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Policies and Procedures

8. Evaluation and Counseling

1. Fellow Evaluations monthly rotations
Fellows will receive a written evaluation at the completion of each one-month rotation to
be completed by their supervising attending. Evaluations will include the areas of medical
knowledge, patient care, professionalism, interpersonal skills and effective communication,
systems-based practice and practice-based learning and improvement. The fellows progress with
performance of key procedures will also be reviewed. This assessment will be recorded on the
standard electronic form provided through New Innovations. The evaluation forms will be kept
in the fellows portfolio in a confidential fashion by the fellowship program director. Attendings
will discuss these written evaluations face-to-face with the fellow at the completion of each
rotation and to give feedback during the course of the rotation prior to the formal evaluation
process.

II. Fellow Evaluations Continuity Clinic
Fellows will receive an evaluation of their continuity clinic experience on a twice a year
basis. This evaluation will be completed by the clinic supervising attending and address the
skills and characteristics outlined in part I above.

III. Fellow Evaluations multisource evaluations
Fellows will receive quarterly evaluations by continuity clinic, hemodialysis, hospital
nurse including ICU nurses.

IV. Assessment of Procedural Competence
Fellows are asked to keep a log of all invasive procedures performed utilizing the
procedure logger in New Innovations. Additionally, the ECU nephrology database will be
utilized to document the number of hemodialysis, continuous renal replacement therapy, and
peritoneal dialysis procedures performed.

V. Fellow Evaluations Semi-annual evaluation by program director
Each fellow will meet twice yearly with the fellowship program director to discuss their
progress and to review their evaluations to date. The fellowship director will provide appropriate
counseling where necessary. This evaluation will include areas of clinical competence including
medical knowledge, patient care, professionalism, interpersonal skills and effective
communication, systems-based practice and practice-based learning and improvement. Progress
in continuity and other clinics will be addressed, numbers reviewed for HD shift and PD clinic as
well as procedural experience and proficiency of key procedures. All evaluations will be
reviewed. Results of the annual in-training exam will be reviewed.

VI. Fellow Summative Evaluations
At the completion of the nephrology fellows two-year clinical fellowship, a summative
evaluation will be prepared by the fellowship program director.

VII. Attending Evaluations
Each fellow will evaluate the attending physicians in the Division of Nephrology at the
completion of each of their rotations. This evaluation will be made available to the attending
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physician and will be maintained in a confidential manner. A record of these evaluations will be
kept by the fellowship program director who is expected to provide feedback and counseling to
the teaching attendings. These evaluations may influence future rotational assignments where
deemed necessary.

VIII. Annual Evaluation of Faculty and Fellowship
In the spring of each year, fellows will complete a written, confidential evaluation of key
and other faculty, and of the program as a whole. Areas to be evaluated will include rotations,
conferences, call schedules, and block schedules. These will be compiled by the coordinator in a
confidential manner, the original forms destroyed, and data reviewed individually with each
faculty as well as generally at the annual review of fellowship each June. In the fall of each year,
faculty will complete a confidential written evaluation of the program as a whole. These
evaluations, along with other evaluations, will be used during the annual review of fellowship
meeting(s) in May and/or June to assess program quality and improvement.

VI. Fellows Right of Appeal
Adverse evaluations or events will be discussed in detail with the program director and
the fellow will be given the opportunity to address all deficiencies or areas of misconduct. Any
disciplinary action will follow the rules and guidelines outlined for GME training through Vidant
Medical Center office of Graduate Medical Education. In the event of disagreement between the
evaluators and the nephrology fellow, the nephrology fellow has the right of review of this
evaluation and any planned disciplinary action through the office of GME. Fellows have the
right to view their evaluation file at any time, but are prohibited from viewing files of other
trainees.