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 Palliative Medicine Evaluation

​​​​​​​​​​​​​​​​​​​​​​​​​​​Initial Responsibilities

  • First week: Complete Fellowship Goals Worksheet and review with Palliative Medicine Fellowship Program Director. This is modifiable and will be reviewed quarterly.
  • Within two months: Pass the required Marshfield Medical Center computer-based training program Curriculum on the Management of Pain

Longitudinal Responsibilities

  • Patient List: Continuous list of all new patients seen, including setting, disease, and problems
  • Competency Record: Comprehensive Record of competencies that will be "signed off" by faculty as they are attained
  • Reflective Case Log: Four patients will be chosen over the year, on which the palliative medicine fellow will answer reflective questions to help think critically about his approach to care. Topics will include: difficult pain; dyspnea; nausea/vomiting; nonphysical suffering; or family issue.

Rotational Evaluation 

  • End of each rotation: Resident Evaluation Form will be completed by the supervising attending faculty and reviewed with palliative medicine fellow

Quarterly Review and Evaluation with Program Director

  • Third month
    • Review Fellowship Goals Worksheet
    • 360-Degree Evaluation
    • Medical Record Review
  • Sixth month
    • Review Fellowship Goals Worksheet
    • Patient Surveys
  • Ninth month
    • Review Fellowship Goals Worksheet
    • 360-Degree Evaluation
    • Medical Record Review
    • Patient Surveys
  • Twelfth month​
    • Review Fellowship Goals Worksheet
    • Fellowship Graduate Survey and Exit Interview

Ongoing Feedback Responsibilities

  • First year post graduation: Fellowship Graduate Survey

Evaluation descriptions:​

Fellowship Goals Worksheet: Designed to help the palliative medicine fellow take a goal-oriented approach to training, with the six core competency domains in mind. As noted, this is a dynamic document that is modifiable as needs and goals change.

Patient List: The Patient List allows the Fellow to have a record of numbers of patients seen and with what problems. It might be used to target certain settings (e.g. home visits) or problems (e.g. ALS) if needed. It can also be valuable reflectively.

Competency Record: The Competency Record assures that we graduate physicians who truly are competent in the specific areas necessary to be a palliative medicine specialist.

Reflective Case Log: The purpose of the Reflective Case Log is for the palliative medicine fellow to reflect on his or her practice and learning experiences in-depth. Intent is life-long reflective practice.

360-Degree Evaluation: Utilized to help palliative medicine fellow gain insight into how he or she is perceived by others, with a focus on professionalism, interpersonal skills and communication skills. Interdisciplinary team will play a major role in this evaluation method.

Medical Record Review: These reviews will help assess patient care, documentation, and medical knowledge. Due to variety of visit type, there are separate forms for inpatient consults, inpatient follow up, outpatient consults, and inpatient principal care.

Patient Surveys: Opportunity to get feedback from the people that matter most in our work. There really is no other way of knowing how we are perceived by the patient.

Fellowship Graduate Survey: Designed to get feedback on the program, faculty and overall experience so it can be continually improved.