentesis/Paracentesis (Internal Medicine) Placement-External Pacer (Internal Medicine) Plcmt of Temp Jugular and Femoral Catheters for Dialysis (Internal Medicine) Pleural Needle Biopsy (Internal Medicine) Pulmonary Artery Catheter Plac (Internal Medicine) Quinton Catheter (Internal Medicine) Radiation Producing Devices (Internal Medicine) Sigmoidoscopy Flexible (Internal Medicine) Skin Biopsy (Punch) (Internal Medicine) Spirometty-Pulmonary Function (Internal Medicine) Subcutaneous Injection (Internal Medicine) Suture Removal (Internal Medicine)

Temporary Pacer Placement Emerg (Internal Medicine)

Tenkoff Catheter (Internal Medicine)

Thoracentesis (Internal Medicine)

Thoracentesis Aspiration (Internal Medicine)

Tonometry (Schiotz) (Internal Medicine)

Treadmill Exercise Study (Intemal Medicine)

Trigger Point Injections (Intemal Medicine)

Triple Lumen Catheter (Internal Medicine)

Vaginal Discharge-CandITrich (Internal Medicine)

Vein Puncture (Internal Medicine)

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Export to Excel

Comments:

Overall Totals:

Summary and Evaluation Comments: R- 1 Standard

/TI tle Category/Question Scale Average Average Minirnum Maxirnurn Deviatron

PATIENT CARE Eva'uati0n ~ncomplete, Superb, accurate, Of Resident inaccurate medical comprehensive 2008-2009 UNIVERSm interviews, physical medical interviews,

OF examinations, and physical review of other examinations, review data; incompetent of other data, and

1 performance of procedural skills; 1-9 CENTER 6.87 7.50 6.00 9.00 1.05

always makes DEPARTMENT ;E:%;es; fails to diagnostic and OF INTERNAL analyze clinical therapeutic decisions MEDICINE data and consider based on available

patient preferences evidence, sound OF when making 2008-2009

judgement, and medical decisions patient preferences

2 PATIENT CARE 1-9 6.84 7.50 6.00 9.00 1.05

Overall Total Logged

10

Overall O/o of Total Logged

2.22%

Overall Total Not Passed

0

Overall Total Passed

9

Overall O/O for Credential

2%

Overall Total Refused

0

Medical Interviewing: Logical, Incomplete, illogical, thorough, and superficial efFicient.

PATIENT CARE

Physical Examination: Complete 3 Incomplete, inaccurate, and 6.78 6.80 6.00 8.00 0.84 cursory, nondirected, unreliable accurate.

PATIENT CARE

Procedural Skills: Proficient, 4 Inept, careless, minimizes 1-9 6.93 6.50 5.00 8.00 2.12

disregards risk and patients' discomfort to patients discomfort.

MEDICAL KNOWLEDGE

Exceptional Limited knowledge knowledge of basic of basic and and clinical sciences; clinical sciences; highly resourceful minimal interest in development of

5 learning; does not knowledge; 1-9 6.72 7.33 6.00 9.00 1.21 understand comprehensive complex understanding of relationships, complex mechanisms of relationships, disease mechanisms of

disease

PRACTICE-BASED LEARNING AND IMPROVEMENT

Fails to perform self-evaluation; lacks insight, initiative; resists or ignores feedback; fails to use information technology to enhance patient care or pursue self- improvement

Constantly evaluates own performance, incorporates feedback into improvement activities; effectively uses technology to manage information for patient care and self-improvement

INTERPERSONAL AND COMMUNICATION SKILLS

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

excellent listening, narrative and

7.32 8.00 7.00 9.00 0.89

nonverbal skills; successful in educating and counseling patients, families, and colleagues; always "interpersonally" engaged

8 PROFESSIONALISM 1-9 7.45 8.17 7.00 9.00 0.98

Lacks respect, compassion, integrity, honesty; disregards need for self-assessment; fails to acknowledge errors; does not consider needs of patients, families, colleagues; does not display responsible behavior

Always demonstrates respect, compassion, integrity, honesty; teaches/role models responsible behavior; total commitment to self-assessment; willingly acknowledges errors; consistently considers needs of patients, 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 exceeds reasonab expectations.

10 Satisfactoty: Always meets and 1-4 3.37 3.33 3.00 4.00 0.52 occasionally exceeds reasonable expectations.

Marginal: Meets some expectations but occasionally falls short.

Unsatisfactory: Consistently falls short of reasonable expectations.

OVERALL CLINICAL COMPETENCE No 11 Has this form be reviewed by the Boolean (4) Yes

resident? (2)


12 Number of patients admitted during this Comment rotation

OVERALL CLINICAL COMPETENCE No 13 Number and types of procedures done Boolean (2) Yes

during this rotation were reviewed and documented (2)


14 Medical Records, e.g. Boolean Yes

dictation/signatures, are complete (5)


l5 Attending's Comments (Required): Comment

Evaluator Question Comments

Marinakis, Vicki 09/02/2008 12) Cared for about 4-5 patients a day and admitted about 2 patients a day IM-INT HOSP-UH

Nwankwo, Ngozi 09/26/2008 12) Did not have enough interactions IM-INT HOSP-UH Gerson, Myron la0212008 ,, IM- CARDSJ6S- UH Reif, Max

01/03/2009 12) 91 admissions during themonth of December 08 IM-RENAL- UH Gilinsky, Norman 15) I enjoyed working with Dr Shilpa who was thorough and displayed an ability to prioritize patients' 0810712008 complaints - and to formulate an investigative and management strategy. Has the making of a very good IM- GIJUVER- internist.

UH Marinakis, 15) Excellent Resident. Hard working - managed a large number of patients and quickly performed new Vicki admissions. Very thorough, excellent medical knowledge base, and established good rapport with the 09/02/2008 patients and their families. Able to accurately assess patients and come up with good medical plans. IM-INT Comunicated well with Consulting Residents. Shilpa did this Hospitalist rotation early in her Interniship year. HOSP-UH I expect her to be a superior resident by the end of her Internship as she gets more experience. Nwankwo, Ngozi 09/26/2008 15) insufficient interactions IM-INT HOSP-UH Snyder, Richard 15) excellent intern really enjoyed working with this resident should develop into an excellent 11/18/2008 IM-ICU-VA

Gerson, Myron 12/02/2008 15) Excellent overall performance. Hard-working resident. Solid patient evaluation skills and clinical IM- judgement. Very good medical knowledge base. Discharge summaries are outstanding. CARDSJ6S- UH Kamath, Suresh 12/17/2008 15) i IM-NEPH- UH Reif, Max 01/03/2009 15) Excellent performance. Well organized, efficient and also caring, with good clinical judgement. IM-RENAL- Presentations and written notes were outstanding. UH Maddukuri,

resident

Vinaya 15) Very good resident. Methodical, hard working and has excellent temperment. Will do very well in the 01/24/2009 future. IM-INT HOSP-UH

E x ~ o r t to Excel Notes:

A blank Standard Deviation indicates that there IS elther no deviation (only one score) or that this statistic does not apply to the question

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