Department of Pediatrics
 Resident Portfolio

  Carol Carraccio                                    

Practice Improvement Project

Student/Resident/Reviewer:  Jon Smith
Date:   02/27/2003
Evaluator(s):   Carol Carraccio
Status:   Submitted For Review

I.

Define the question – think about a recurrent theme in your own continuity clinic practice and focus on a specific question that you want to address

II.

Design a data sheet for chart review

III.

Outline a methodology for the chart review process (i.e. how many charts, random versus selected, etc) and explain reasons for selected methods

IV.

Collect your data

V.

Design an intervention that will allow you to make a positive impact on the issue/problem that you are investigating

VI.

Implement the intervention

VII.

Reassess the issue/problem by repeating chart review in step III (i.e. outcome as a result of intervention)

VIII.

Retrospectively address strengths and limitations of project (outline format)

IX.

Write a summary statement, limited to two pages, that addresses each of the points above; append data collection template to summary

Date of Appraisal:
02/28/2003

File Attachments:
 Submitted Practice-Based Learning and Improvement document

Project Evaluation
Level of Competence
Below Standards
Meets Standards
Exceeds Standards
Criterion
1. Question
 Vague Focused
2. Data Sheet Design
 Data Sheet addresses few critical elements Data sheet addresses most critical elements Data sheet addresses virtually all critical elements
3. Charts Reviewed
 Reviews < 50 charts Reviews 50 - 100 Charts Reviews > 100 Charts
4. Methodology
 Does not address sampling bias Uses at least 1 strategy to avoid sampling bias Uses several strategies or randomization to avoid sampling bias
5. Intervention Design
 Little positive impact on practice Facilitates practice improvement
6. Outcome Assessment
 Misses or misinterprets the main outcome Accurately assesses the main outcome Accurately assesses main outcome; explains limitations of the study

Criteria for Overall Assessment:

 Below Standards: Learner is below standards on two or more of the six criteria

Meets Standards: Learner must meet standards for at least five of the six criteria

Exceeds Standards: Learner must exceed standards for those four criteria that can result in exceeding standards, and meet standards on the remaining two

Overall Assessment:

Comments: