SKMC Emergency Medicine Resident Shift Assessment Form

Medical Knowledge

Patient Care (History/Physical Exam/Diagnostic treatment/ Disposition)

Interpersonal & Communication Skills with patients, family, medical & non-medical staff

Professionalism (Behavior, punctuality)

System-Based Practice (use/understanding of other teams in health care system, understands billing/finance issues, understands potential deficiencies in healthcare)

Practice-Based learning (Understands limitations/ listens to feedback, Use of IT or other resources to facilitate best care)

SKMC Emergency Medicine Resident Shift Assessment Form
Resident Name*
Location*
CriticalEDAPediatricsIntake / Procedure
Resident arrived for the shift at *
Assessor*
Other
Please Grade on Scale 1 to 5
1=Poor*, 2=Below Average*, 3= Average, 4= Above Average, 5=Excellent, NO=Not Observed
*Must provide comment if any category was below average or poor