FEEDBACK AND COMMENTS TO HELP THE RESIDENT IMPROVE PERFORMANCE:
ASSOCIATION OF PROFESSORS OF DERMATOLOGY
Quality Matrix Evaluation Exercise Instructions:
This tool is designed to help assess the resident’s ability to deconstruct a safety or quality issue and explore the event’s root cause. This is an assessment of the resident’s completed verbal presentation and written “Quality Matrix” using the Quality Matrix principles discussed elsewhere. It is appropriate for incidents occurring in an outpatient or inpatient clinical setting. This tool is generally used after a presentation by the resident discussing the quality or safety issues encountered (not for use during the actual event). The evaluation is used to assess the resident’s reflection and insights into the event, and is not meant to assess the quality matrix-triggering event itself.
In general, this evaluation should include 2 parts: a presentation where the resident leads discussion regarding the event, and a completed written quality matrix that gets submitted for review and potential incorporation into the resident portfolio as an exhibit of participation in quality and patient safety curriculum.
In general, it is advisable to let the trainee know you will be assessing their performance prior to the matrix presentation.
Provide direct, specific constructive feedback to the trainee following the presentation and after review of the final written matrix is submitted.
Skills – Rate the trainee on the milestones scale for each skill. It is important to remember that trainees are not being compared relative to other trainees; they are being rated on a continuum; on a scale designed to assess progression of skills from novice to master. It is common for first year residents to score 3 or 4 out of 10 and still be great first year residents.
If a particular skill is not observed, check the “Not observed” box.
Feedback and comments – Note specific positives in the encounter and give constructive feedback on how the trainee could improve.