Supervision of Residents

In all rotations and electives, Residents must have suitable supervision at all times from a member of the Residency Program Teaching Staff. The level of supervision that is required for individual rotations varies with the nature of the rotation and also with the experience of the Resident. Although bringing Residents to a level of competence where they are able to practice independently is a goal of the Residency Training Program, under no circumstances does the Resident engage in clinical or diagnostic activity or research without having access to a faculty supervisor. As a matter of graded responsibility, senior Residents and fellows may also serve as intermediate between the junior Resident and the Attending, however ultimate responsibility for clinical decisions always resides with the faculty pathologist.

Methods of Evaluation and Use of Evaluations

Individual Evaluations
Written evaluations of Resident performance are completed periodically by faculty members have been significant contact with the Resident. Topics evaluated in the Resident's performance correspond to the six Core Competencies stated in the ACGME Outcome Project as defined in this Program Statement. Written evaluations are assigned and collected using the internet-based service Each evaluation of a resident is immediately sent by email to the resident for comment. The evaluation with comment is forwarded to the Program Director for review. Evaluations are printed and are filed in the Residency Office, where they may be viewed by the resident during business hours. Resident attendance at didactic conferences is closely monitored. Residents are expected to attend morning didactic conferences throughout their training in both Anatomic Pathology and Clinical Pathology years.

In addition to any evaluation meetings that may occur on individual rotations, each Resident is required to meet with the Program Director for about one half hour every six months. In this interim evaluation interview, three topics are discussed. First of all, the Resident's written performance evaluations are reviewed and summarized by the Program Director. Second, the career plans of the Resident are solicited, in addition to any immediate plans for advanced training. Finally, the Resident is given a chance to voice any concerns that may affect his training or ability to reach his stated career goals.

By participating in these meetings, it is anticipated that a dialogue will develop with each Resident that will allow the Resident to improve his performance based on feedback from the Attending Staff. In addition, the Residency Program has a chance to respond to criticisms from the Resident in a constructive manner. Finally, as a result of this process, the training of the Resident can be coordinated to meet a clearly stated career plan.

In Service Examination
The Residency Training Program subscribes to the Residency In Service Examination Program sponsored by the American Society of Clinical Pathologists. Each year, Residents are required to take the part or parts of the examination that are relevant to their Training Program. Each Resident receives feedback about his examination scores and the Residency Program receives individual and aggregate scores in each tested subdiscipline. Resident performance on this examination may be used in consideration for promotion, remediation or termination.

Evaluations of Faculty by Residents
Residents are asked to evaluate faculty on an annual basis. Residents may also complete an unsolicited evaluation of any faculty member at any time. Faculty are evaluated on a number of educational and personal qualifications that are established by residents. Assignment and collection of evaluations of faculty by residents is also conducted using the internet service To protect the interest of the resident and to encourage candid comments, evaluations are stripped of all identifying information and are withheld from faculty review until at least five residents have evaluated the faculty member.

Evaluation of Program by Residents
Residents complete evaluations of program rotations on an annual basis. Evaluations are assigned and collected using the service and are made anonymous in the same way described for evaluations of faculty members.

Monthly feedback lunch sessions are held for the residents as a group to come together to discuss matters arising in the training program. The agenda for this meeting, including follow-up on previously discussed topics is set by the chief residents. All residents, faculty and departmental administrators are encouraged to attend this meeting.