Biannual Review - Director

BIANNUAL REVIEW OF EVALUATIONS

	Resident:	Jon Smith
	Mentor:	Demo Doc
	Date:
	Status:	New

Please check one of the statements below:
	One or more evaluations reflect an overall performance that is below expected levels Evaluations reflect an overall performance that is at expected levels but document a few performance indicators or competency components that are below expected levels All evaluations reflect both an overall performance that meets expected levels and document that all individual performance indicators and-or competency components meet expected levels Some evaluations reflect overall performance or competency components that are above expected levels
Please check any areas for improvement that were discussed:
	Patient care/clinical skills Patient Care/ Inpatient/ Continuity and Procedure Logs Medical knowledge (including In-Training Examination (ITE) scores) Self-directed learning and practice improvement (including conference attendance) Interpersonal and communication skills Professionalism Professionalism/Timely completion of medical records Problem solving within the system (use of resources/ability to advocate/cost-containment)

	Comments: (please emphasize strengths in addition to concerns)

	Senior project question

	Check the items below to indicate that they have been discussed:
		Individualized learning plan using goals & objectives and ITE scores in preparation for the certification examination Career plans: potential interest in