evaluation team report for provisional approval …correction of factual errors. the sponsoring...

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CPME 380 REV: February 2008 Council on Podiatric Medical Education American Board of Podiatric Orthopedics and Primary Podiatric Medicine American Board of Podiatric Surgery constituents of the Joint Residency Review Committee EVALUATION TEAM REPORT FOR PROVISIONAL APPROVAL OF PODIATRIC MEDICAL AND SURGICAL RESIDENCY CONFIDENTIAL INSTITUTION: ADDRESS: CITY-STATE-ZIP: EVALUATION TEAM CHAIR: EVALUATION TEAM MEMBER(S): DATE(S) OF EVALUATION: CPME STAFF LIAISON: RESIDENCY IN PODIATRIC MEDICINE AND SURGERY-24 REQUESTED NUMBER OF RESIDENTS PER YEAR: RESIDENCY IN PODIATRIC MEDICINE AND SURGERY-36 REQUESTED NUMBER OF RESIDENTS PER YEAR: NOTE : The Joint Residency Review Committee has determined that the residency program(s) described in this evaluation team report is eligible for on-site evaluation. This status indicates that the institution appears to be developing a residency that has the potential for meeting the standards and requirements for approval established by the Council on Podiatric Medical Education. Neither eligibility for on-site evaluation nor the conduct of an initial on-site evaluation ensures eventual approval. The Council will consider this team report in determining whether to grant or withhold provisional approval. The effective date of provisional approval is the date on which a resident may become active in the residency program(s). Provisional approval will not be considered for any training year or portion of a training year prior to the effective date of granting of provisional approval.

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Page 1: EVALUATION TEAM REPORT FOR PROVISIONAL APPROVAL …correction of factual errors. The sponsoring institution is encouraged to respond in writing to areas of potential noncompliance

CPME 380 REV: February 2008

Council on Podiatric Medical Education

American Board of Podiatric Orthopedics and Primary Podiatric Medicine

American Board of Podiatric Surgery constituents of the

Joint Residency Review Committee

EVALUATION TEAM REPORT FOR PROVISIONAL APPROVAL OF PODIATRIC MEDICAL AND SURGICAL RESIDENCY

CONFIDENTIAL

INSTITUTION: ADDRESS: CITY-STATE-ZIP: EVALUATION TEAM CHAIR: EVALUATION TEAM MEMBER(S): DATE(S) OF EVALUATION: CPME STAFF LIAISON:

RESIDENCY IN PODIATRIC MEDICINE AND SURGERY-24 REQUESTED NUMBER OF RESIDENTS PER YEAR:

RESIDENCY IN PODIATRIC MEDICINE AND SURGERY-36

REQUESTED NUMBER OF RESIDENTS PER YEAR: NOTE: The Joint Residency Review Committee has determined that the residency program(s) described in this evaluation team report is eligible for on-site evaluation. This status indicates that the institution appears to be developing a residency that has the potential for meeting the standards and requirements for approval established by the Council on Podiatric Medical Education. Neither eligibility for on-site evaluation nor the conduct of an initial on-site evaluation ensures eventual approval. The Council will consider this team report in determining whether to grant or withhold provisional approval. The effective date of provisional approval is the date on which a resident may become active in the residency program(s). Provisional approval will not be considered for any training year or portion of a training year prior to the effective date of granting of provisional approval.

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INSTITUTIONS VISITED (Name, Location, Relationship [Co-sponsor or Affiliate])

STAFF INTERVIEWED

Chief Administrative Officer: Director of Podiatric Medical Education: On-site Coordinator: Chief of Podiatric Staff: Director of Medical Education: Chief of Medical Staff: Chief of Surgical Staff: Podiatric Staff (must represent the majority of those involved in the training experiences afforded the residents): Medical/Other Staff: NOTE: If individuals listed on the agenda were unavailable for interview, please indicate who was unavailable and why as well as any other pertinent comments regarding the institution’s efforts in preparing for the on-site evaluation.

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SUMMARY OF FINDINGS INSTRUCTIONS TO EVALUATION TEAM: In response to each of the questions below, please write a concise and relevant narrative statement on the following page. Your comments should be specific to each statement, include sufficient detail to describe all areas of activity, and be supported with factual data. The information that you provide must be consistent with information provided elsewhere in the report. Your response will be edited by staff into a summary of findings that includes the narrative statement provided by the other evaluator(s), as well as information provided in the narrative responses related to each standard. The questions will not appear in the summary of findings presented to the sponsoring institution. a. Describe the sponsoring institution. (Responses should address, but not be limited to, the

following areas: accreditation, number of beds, information on co-sponsorship [if applicable], other residency programs provided.)

b. Describe the administrative structure of the residency program and any potential

changes under consideration by the program (e.g., institutional affiliations and training provided, who is responsible for coordinating the program’s activities at the sponsoring institution and the affiliated institution [if applicable], anticipated amount of time resident will spend at other sites [if applicable]).

c. Describe the curricular structure of the residency program and any potential changes

under consideration by the program (e.g., competencies, training resources, extent of office experiences, involvement of podiatric and non-podiatric medical staff, didactic experiences).

d. Describe any other factors that may be important regarding the institution’s ability to

activate this program.

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SUMMARY OF FINDINGS-continued

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CPME REQUIREMENTS Based on the on-site evaluation process, the evaluation team may identify areas of potential noncompliance. The sponsoring institution receives a draft copy of the evaluation team report for correction of factual errors. The sponsoring institution is encouraged to respond in writing to areas of potential noncompliance and recommendations identified by the evaluation team, and provide documentation to support the response. The draft copy of the evaluation team report, and any response and documentation submitted by the sponsoring institution, is then considered by the Joint Residency Review Committee. Based upon a recommendation from the Committee, the Council determines the approval status of the program. The sponsoring institution receives a final copy of the evaluation team report and is notified of the approval action of the Council. Areas of noncompliance determined by the Council may include, but are not limited to, those indicated by the evaluation team. The institution will be requested to submit documentation of progress made in addressing areas of noncompliance and/or concerns expressed by the Committee or the Council. Areas of noncompliance are identified within two areas: Institutional Standards and Requirements and Program Standards and Requirements. For further description of the Council’s standards and requirements, please consult CPME 320, Standards and Requirements for Approval of Residencies in Podiatric Medicine and Surgery (July 2007). INSTRUCTIONS TO EVALUATION TEAM: During the on-site evaluation of a residency program, the evaluation team will gather detailed information as to whether the requirements of the residency program have been met. Compliance with the requirements provides an indication of whether the broader educational standard has been met. In the requirements, the verb “shall” is used to indicate conditions that are imperative to demonstrate compliance. In responding to the questions/statements, please be aware if the guidelines in the 320 document utilize the verbs “must” and “is,” then this is how a requirement is to be interpreted, without fail. The approval status of a residency program is at risk if noncompliance with a “must” or an “is” is identified. Indicate each area of potential noncompliance and identify by number the specific requirement. Each area identified must be supported by descriptive statements that provide reasons for the assessment by the evaluation team that the program is in noncompliance. These statements must be consistent with information provided elsewhere in the report. Please keep in mind that the nature and seriousness of each area of potential noncompliance are considered in determining compliance with the related standard and ultimately in determining the approval status of the program.

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I. Institutional Requirements (see pages 9-15, CPME 320)

Residency in Podiatric Medicine and Surgery-24

Residency in Podiatric Medicine and Surgery-36 II. Program Requirements (see pages 16-31, CPME 320)

Residency in Podiatric Medicine and Surgery-24

Residency in Podiatric Medicine and Surgery-36

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RECOMMENDATIONS INSTRUCTIONS TO EVALUATION TEAM: To assist the institution in developing and activating its proposed residency program(s), the evaluation team is urged to provide substantive recommendations. Recommendations may address areas such as the following:

strengths and weaknesses. effective use of institutional resources (e.g., clinical and/or administrative). involvement of podiatric and non-podiatric medical staff. training progression in light of program resources.

Residency in Podiatric Medicine and Surgery-24

Residency in Podiatric Medicine and Surgery-36

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INSTITUTIONAL STANDARDS AND REQUIREMENTS Includes requirements in Standards 1.0 to 3.0. There are no questions related to Standard 4.0, as the standard applies to the sponsoring institution’s responsibility to report to the Council on Podiatric Medical Education regarding the conduct of the residency program. STANDARD 1.0 The sponsorship and control of a podiatric residency program are under the specific administrative responsibility of a healthcare institution that develops, implements, and monitors the residency program. 1. Identify the type(s) of institution(s) that sponsors the residency program (Requirement 1.1): Hospital. Academic health center. Co-sponsorship. (Describe the arrangement. The institutions must define their

relationship to each other, with specific information related to the delineation of the extent to which financial, administrative, and teaching resources are to be shared. The document must describe the arrangements established for the program and the resident in the event of dissolution of the co-sponsorship. This information must be included in an appropriate agreement related to the residency program.):

2. For each institution, including the sponsor and co-sponsor (if applicable), provide the name

and location, the accrediting agency, the length of accreditation granted and, for affiliates, whether appropriate documentation exists of the relationship to the sponsor (including the date the document was signed) and the name of the on-site coordinator (1.2 and 1.3):

Name City, State Accred/

throughYear

Affil (y/n)/ Date

Name of On-Site Coordinator

Coordinator Holds a Staff Appointment (y/n)

Comments:

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3. The affiliation agreement with each secondary institution that will provide training (1.3): Acknowledges the affiliation. Yes No Delineates financial support (including resident liability) of each Yes No training site. Delineates educational contributions of each training site. Yes No Is signed and dated by the chief administrative officer of each Yes No training site. Is forwarded to the director of podiatric medical education. Yes No If no to any statement, please provide an explanation/clarification. 4. The entirety of training experiences provided at sites located beyond daily Yes No commuting distance from the sponsoring institution and/or co-sponsor is no more than one-twelfth of the entire residency (1.3). If no, please provide an explanation. 5. Use the space below to provide any additional information or further clarification for items that

have not been addressed in this section of the report (Standard 1.0):

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STANDARD 2.0 The sponsoring institution ensures the availability of appropriate facilities and resources for residency training. 6. The sponsoring institution will ensure that the physical facilities, equipment, Yes No

and resources of the primary and affiliated training site(s) are sufficient (i.e., well maintained and properly equipped) to permit achievement of the stated competencies of the residency program (2.1). If no, please provide an explanation.

7. The following are available for resident training (2.1):

Adequate patient treatment areas. Yes No Adequate training resources. Yes No A health information management system. Yes No

If no to any statement, please provide an explanation.

8. The sponsoring institution will afford the resident ready access to the following resources (2.2).

Podiatric texts. Yes No Medical texts. Yes No Other reference texts . Yes No Journals. Yes No Audiovisual materials. Yes No Instructional media. Yes No Electronic retrieval of information from medical databases. Yes No If no to any statement, please provide an explanation/clarification. 9. The sponsoring institution will afford the resident ready access Yes No to adequate information technologies and resources (e.g., computer hardware, software, and related resources) (2.3). If no, please provide an explanation.

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10. The sponsoring institution will afford the resident ready Yes No access to adequate office and study spaces (2.4). If no, please provide an explanation. 11. Adequate support staff are available to ensure efficient administration Yes No

of the program (2.5). If no, please provide an explanation.

12. Use the space below to provide any additional information or further clarification for items that

have not been addressed in this section of the report (Standard 2.0):

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STANDARD 3.0 The sponsoring institution formulates, publishes, and implements policies affecting the resident. 13. The sponsoring institution has identified a committee that is responsible Yes No

for interviewing and selecting the resident (3.1). If no, please provide an explanation.

Briefly describe the composition of the committee and the interview/selection process: 14. Prospective residents will be informed in writing of the selection process Yes No and conditions of appointment established for the program (3.2).

If no, please provide an explanation.

15. The institution makes available a written copy of the residency curriculum Yes No to the prospective resident (3.2). If no, please provide an explanation. 16. The sponsoring institution plans to participate in a national resident Yes No application matching service (3.3). If no, please provide an explanation. 17. Will the applicant be charged a fee (3.4)? Yes No If yes, what is the amount and to whom is it paid?

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18. If the applicant will be charged a fee, does the fee include (3.4): Processing of the application? Yes No Participation in the national resident application matching service? Yes No Final interview at the institution? Yes No Other? (specify) Yes No 19. Are the policies regarding application fees published (3.4)? Yes No If yes, where? If no, please provide an explanation. 20. Will each program applicant be notified as to (3.5):

The completeness of his/her application? Yes No The final disposition (acceptance or denial) of his/her application? Yes No

If no to either statement, please provide an explanation. 21. Each resident is required to be a graduate of an accredited college or Yes No school of podiatric medicine (3.6). If no, please provide an explanation. 22. The resident will be (3.7):

Compensated equitably with other residents at the institution and/or in Yes No the geographic area. Given the same rights and privileges as other residents at the institution Yes No and/or in the geographic area. If no to either statement, please provide an explanation. 23. What form of written agreement will exist between the sponsoring institution and the resident

(3.8)? Contract Letter of Appointment

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24. The contract or letter will state the category and length of the program (3.8). Yes No If no, please provide an explanation. 25. The contract or letter will state the resident stipend (3.8). Yes No If yes, state the amount. $_____________, $_______________, $_____________ If no, please provide an explanation. 26. The agreement will be signed and dated by the (3.8): Chief administrative officer/Appropriate senior administrative officer. Yes No

Director of podiatric medical education. Yes No Resident. Yes No If no to any statement, please provide an explanation.

27. If a letter of appointment is used, the resident will be provided with a Yes No written confirmation of acceptance, which will be forwarded to the chief administrative officer or the appropriate senior administrative officer (3.8). If no, please provide an explanation. 28. In co-sponsored programs, describe the contractual arrangement between the institutions and

the resident. Include whether it will be signed and dated by the chief administrative officer of each co-sponsoring institution, the director of podiatric medical education, and the resident (3.8).

29. The contract describes the arrangements established for the resident and the Yes No program in the event of dissolution of the co-sponsorship. If no, please provide an explanation.

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30. The agreement includes or references the following (3.9):

Duties of the resident and hours of work. Yes No Duration of the agreement. Yes No Health and disability insurance benefits. Yes No Professional, family, and sick leave benefits. Yes No Leave of absence. Yes No Professional liability insurance coverage. Yes No Other benefits, if provided. Yes No

Briefly describe these other benefits: If no to any statement, or if the guidelines for requirement 3.9 are not fully met, please provide an explanation/clarification.

31. The sponsoring institution will ensure that the following written policies and mechanisms are

distributed to and acknowledged in writing by the resident prior to the start of the training program (3.10):

Mechanism of appeal/due process policies. Yes No

Remediation methods established to address instances of unsatisfactory Yes No resident performance. Rules and regulations for resident conduct. Yes No If no to any statement, please provide an explanation/clarification.

32. The sponsoring institution will ensure that any revisions to the following written policies and mechanisms are distributed to and acknowledged in writing by the resident (3.10):

Mechanism of appeal/due process policies. Yes No

Remediation methods established to address instances of unsatisfactory Yes No resident performance. Rules and regulations for resident conduct. Yes No If no to any statement, please provide an explanation/clarification.

33. Describe the remediation methods available (3.10).

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34. The institution(s) will provide an appropriate certificate verifying satisfactory Yes No completion of training requirements to each graduating resident (3.11). If no, please provide an explanation.

35. The certificate states the following (3.11):

Category of the training program. Yes No Dates of completion of the resident’s training. Yes No Approval by the Council on Podiatric Medical Education. Yes No

If no to any statement, please provide an explanation. 36. The sponsoring institution ensures that the program has been established Yes No

and will be conducted in an ethical manner (3.2, 3.12). If no, please describe how it is not. 37. Use the space below to provide any additional information or further clarification for items that

have not been addressed in this section of the report (Standard 3.0):

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PROGRAM STANDARDS AND REQUIREMENTS STANDARD 5.0 The residency program has a well-defined administrative organization with clear lines of authority and a qualified faculty. 38. The sponsoring institution has designated one podiatrist as director of Yes No

podiatric medical education (5.1). If no, please provide an explanation.

39. The director of podiatric medical education is provided proper authority Yes No by the sponsoring institution to fulfill the responsibilities of the position (5.1). If no, please provide an explanation. Additional comments: 40. The director possesses (5.2):

Appropriate clinical qualifications. Yes No Appropriate administrative qualifications. Yes No Appropriate teaching qualifications. Yes No

Board certification. Yes No Please indicate which board(s): ___ ABPOPPM ___ ABPS If no to any item above, please provide an explanation.

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41. Assess the extent to which the director has planned and/or implemented the following administrative structural elements for coordination and direction of the residency program(s) in all participating institutions (5.3):

Rating Scale: 1-Good; 2-Fair; 3-Poor

1 2 3

Maintenance of records. ( ) ( ) ( ) Communication with the JRRC and CPME. ( ) ( ) ( ) Scheduling of training experiences. ( ) ( ) ( ) Resident instruction. ( ) ( ) ( ) Resident supervision. ( ) ( ) ( ) Resident evaluation. ( ) ( ) ( ) Curriculum review and revision. ( ) ( ) ( ) Program self-assessment. ( ) ( ) ( ) Resident participation in training ( ) ( ) ( ) resources. Resident training in didactic experiences. ( ) ( ) ( )

If any of the above receive(s) a rating of fair or poor, indicate the reason(s) for this rating, including your assessment of whether the amount of time spent by the director will be sufficient to fulfill each of the above responsibilities.

42. The director will not delegate to the resident any of his/her Yes No administrative duties. If no, please provide an explanation. 43. The director will ensure that each resident receives equitable training Yes No experiences (5.3). If no, please provide an explanation. 44. How many hours per week will the director devote to the residency program (5.3)?

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45. The director will participate in faculty development activities at least Yes No annually (5.4).

If yes, please describe. If no, please provide an explanation. 46. How many podiatric faculty members will be involved actively in the training program (5.5)? 47. This number is sufficient to (5.5):

Achieve the stated competencies. Yes No Supervise the resident. Yes No Evaluate the resident. Yes No

If no to any statement, please provide an explanation. 48. Podiatric medical faculty members will take an active role in (5.5): Presentation of didactic activities to the resident. Yes No Discussion of patient evaluation and management with the resident. Yes No Review of patient records with the resident to ensure accuracy and Yes No completeness. If no to any statement, please provide an explanation. 49. Podiatric medical faculty members are qualified by education, training, Yes No

experience, and clinical competence (5.6). Please provide an explanation.

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50. How many podiatric faculty members (excluding the program director) who will participate actively in the program are certified by (5.6):

American Board of Podiatric Orthopedics and Primary Podiatric Medicine (ABPOPPM)

American Board of Podiatric Surgery (ABPS)

ABPOPPM and ABPS

51. How many non-podiatric medical faculty members will be involved actively in the training

program (5.5)? 52. This number is sufficient to (5.5):

Achieve the stated competencies. Yes No Supervise the resident. Yes No Evaluate the resident. Yes No

If no to any statement, please provide an explanation. 53. Non-podiatric medical faculty members will take an active role in (5.5): Presentation of didactic activities to the resident. Yes No Discussion of patient evaluation and management with the resident. Yes No Review of patient records with the resident to ensure accuracy and Yes No completeness. If no to any statement, please provide an explanation. 54. Non-podiatric medical faculty members are qualified by education, Yes No

training, experience, and clinical competence (5.6). Please provide an explanation. 55. Use the space below to provide any additional information or further clarification for items that

have not been addressed in this section of the report (Standard 5.0):

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STANDARD 6.0 The residency program in either Podiatric Medicine and Surgery-24 (PM&S-24) or Podiatric Medicine and Surgery-36 (PM&S-36) is a resource-based, competency-driven, assessment-validated program that consists of two or three years, respectively, of postgraduate training in inpatient and outpatient medical and surgical management. The program provides training resources that facilitate the resident’s sequential and progressive achievement of specific competencies. 56. The curriculum of the PM&S-24 is completed within ______ months. (6.0) The curriculum of the PM&S-36 is completed within ______ months. 57. The curriculum is clearly defined (6.1). Yes No The curriculum will be distributed at the beginning of the training year to all Yes No

individuals involved in the training program (6.1). If no to either statement, please provide an explanation.

58. The sponsoring institution will require the resident to maintain logs Yes No documenting participation in all relevant podiatric medical and podiatric surgical activities (6.2). If no, please provide an explanation. 59. These logs are in a format approved by the JRRC (6.2). Yes No If no, please provide an explanation. 60. The resident’s logs will be reviewed, evaluated, and verified by the director Yes No at least quarterly (6.2). If no, please provide an explanation. 61. At the beginning of the training year, the program will publish a formal Yes No schedule for clinical training that includes experiences at all training sites (6.3). If no, please provide an explanation.

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62. At the beginning of the training year, the schedule will be distributed to (6.3): Residents. Yes No Faculty. Yes No Administrative staff. Yes No If no to any statement, please provide an explanation. 63. If the program will include podiatric private practice office-based training, what percentage of

the program is to be conducted in this setting (6.3)? If the percentage is greater than 20, please provide an explanation. 64. The curriculum will provide the resident experience in patient management Yes No in both inpatient and outpatient settings (6.4). Please provide an explanation. 65. The following individuals (e.g, director of podiatric medical education, chief of surgery, etc.)

were involved in the development of the residency curriculum (6.4): 66. The training resource in Diagnostic Modalities will include the following (6.5): Medical imaging. Yes No Laboratory studies. Yes No Anatomic pathology. Yes No Cellular pathology. Yes No Non-invasive vascular studies. Yes No Other (________________________) Yes No If no to any training experience, please provide an explanation.

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67. The resident will participate directly in ordering or performing (where Yes No applicable) and interpreting a variety of pertinent medical/surgical Diagnostic Modalities (6.5). Please provide an explanation. 68. The training resource in Medicine and Medical Subspecialties will include the following (6.6): Performing comprehensive medical history and physical exams Yes No (minimum 25). Formulating appropriate differential diagnoses. Yes No Ordering and interpreting diagnostic studies. Yes No Formulating and implementing appropriate plans of management. Yes No Other (________________________) Yes No If no to any statement, please provide an explanation. 69. The medicine requirement will include training in at least one of the following (6.6): Internal medicine. Yes No Family medicine. Yes No If no to either area, please provide an explanation. 70. The medical subspecialty requirement will include training in Behavioral Yes No science (6.6). If no, please provide an explanation.

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71. The medical subspecialty requirement will include training in at least one of the following (6.6):

Physical medicine and rehabilitation. Yes No Neurology. Yes No Dermatology. Yes No Infectious disease. Yes No Rheumatology. Yes No Sports medicine. Yes No Pain management. Yes No Wound care. Yes No If training is not provided in any of the above areas, please provide an explanation. 72. The resident will participate directly in the medical evaluation and Yes No management of patients from diverse populations (6.6). Please provide an explanation. 73. The training experiences are designed to allow the resident to develop Yes No the ability to utilize information obtained from the history and physical examination and ancillary studies to arrive at an appropriate diagnosis and treatment plan (6.6). Please provide an explanation. 74. The training experiences are designed to allow the resident to learn how Yes No to appropriately document the approach to treatment that will reflect adequate investigation, observation, and judgment (6.6). Please provide an explanation.

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75. The training resource in General Surgery and Surgical Subspecialties will include the following (6.7):

Understanding management of preoperative and postoperative surgical Yes No patients. Enhancing surgical skills. Yes No Understanding surgical procedures and principles applicable to Yes No non-podiatric surgical specialties. Other (_________________________) Yes No If no to any training experience, please provide an explanation. 76. The resident will participate directly in the surgical evaluation and Yes No management of non-podiatric patients (6.7). Please provide an explanation. 77. The surgical subspecialty requirement will include training in at least one of the following

(6.7): Orthopedic surgery. Yes No Plastic surgery. Yes No Vascular surgery. Yes No If no, please provide an explanation. 78. The training resource in Anesthesiology will include the following (6.8): Local anesthesia. Yes No General, spinal, epidural, regional, and conscious sedation anesthesia. Yes No Other (________________________) Yes No If no, please provide an explanation.

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79. The resident will (6.8): Participate directly in pre-anesthetic and post-anesthetic evaluation Yes No and care. Have the opportunity to observe and/or assist in the administration Yes No of anesthetics. Please describe how. 80. The resident will participate directly in urgent and/or emergent evaluation Yes No and management of podiatric and non-podiatric patients (6.9). Please provide an explanation. 81. The training experiences in Podiatric Surgery will emphasize evaluation, Yes No diagnosis, selection of appropriate treatment, and avoidance of complications (6.10). Please provide an explanation. 82. The training experiences in Podiatric Surgery will provide the resident opportunities to

demonstrate a progressive development of knowledge, attitudes, and skills leading to competence in preoperative, intraoperative, and postoperative assessment and management in the following surgical areas (6.10):

Digital surgery. Yes No First ray surgery. Yes No Other soft tissue foot surgery. Yes No Other osseous foot surgery. Yes No Reconstructive rearfoot and ankle surgery (PM&S-36 only). Yes No Other procedures. Yes No If no to any area, please provide an explanation.

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83. The training experiences in Podiatric Medicine will include the following (6.11): Performing problem-focused histories and physical examinations. Yes No Performing biomechanical evaluations and managing patients with lower Yes No extremity disorders. Interpreting diagnostic studies. Yes No Formulating appropriate differential diagnoses. Yes No Formulating and implementing appropriate plans of management. Yes No Assessing treatment plans. Yes No Providing podiatric services in community and/or other healthcare settings. Yes No Other (________________________) Yes No If no to any area, please provide an explanation. 84. The program will ensure that the resident is certified in basic life support Yes No for the duration of training (6.12). Please provide an explanation. 85. This certification will be obtained within six months of the resident’s Yes No start of the program (6.12). Please provide an explanation. 86. The residency curriculum will include instruction and experience in hospital Yes No protocol and medical record-keeping (6.13). Please provide an explanation. 87. The director of podiatric medical education will assure that the patient records accurately

document the resident’s participation in (6.13): Performing history and physical examinations. Yes No Recording of operative reports, discharge summaries, and progress Yes No notes. Please provide an explanation.

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88. Didactic activities that complement and supplement the curriculum will be Yes No available at least weekly (6.14). Please provide an explanation. 89. Describe the format(s) of the didactic activities and how often each activity will occur (6.13). 90. The residency curriculum will include instruction in research methodology Yes No (6.14). Please provide an explanation. 91. There will be a journal review session to facilitate the resident’s reading, Yes No analyzing, and presenting medical and scientific literature (6.15). If yes, how often will it meet? Who will participate? If no, please provide an explanation. 92. The resident will be afforded appropriate faculty supervision during all Yes No training experiences (6.16). Please provide an explanation. 93. Use the space below to provide any additional information or further clarification for items that

have not been addressed in this section of the report (Standard 6.0):

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STANDARD 7.0 The residency program conducts self-assessment and assessment of the resident based upon the competencies. 94. The resident’s attainment of competencies will be assessed and validated by Yes No the director of podiatric medical education and the faculty on an ongoing basis (7.1). Describe the assessment tool(s): 95. The director of podiatric medical education will conduct a formal meeting, Yes No

at least quarterly, with the resident (7.1). Please provide an explanation.

96. The completed assessment instruments will include the following (7.1): Dates covered by the assessment. Yes No

Signature of faculty member and date of assessment. Yes No

Signature of resident and date of assessment. Yes No

Signature of director and date of assessment. Yes No

Comments:

97. The timing of the assessment for each competency will allow sufficient Yes No opportunity for remediation (7.1). Please provide an explanation.

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98. A formal process will be developed for annual self-assessment of the Yes No program’s resources and curriculum (7.2).

Describe the process that will be used including the following aspects: Identification of individuals involved:

Performance data to be utilized (i.e., evaluation of the program’s compliance with the current standards and requirements of the Council, the resident’s formal evaluation of the program, the director’s formal evaluation of the faculty, and the extent to which the didactic activities complement and supplement the curriculum):

Measures of program outcomes to be utilized (i.e., resident performance on external exams, including board qualifying exams):

If no, please provide an explanation.

99. Use the space below to provide any additional information or further clarification for items that have not been addressed in this section of the report (Standard 7.0):

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ADDITIONAL INFORMATION EACH EVALUATOR: Please write a concise and relevant narrative statement in response to each of the questions below. Your comments should be specific to each question, include sufficient detail to describe all areas of activity, and be supported with factual data. The information that you provide must be consistent with information provided previously in the report and must address the training provided in both podiatric medicine and podiatric surgery. 100. Are the examination/treatment room, operating room, and equipment Yes No

appropriate for the training program?

Comments: 101. Will the resident be provided opportunity to discuss with the attending Yes No

the rationale for the treatment as well as available alternative procedures? The rationale for the surgical procedure as well as available alternative Yes No procedures?

Comments: 102. Describe the types of inpatient podiatric management experiences that will be afforded the

resident. 103. Comment on the diversity of the podiatric patient population available for residency training. 104. Describe the methods by which the curriculum will include the development of patient-

physician communication skills. 105. Provide a summary statement to describe the training provided in podiatric medicine and

podiatric surgery. This statement will be included in the overall summary of findings (pages 3-4) presented to the program.

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NOTES