Supervision and Evaluation of Residents
The large faculty complement of full-time Otolaryngology-Head
and Neck Surgeons are dedicated to the academic development of
our resident group of fifteen individuals, allowing for excellent
mentorship that is frequently on a one-to-one basis. It is our
goal to give residents comprehensive experience in all areas of
our specialty in order for them to become independent and knowledgeable
clinicians and surgeons. Residents are given significant but well-supervised
latitude in the management of both clinical and operative cases.
Clinical, teaching and research activities are closely monitored
by OTOHNS faculty with residents gaining increasing responsibility
according training level and capability.
Residents
benefit from the fact that most of the faculty have appointments
at multiple medical centers. These benefits include exposure to
the core faculty in different clinical settings, consistency and
stability in surgical training, and the core faculty/resident interaction
that is necessary for accurate, in-depth evaluations. All faculty
participate in OTOHNS curriculum and in the resident evaluation
process.
Residents
receive rapid and direct feedback regarding the management of patients,
both on the ward and in the operating room. Additionally, residents
are formally evaluated by faculty on all aspects of resident performance
at the end of each rotation. This written evaluation includes aspects
from all portions of training: professional demeanor, clinical
acumen and judgment, surgical technical skills, administrative
abilities and research and teaching accomplishments. Global assessments
are based on the six ACGME clinical competencies. Semi-annual summaries
are transcribed, along with duty hour calculations, operative experience
report summaries, in-training exam results, and home study course
results. The Program Director and Associate Program Director review
assessments and provide constructive criticism to each resident
confidentially. In addition, semi-annual 360 degree evaluations
are also given, which include responses from patients, nursing
and administrative staff. Residents maintain a portfolio documenting
their progress through the KUMC Competency Curriculum.
Resident
performance on the American Academy of Otolaryngology-Head and
Neck Surgery home study course and the American Board of Otolaryngology
in-training examination is used along with the above evaluations
in the overall assessment of individual residents. The annual in-training
examination helps to show how successfully each resident has integrated
material from the curriculum. A high level of performance on this
exam is expected from residents; currently, we require residents
to score above the 50th percentile for their year of training as
we feel that performance on this test is predictive of ultimate
resident performance on the American Board of Otolaryngology Certification
Examination. At the end of the residency, the Chairman and/or Program
Director perform exit interviews of all outgoing residents.
Program
evaluations are completed each year by faculty and residents; the
departmental Residency Education Committee meets and discusses
these assessments in order to continually improve the program.
Additionally,
all residents complete confidential annual evaluations of the teaching
faculty. These evaluations become a part of the faculty’s
permanent record and are considered important evidence of the faculty’s
teaching and mentoring abilities.
Each
year, the department holds a winter competency conference, which
usually takes place at a ski resort and is often attended by alumni.
In addition to educational conferences, faculty-resident group discussions
are held, and all aspects of the residency program are openly examined.