Advanced education in general dentistry orientation information



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BY FACULTY MENTOR

Resident’s Name: __________________________________________________________


Period: 1st_____ 2nd_____ 3rd_____
Professional Performance 0 1 2 3

1. Clinical application of basic sciences ___ ___ ___ ___

2. Thoroughness of history and physical exam ___ ___ ___ ___

3. Discriminating use of prosthetic laboratory ___ ___ ___ ___

4. Clinical judgment ___ ___ ___ ___

5. General technical skill ___ ___ ___ ___

6. Caliber of case presentation ___ ___ ___ ___

7. Willingness to learn ___ ___ ___ ___

8. Interest in teaching ___ ___ ___ ___

9. Effectiveness as a teacher ___ ___ ___ ___

10. Interest in clinical research ___ ___ ___ ___

11. Rapport with patients ___ ___ ___ ___

12. Rapport with other personnel ___ ___ ___ ___

13. Efficiency in work organization ___ ___ ___ ___

14. Promptness in work completion ___ ___ ___ ___

15. Administrative ability ___ ___ ___ ___

16. Assumption of responsibility ___ ___ ___ ___

17. Effectiveness as a practice manager ___ ___ ___ ___

18. Correct Missing Charges Reports ___ ___ ___ __

19. Rotation to College Park Dental Clinic ___ ___ ___ ___

20. Rotation to Perryville Dental Clinic ___ ___ ___ ___

Key:


0 Not observed

1 Honors (Superior)

2 Pass (Satisfactory)

3 Fail (Unsatisfactory)



OVERALL CLINICAL COMPETENCE
Circle the number which best describes overall clinical competence.
HONORS PASS FAIL

(Superior) (Satisfactory) (Unsatisfactory)
9 8 7 6 5 4 3 2 1

I have reviewed this evaluation. Comments are as above.

Date: _____________ Resident’s Signature: ________________________________

Program Director’s Signature: _____________________________________________________


Comments:

GENERAL DENTISTRY CHECK-OFF LIST

FOR TRI-ANNUAL RESIDENT EVALUATION
A. Faculty evaluation of resident
1. Review of Portfolio

a. CPR Card

b. Pink Copy of Treatment Plans With Appropriate Signatures

c. Case Completes/ Quality Assessments (at least 10)

d. Seminar schedule/CE Courses

e. Case Presentations/Mini Presentations

f. Monthly Procedural Utilization Report

g. Monthly Productivity/Budget Report

h. Treatment Requirement Forms

i. Tri-annual Evaluation forms

j. Competency Statements

k. Competency and Proficiency Certification Forms

l. Resume

m. Signed Orientation Manual

n. Other documentation including biopsy reports, prescriptions, consults, ce

credits, etc.

2. Review of Status of Patient Treatment

3. Review of Needs (treatment areas where resident needs more experience)

4. Review of Clinical Performance

a. Quality of Work

b. New Techniques Learned

c. Complexity of Cases

d. Quantity of Work (Productivity sheets)

e. Q.A. Review (Case Complete and Chart Audits)

5. Review of Didactic Performance

a. Quality of Portfolio

b. Seminar Planning and Leading

c. Seminar Participation

d. Examination scores and grade transcripts
B. Resident Evaluation of Program

a. Quality and relevance of seminars

b. Quality and amount of clinical instruction

c. Clinical and laboratory support

d. Staff’s approach

e. Faculty’s approach

f. Q.A. review (End of year evaluations)
PROFESSIONAL PERFORMANCE DEFINITIONS OF TRI-ANNUAL SURVEY
1. Clinical Application of Basic Sciences


  • Integrates didactic principles into patient care.

2. Thoroughness of Medical/Dental History and Physical Exam



  • Obtains detailed medical history as it pertains to dental treatment.

  • Obtains and correctly interprets medical laboratory tests as required.

  • Obtains vital signs on all patients.

  • Observes pathology and abnormalities associated with the whole patient and acts

on pertinent findings.

  • Obtains medical consultation as required.

3. Discriminating Use of Prosthodontics Laboratory



  • Writes clear, detailed laboratory prescriptions.

  • Properly prepares casts, dies, etc. to be sent to the laboratory including infection

control procedures.

  • Performs enough laboratory work to understand procedures while not detracting from time spent in direct patient care.

4. Clinical Judgment



time.

  • Involves choice, sequencing of treatment and integrating dental care into total

patient needs.
5. General Technical Skill

  • Produces dental work of outstanding quality.

  • Conforms to objective criteria of high quality work.

6. Caliber of Case Presentation



  • Presents cases in a clear, well-organized manner.

  • Conforms to the objective criteria of good speech making

  • Produces high quality photographic work.

7. Willingness to Learn



  • Is open to new ideas and techniques.

  • Actively seeks knowledge.

  • Maintains a literature and photographic file.

  • Accepts constructive criticism as a growth experience.

8. Interest in Teaching



  • Expresses a desire to fulfill a teaching role.

9. Effectiveness as a Teacher



  • Demonstrates ability to teach assistants and fellow residents in a formal setting such as in-service training and seminars.

10. Interest in Clinical Research



  • Expresses a desire to continue clinical research beyond requirements.

11. Rapport with Patients



  • Treats patient with gentleness, care and consideration.

  • Is well liked by his/her patients.

12. Rapport with Other Personnel



  • Treats everyone with appropriate courtesy, respect, politeness, deference, and

manners consistent with highest professional standards of conduct.
13. Efficiency in Work Organization

  • Structures time, material and personnel resources in an efficient and mission

effective manner.
14. Promptness in Work Completion

  • Submits all clinical, didactic and administrative work on time or ahead of

schedule.
15. Administrative Ability

  • Completes and submits all administrative forms in a timely and accurate manner, including portfolio.

16. Assumption of Responsibility



  • Volunteers to perform tasks in addition to program requirements.

  • Leadership/participation in dental organizations. Management of clinical areas, laboratory ortho cart, etc.

17. Effectiveness as a Practitioner Manager


NOTE: All of the above definitions represent the criteria necessary to receive a grade of “Superior” on the rating scale.



TREATMENT PLANNING/CASE PRESENTATION EVALUATION
RESIDENT NAME: ___________________________________________________________
RATING

Outstanding-1 Good-2 Satisfactory-3 Marginal-4 Unsatisfactory-5


1. CASE PRESENTATION 2. TREATMENT PLAN

A. Oral Communication ____ A. Diagnosis/Chief Complaint ____

B. Written Documents/Powerpoint ____ B. Medical Considerations ____

C. Clinical Photographs ____ C. Appropriateness of Treatment ____

D. Radiographs ____ D. Sequencing of Treatment ____

E. Quality of Case Materials ____ E. Patient Management ____

F. Clear and Concise ____ F. Appropriate Referrals ____

3.TREATMENT RATIONAL 4. PROFESSIONAL DEMEANOR

A. Professional Knowledge ____ A. Appearance and Bearing ____

B. Logic/Reasoning ____ B. Use of Proper Terminology ____

C. Supported by Current Research ____ C. Attitude Towards Audience ____

D. Time and Resource Considerations ____ D. Consideration and Respect

for Patient ____

5. OVERALL PERFORMANCE RATING ____


6. COMMENTS:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Name of Evaluator: _____________________________________________________________
Signature: _______________________________________ Date: _________________________
Name of Program Director: _______________________________________________________
Signature: _______________________________________ Date: _________________________

6/16/2005 revised



UNIVERSITY OF MARYLAND - COLLEGE PARK DENTAL CLINIC

ROTATION EVALUATION

RESIDENT


DATES: START FINISH



1. Did the College Park rotation meet your overall expectations? Explain briefly:

2. Did the teaching staff seem genuinely interested?

If NO, explain and specify:

3. Was the rotation organized well?

4. Would you do the rotation again?

5. Having completed the rotation, do you feel you understand its value in the Program curriculum?


6. Did you treat any HIV patients?

How many? _____
7. Suggestions and recommendations:





YES NO
YES NO
YES NO

YES NO

YES NO

YES NO




UNIVERSITY OF MARYLAND DENTAL SCHOOL

CECIL COUNTY ROTATION EVALUATION

RESIDENT


DATES: START FINISH



1. Did the Cecil County rotation meet your overall expectations? Explain briefly:

2. Did the teaching staff seem genuinely interested?

If NO, explain and specify:

3. Was the rotation organized well?

4. Would you do the rotation again?

5. Having completed the rotation, do you feel you understand its value in the Program curriculum?

6. Did you treat any HIV patients?

How many? _____


7.. Suggestions and recommendations:







YES NO
YES NO
YES NO

YES NO

YES NO

YES NO



RESIDENT SURVEY OF PROGRAM

INSTITUTIONAL AND PROGRAM EFFECTIVENESS
1. Do you have the same privileges and responsibilities provided YES NO N/A

residents in other professional education programs at this

institution?
Comments: ______________________________________
__________________________________________________
2. Based on your knowledge of the program, have overall program YES NO

goals and objectives been developed?


Comments: _______________________________________
___________________________________________________
3. Do the overall program goals and objectives emphasize general YES NO

dentistry, resident education, and patient care?


Comments: _______________________________________
___________________________________________________
4. Have you been given the opportunity to evaluate if the program YES NO

has met its stated goals and objectives?


Comments: _______________________________________
___________________________________________________
EDUCATION PROGRAM

Curriculum
5. Have goals and objectives OR competency and proficiency YES NO

statements been developed for each area of resident training?


Comments: _______________________________________
___________________________________________________
6. Do the goals and objectives OR competency and proficiency YES NO

statements describe the intended outcomes of the resident’s

education?
Comments: _______________________________________
___________________________________________________
7. Has your instruction and training included providing YES NO

comprehensive multidisciplinary oral health care?


Comments: _______________________________________
___________________________________________________
8. Do you think your instruction and training has been at a skill YES NO

and level beyond that of dental school?


Comments: _______________________________________
___________________________________________________
9. Have you received didactic and clinical training and experience

in each of the following areas?

patient assessment and diagnosis; YES NO

planning and providing comprehensive multidisciplinary YES NO

oral health care;
obtaining informed consent; YES NO
promoting oral and systemic health and disease prevention; YES NO
sedation, pain and anxiety control; YES NO

restoration of teeth; YES NO


replacement of teeth using fixed and removable appliances YES NO
periodontal therapy; YES NO
pulpal therapy YES NO
hard and soft tissue surgery YES NO
treatment of dental and medical emergencies YES NO
medical risk assessment YES NO
Comments: _______________________________________
___________________________________________________

10. Have the instruction and experiences received prepared you to YES NO

competently request and respond to requests for consultations

from physicians and other health care providers?


Comments: _______________________________________
___________________________________________________
11. Do you feel you have had adequate instruction and experience YES NO

in the management of pain and anxiety using behavioral and

pharmacological modalities beyond local anesthesia when

delivering outpatient care?


Comments: _______________________________________
___________________________________________________
12. Are patient care conferences held monthly ALWAYS SOMETIMES NEVER

for discussion of diagnosis, treatment

planning, and progress and outcomes of

treatment?


Comments: ________________________
____________________________________
13. Have you been given assignments that require critical review YES NO

of relevant scientific literature?


Comments: _______________________________________
___________________________________________________
14. Do you think the instruction received in the principles of YES NO

practice management is adequate?


Comments: _______________________________________
___________________________________________________
Program Length
15. If this is a two-year program, do you feel the goals and objectives YES NO N/A

OR competency and proficiency statements of the second year

of resident training are at a higher level than those of the first

year of the program?


Comments: _______________________________________
___________________________________________________

Evaluation
16. How often are you evaluated on your progress toward achieving Frequency

the program’s written goals and objectives?


Comments: _______________________________________
___________________________________________________
17. Following each evaluation are you given an opportunity to discuss YES NO

it with the program director or faculty?


Comments: _______________________________________
___________________________________________________

FACULTY AND STAFF

18. Does the faculty have collective competence in all areas of YES NO

dentistry included in the program?
Comments: _______________________________________
___________________________________________________
19. In your opinion, do general dentists have a significant role in YES NO

program development and instruction?


Comments: _______________________________________
___________________________________________________
20. Are you given the opportunity to evaluate the performance of YES NO

faculty members annually?


Comments: _______________________________________
___________________________________________________
21. Approximately what percent of time is there a faculty member __________ %

present in the dental clinic for consultation, supervision and

active teaching when residents are treating patients in scheduled

clinic sessions?


Comments: _______________________________________
___________________________________________________
22. Are allied dental personnel and clerical staff available to ensure YES NO

residents receive training and experience in the use of modern

concepts of oral health care delivery and to ensure efficient

administration of the program?


Comments: _______________________________________
___________________________________________________
23. Do residents and teaching staff regularly perform the tasks of YES NO

dental assistants, laboratory technicians or clerical personnel?


Comments: _______________________________________
___________________________________________________
EDUCATIONAL SUPPORT SERVICES
24. Are the facilities and resources adequate and appropriately YES NO

maintained to support the goals and objectives of the program?


Comments: _______________________________________
___________________________________________________
25. Are you aware of specific written due process policies and YES NO

procedures for adjudication of academic and disciplinary

complaints?
Comments: _______________________________________
___________________________________________________
26. Were you encouraged or required to be immunized against and/or YES NO

tested for infectious diseases, such as mumps, measles, rubella and

hepatitis B, prior to contact with patients and/or infectioius

objects or materials?


Comments: _______________________________________
___________________________________________________

PATIENT CARE SERVICES
27. Have you had adequate patient experiences to achieve the YES NO

program’s stated goals and objective OR competencies and

proficiencies of resident training?
Comments: _______________________________________
___________________________________________________
28. Have you been involved in a structured system of continuous YES NO

quality improvement for patient care?


Comments: _______________________________________
___________________________________________________
29. Prior to providing direct patient care, were you required to be YES NO

certified in basic life support procedures, including

cardiopulmonary resuscitation?
Comments: _______________________________________
___________________________________________________
30. Have you been provided with the institution’s policies on YES NO

radiation hygiene and protection, ionizing radiation,

hazardous materials, and blood-borne and infectious diseases?
Comments: _______________________________________
___________________________________________________
31. Does the program have policies that ensure that the confidentially YES NO

of information pertaining to the health status of each individual

is strictly maintained?
Comments: _______________________________________
___________________________________________________
In your opinion, what the strengths of the program?

In you opinion, what are the weaknesses of the program?

Would you recommend this program to other graduating dental students YES NO
Comments:








Two year residents - Did the program help you in:




32.

a.

gaining experience in managing highly complex comprehensive dental care

Y/N

33.

b.

improving clinic management skills

Y/N

34.

c.

pursuing areas of individual concentration, e.g.: temporomandibular disorders, public health dentistry, special patient care, etc.

Y/N

35.

d.

providing residents with an interdisciplinary graduate foundation in the biological and clinical sciences for careers in dental research and/or education and the practice of dentistry

Y/N

36.

e.

gaining teaching experience, performing original research and earning a Master's of Science in Oral Biology degree

Y/N


ADVANCED EDUCATION IN GENERAL DENTISTRY FACULTY EVALUATION

FACULTY: DATE:
Please complete the following confidential evaluation for the above faculty member. Please do not write your name on the form. The following 5 to 1 rating scale will be used, where 5 will always represent an excellent or the most favorable rating and 1 will always represent a poor or unfavorable evaluation.
1. How knowledgeable is the faculty member?

5 4 3 2 1 n/a

2. How effectively does the faculty member convey meaningful information via
a. discussion 5 4 3 2 1 n/a

b. demonstration 5 4 3 2 1 n/a

c. clinical supervision 5 4 3 2 1 n/a

3. How consistent is the information you receive from the individual faculty member?

5 4 3 2 1 n/a

4. How helpful is the faculty member?

5 4 3 2 1 n/a

5. How is the faculty member’s availability and accessibility?

5 4 3 2 1 n/a

6. To what extent is the faculty member punctual?

5 4 3 2 1 n/a

7. To what extent does the faculty member demonstrate


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