Resident Name: _______________________________________________________
The above named resident has presented in this portfolio evidence of competency or proficiency in all the areas listed in the program competency and proficiency statements and is therefore certified as having completed the program competency and proficiency requirements.
A portfolio is a collection of authentic evaluation of a resident’s ability to perform tasks in realistic, unaided situations representative of what will be performed after graduation. The portfolio refers literally to a loosely bound document in which residents assemble and organize for presentation, various pieces of evidence that they have satisfied program competencies and proficiencies. The evidence may consist of checklists, case documentations, write-up of interviews, papers, letters and other documentation. It is the resident’s responsibility to assemble two copies of the portfolio. An important tenet in competency-based education and portfolio evaluation is the shift of responsibility from teachers to students. One copy of the portfolio will be kept by the program as a part of the program’s outcomes assessment documentation. The other copy is kept by the resident and may be used in applications for employment, other programs or for documentation for hospital privileges.
The completed portfolio shall be submitted in duplicate and consist of the following parts:
1. a section for at least 10 completed Quality Assessment and 5 chart audits.
2. a section for case documentation materials - Treatment plan presentation cases.
3. a section for evidence
a. Productivity sheets/Procedure Utilization Report
g. Course schedule/transcript (MSOB and PhD residents)
i. Copy of signed treatment plan (pink copy).
Note: The resident may propose alternative forms of evidence to the program director and use them with the program director’s approval.
1. Residents will get approval for methodology and projects and gather evidence throughout the program as described above.
2. At the resident’s second review, the residents will submit the data that they have collected for review.
3. One month before the end of the program residents will turn in the completed portfolio for evaluation. The program director may accept it as complete, or request additional evidence, or other changes.
4. Two weeks prior to the end of the program the program director will make the final decision as to granting a program completion certificate.
5. In case of dispute the resident may ask for an appointment with the Department Chair to review the program director’s decision.
6. In addition, the program director must follow the Dental School’s Due Process Policy for Advanced Dental Education for an academic dismissal from the program.
I, ________________________, have reviewed and understood the 2011 - 2012 AEGD Orientation Manual and Clinic Manual and will adhere to the guidelines set forth.