Each rotation will have common and specific goals and objectives. Please
review each one prior to starting that rotation. The objectives will not
be the only things you will learn on each rotation but they are what you
will be measured by.
Program expectations of medicine residents:
1. Recognize that you are ultimately accountable for your own patient care
and education and this requires continuous effort. You understand the
connection between effort and results.
2. Seek feedback and be willing to improve performance if needed. You understand
that feedback is sometimes difficult to accept but studies show that resistance
to feedback often predict poor performance.
3. Self-reflect to foster personal growth. You will develop strategies
4. Help your teammates if they are struggling and if unable seek help on
their behalf. You will support your team.
5. Attend at least 80% of all educational conferences if you are able.
You will organize your day to prioritize education sessions and help your
colleagues do the same.
6. Be on time and be prepared. You will demonstrate respect for your instructors
and colleagues by being on time and doing any assigned reading and work.
7. Develop and commit to a reading plan. You will read something substantial
almost every day.
8. Provide feedback to the program to optimize your experience and your
colleagues. Your feedback is one of the most important ways the program
9. Embody the core values of honesty, integrity, caring, compassion, empathy,
respect and trustworthiness. You will remember that you represent your
profession and your institution.
You will be supervised by an attending physician for all patients you encounter
1. Direct Supervision - The supervising physician will be physically present
with you and your patient
2. Indirect Supervision - the supervising physician is not physically present
within the hospital or other site of patient care but is immediately available
by telephone and/or other electronic modalities and is available to provide
For some aspects of patient care, the supervising physician may be a more
senior resident or fellow.
You will be evaluated during residency via multiple sources. Each rotation
will use a combination of the methods below:
1. Direct observation by attending physicians
2. Multisource feedback by interprofessional team members (e.g. nurses,
case managers, social workers, pharmacist, etc.) as well as peers and students
4. Clinical quality data evaluation (patient census, clinical metrics, etc.)
5. Chart review
6. Research Projects and Scholarly activities
7. Knowledge Testing (Board Review Questions)
8. Participation level (case conferences, morning report)
Evaluation Scale for each skill (Patient Care, Medical Knowledge, Communication,
Systems-based Practice, Practice-based learning, Professionalism)
1. Remedial: You cannot achieve goal even with assistance
2. Emerging Skills: You may act under proactive, ongoing full supervision
3. Nearly Competent: You may act under reactive supervision (i.e. supervision
is readily available upon request)
4. Competent: You may act independently
5. Outstanding: You may act as a supervisor/instructor
Most interns will start with 2 and progress to 3 on most measures by the
end of the year. Most PGY2/3 residents will start with 3 and progress
on most measures to 4 by the end of the residency.
The goal of the residency training program is to achieve the level of competency
where the resident is able to act independently and be ready for unsupervised practice.
Rotation-Specific Goals and Objectives