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60% - Accent6�M�4� 60% - Accent6 23��%�"Accent1�A��Accent1O伣��%�#Accent2�A�!�Accent2繮M��%�$Accent3�A�%�Accent3浕Y��%�%Accent4�A�)�Accent4€d��%�&Accent5�A�-�Accent5K��%�'Accent6�A�1�Accent6 鳀F��%�(Bad�9��Bad��俏��%�)Calculation��Calculation�蝌��鷠�%�� * Check Cell�� Check Cell�ゥ��%�???��???��???� �???��+€�� Comma�,€��(�� Comma [0]�-€��&��Currency�.€��.��Currency [0]�/Explanatory Text�G�5�Explanatory Text��%� 0Good�;��Good�骑��a�%�1 Heading 1�G�� Heading 1I}�%O伣��2 Heading 2�G�� Heading 2I}�%�?Э��3 Heading 3�G�� Heading 3I}�%23暢��4 Heading 4�9�� Heading 4I}�%� 5Input�u��Input��虣��??v�%�� 6Linked Cell�K��Linked Cell�鷠�%��€��7Neutral�A��Neutral��霚��渆�%�€��3��Normal�%� 8Note�b� �Note��膊��膊��膊� �膊��9Output�w��Output�蝌��???�%�???��???��???� �???��:€��$��Percent� ;Title�1��TitleI}�%� <�Total�M��Total�%O伣�O伣��=Warning Text�?��Warning Text��%�X��TableStyleMedium2PivotStyleLight16`�冶 Milestones�+�Levels of Entrustment�v�Evaluation Schedule�⑿Stroke-Float�M�General-Consults-Float�m� Peds-Float�2�Epilepsy�:Ward Senior�� Neuromuscular�WClinics��"Movement��.Neuro-Ophthalmology�8 Psychiatry�s?Neuropsychology�KKResearch� oWPeers� 漘Staff�蒱Students�痳Patients�Y{Neurosurgery�G�Neuroradiology�蹐Neuropathology�o�Neuroendovascular��Sheet1�� ;��8� .EPA DescriptionDirect SupervisionIndirect Supervision OversightExpertUnable to EvaluateHistoryPatient CareNeurological ExamMovement DisordersNeuromuscular DisordersCerebrovascular DisordersCognitive/Behavioral DisordersDemyelinating Disorders MilestoneCore CompetencyCodeEpilepsyHeadache Syndromes-Neurologic Manifestations of Systemic Disease)Child Neurology for the Adult NeurologistNeuro-Oncology$Psychiatry for the Acult NeurologistNeuroimagingElectroencephalogram (EEG)7Nerve Conduction Studies (NCS) / Electromyography (EMG)Management / TreatmentLumbar PunctureLocalizationMedical KnowledgeFormulationDiagnostic InvestigationSystems-based Practice:Work in inter-professional teams to enhance patient safetySelf-directed learning'Practice-based Learning and ImprovementjLocate, appriase, and assimilate evidence from scientific studies related to the patient's health problemsFCompassion, integrity, accountability, and respect for self and othersProfessionalism�Knowledge about, respect for, and adherence to the ethical principles relevant to the practice of medicine, remembering in particular that responsiveness to patients that supersedes self-interest is an essential aspect of medical practicePC1PC2PC3PC4PC5PC6PC7PC8PC9PC10PC11PC12PC13PC14PC15PC16PC17PC18MK1MK2MK3PR1PR29Relationship development, teamwork, and managing conflict&Interpersonal and Communication Skills.Information sharing, gathering, and technologyIC1IC2X MilestonesSAttending must be in-house and immediately available to provide direct supervision.7Attending must be physically present with the resident.$~The resident can supervise and instruct others in this activity; an aspirational goal not necessarily expected for graduation.VYAttending is not in-house, but must still be immediately available by phone and to come in if needed. The mid-residency target. SP1SP2PL1PL28PC1, PC2, PC3, PC6, PC7, PC11, PC14, PC15, MK1, MK2, MK3'PC1, PC2, PC3, PC6, PC15, SP1, IC1, IC2,PC1, PC2, PC3, PC6, PC15, MK3, SP1, IC1, IC2GPC1, PC2, PC3, PC6, PC7, PC11, PC14, PC15, MK1, MK2, MK3, SP1, IC1, IC2APC1, PC2, PC3, PC6, PC7, PC11, PC15, MK1, MK2, MK3, SP1, IC1, IC2 SP2, IC1, IC2PR1, IC1NoviceGoodAdditional QuestionsuPlease grade the extent to which the resident provided direct observation of your interviewing and examination skills7I{Please grade the quality of the feedback the resident provided you regarding your clincal skills, presentations, and notes. (:Please grade this resident's overall quality as a teacher.2`Very little direct observation, feedback, or teaching, or what was provided was of little value.gSufficient observation, feedback, or teaching to meaningfully contribute to your learning of neurology.SP2, PL1, PR1, PR2, IC1, IC2SP2, IC2PR1, PR2, IC1, IC2�Ample direct observation, very specific, constructive feedback, or high-quality teaching. This resident demonstrates an unusually strong commitment to helping students learn neurology.EPA#�The resident's care can be reviewed and feedback provided post hoc; the attending does not need to be available in real-time. This is the graduation target.:BResearchNeuropathologyNeuroradiologyNight FloatStroke Neuromuscular Evaluation RecipientsShahriar SalamatNeurosurgeryWard SeniorSpecialty Clinics PsychiatryResearch supervisorPer-Rotation EvaluationsPeer All residentsStaffNeurology MilestonesLevels of EntrustmentResident Peer Evaluation!PC1, PC2, PC3, MK1, MK2, MK3, SP1�Please grade the degree of trust that you have in your fellow residents to do the following tasks. In selecting a grade, consider how much supervision either the attending or a more experienced resident would need to provide. oDoes the resident counsel patients and families in a way that is clear, compassionate, respectful, and ethical?Does the resident care for patients in an interdisciplinary fashion, incorporating feedback from other team members? Examples of interdisciplinary work include the 9am rounds on D6/4 , the meetings that occur during memory disorders and ALS clinics, quality improvement meetings, etc.*<��Does the resident effectively coordinate a patient's transition of care from the inpatient or emergency setting to the outpatient clinic?5GBDoes the resident safely and efficiently sign out patients to you?)1�Can the resident evaluate a patient, generating a good differential diagnosis and developing a cost-effective diagnostic and treatment plan?#�Please grade the degree of trust that you have in this resident. In selecting a grade, consider how much supervision either the attending or a more experienced resident would need to provide. �Does the resident communicate with patients, families, and other physicians in a way that is clear, compassionate, and respectful?"# PR1, IC1, IC2Patient Evaluation of ResidentAnswer OptionspThis resident has only basic communication skills and requires close oversight from his/her attending physician.!SP1, SP2, IC1, IC2, PL1, PR1, PR2SP1, IC1, IC2, PR1, PR2PL1, PL2CommentsVisible to Resident#Visible only to Supervising FacultyLPC1, PC2, PC3, PC6, PC7, PC11, PC14, PC15, MK1, MK2, MK3, SP1, SP2, IC1, IC2BPC1, PC2, PC3, PC7, PC11, PC14, PC15, MK1, MK2, MK3, SP1, IC1, IC2<�PC1, PC2, PC3, PC7, PC11, PC15, MK1, MK2, MK3, SP1, IC1, IC2GPC1, PC2, PC3, PC7, PC11, PC14, PC15, MK1, MK2, MK3, SP1, SP2, IC1, IC2.PC4, PC5, PC8, PC9, PC10, PC13, PC18, PL1, PL2.PC1, PC2, PC3, PC11, PC12, PC15, MK1, MK2, MK3-PC1, PC2, PC3, PC9, PC12, PC16, MK1, MK2, MK3-PC1, PC2, PC3, PC5, PC12, PC17, MK1, MK2, MK35PC1, PC2, PC3, PC11, PC12, PC13, PC15, MK1, MK2, MK3cCan the resident evaluate and manage children with common neurometabolic or neurogenetic disorders?:HLXICan the resident evaluate and manage common pediatric epilepsy syndromes?6>CCan the resident manage status epilepticus in infants and children?*\Can the resident evaluate and manage pediatric patients with common neuromuscular disorders?DQUCan the resident lead daily rounds and document and carry out the plans made therein?"&Can the resident run a family meeting?%QDoes the resident discharge patients in an efficient and well-coordinated manner?IPC1, PC2, PC3, PC5, PC6, PC7, PC10, PC11, PC12, PC13, PC15, MK1, MK2, MK3uCan the resident evaluate and manage other pediatric emergencies such as coma, ventilatory failure, paraplegia, etc.?5@6PC1, PC2, PC3, PC12, MK1, MK2, MK3, SP1, SP2, IC1, IC2cCan the resident evaluate and manage neurologic complications of pediatric cancer or its treatment?KQhDuring a stroke code, can the resident quickly determine whether the diagnosis is stroke versus a mimic?bdDuring a stroke code, can the resident determine tPA eligibility and give the drug when appropriate?14~During a stroke code, can the resident determine eligibility for investigational, endovascular, and other advanced treatments?j}aCan the resident consult on a general care stroke patient or admit such a patient to our service?*cCan the resident consult on a critically ill stroke patient or admit such a patient to our service?,9Can the resident effectively run interdiscplinary rounds?!8ZCan the resident lead daily work rounds and document and carry out the plans made therein?'hCan the resident represent the pediatric neurology service in interdiscplinary patient care conferences?>OpNote: Not all EPAs will apply, especially if the resident was on night float. Please answer the applicable ones.#Entrustable Professional Activities�Does the resident communicate with patients, families, and other physicians and nurses in a way that is cle<� ar, compassionate, respectful, and ethical?"#<The levels of trust are described in terms of whether the resident can carry out the activity independent of attending supervision. Level 1 is an incoming resident. Level 3 is expected mid-residency. Level 4 is the graduation target, and level 5 is aspirational--most residents will not achieve this during training.^��Your responses to these questions will be weighted just as much as the faculty evaluations in the calculation of the resident's semi-annual grades for the associated training milestones. Thanks for your help!SThe neurology residency leadership strongly believes that an interdisciplinary perspective is required to validly assess our residents' competence. Please record the degree of trust that you have in this resident with respect to the following activities. (Not all questions will be answerable by all staff--please answer the ones you can).��xDoes this resident physician communicate with you and your family in a way that is clear, compassionate, and respectful?)-.lPlease grade the resident on any of the following milestones you were able to evaluate during this rotation:ZCan the resident consult on critically ill patients or admit such patients to our service?*bCan the resident consult on general care neurology patients or admit such patients to our service?(jCan the resident perform a brain death exam and communicate the results thereof to the requesting service?+<�Systems thinking, including cost and risk effective practice1PC1, PC2, PC11, MK1, MK2, MK3, PR1, PR2, IC1, IC2€In general, can the resident evaluate a patient, formulate the case, and propose an appropriate diagnostic and therapeutic plan?/pDoes the resident appropriately document and place orders in Health Link, and follow up on the results of tests?NWJPC4, PC5, PC6, PC7, PC8, PC9, PC10, PC11, PC13, PC14, PC15, PC18, PL1, PL2[Can the resident counsel patients and their families in a professional and ethical fashion?�Please grade the resident on any of the following milestones you were able to evaluate during this rotation. For specialty clinic rotations, many will not apply--just grade the ones you can. SP1, SP2, PL2{Can the senior resident clinically function as an attending, staffing cases presented by the students and junior residents?+�Does the senior resident teach the juniors about basic neurology, evidence-based medicine, cost-effectiveness, and patient safety?sDoes the senior resident model for the juniors professionalism, good communication skills, and an ethical approach?EPC4, PC5, PC6, PC7, PC8, PC9, PC10, PC11, PC13, PC14, PC15, PC18, PL1RotationStroke-FloatGeneral NeurologyGeneral-Consults-FloatStroke attendingsGeneral attendingsConsultsStroke & General attendings Peds-FloatPeds attendingsPediatric NeurologyEpilepsy attendingsNeuromuscular attendingsClinicsNeuroradiology attendingsNeurosurgery attendingsStudentsStroke, General, Consults, PedsGeneral & Consult attendings+Students--coordinate with Mary Beth DunningContinuity clinic attending�The resident is an exceptionally skilled communicator--a role model for others. Note: many residents will not achieve this level of skill during their residency training.PU�The resident has good communication skills. He/she explains most things well, but needs supervision from the attending physician for complex matters.[Can the resident select appropriate laboratory tests when evaluating neurmuscular patients?$4€In general, can the resident assess patients with neuromuscular conditions, incorporating principles of anatomy and kinesiology?#�Can the resident recognize bulbar and respiratory dysfunction and initiate appropriate interventions (eg, referral to pulmonary, speech, or swallow services)?=TCan the resident palliate patients with advanced neuromuscular diseases such as ALS?tCan the resident select appropriate patients for muscle or nerve biopsy and recognize the basic pathologies therein?1G2Can the resident perform nerve conduction studies?1%Can the resident perform needle EMGs?$pCan the resident perform genetic evaluation and counseling for patients with inherited neuromuscular conditions?MV�Can the resident appropriately refer for allied health therapies such as PT and OT and prescribe assistive devices such as AFOs, scooters, etc.?)6arfCan the resident manage patients with immune-mediated conditions according to evidence-based practice?&5PC1, PC2, PC5, MK1, MK2!PC1, PC2, PC5, MK1, MK2, MK3, IC1!PC1, PC2, PC3, PC5, MK1, MK2, PL2PC1, PC2, PC3, PC5, SP2+PC1, PC2, PC3, PC5, SP1, SP2, PR1, PR2, IC1 PC5, MK3, SP1PC5, PC17, MK3PC3, PC5, SP1, SP2, IC1, IC2 PL1, PL2, IC2^Can the resident interpret an EEG, recognizing artifacts, normal variants, and ictal patterns?MCan the resident evaluate a patient in the EMU and develop a management plan?UCan the resident interpret an EMU study and develop an individualized treatment plan?pCan the resident interpret an emergent EEG and cEEG study, and recommend a treatment plan for the treating team?aCan the resident counsel inpatients and outpatients with spells/epilepsy regarding study results?TCan the resident obtain a history and classify the events and the epilepsy syndrome?;Can the resident develop a clinic patient's treatment plan?PC1, PC2, PC3, PC9, MK1, MK2PC3, PC9, MK2, MK3PC9, PC16, MK36PC3, PC9, PC16, MK1, MK2, MK3, SP1, PR1, PR2, IC1, IC2+PC1, PC2, PC3, PC9, MK1, MK2, MK3, SP1, SP2'PC3, PC9, PC16, MK1, MK2, MK3, SP1, SP2'PC3, PC9, PC16, MK3, SP2, PR1, IC1, IC2;PC1, PC2, PC3, PC9, PC16, MK1, MK2, MK3, SP2, PR1, IC1, IC2"Semi-Annual Evaluations (Dec/June)Specialty ClinicSupervising Attending�Can resident develop reasonable work-up and treatment plan for patient's with hyperkinetic movement disorders (tremors, chorea, myoclonus) ?@Can resident interogate a patient's DBS and turn it on and off ?_Can resident identify PD-related motor fluctuations and generate reasonable management options?aIs resident familiar with commonly used anti-parkinsonian agents and their frequent side-effects?eCan resident develop reasonable work-up and treatment plan for patient's with parkinsonian disorders?aCan resident discern features of idiopathic PD from features of atypical parkinsonian disorders ?4Can resident diagnose idiopathic parkinson disease ?PC1, PC2, PC4, MK1, MK2PC3, PC4PC1, PC2, PC3, PC4PC3, PC4, MK3, SP1&PC1, PC2, PC3, PC4, MK1, MK2, MK3, SP1PL1, PL2, PR1, IC2{Research aptitude-- ability to read and digest the literature, develop important questions and plans for testing hypothesesHData management (appreciation for details, keeping of records, accuracy)PR1, PR2,Research integrity, honesty, trustworthinessDTeamwork-- Ability to work with others cooperatively and productivlyHCommunication-- quality and accuracy of verbal and written communication�Independence-- Ability to use current knolwledge to solve surmountable problems before asking for help-- aptitude for "figuring things out".Description#Research AttributesLevels of SkilliData analysis and interpretation: Sophistocation of analytic methods and conclusions drawn from analyses;Reliability and commitement to project completion/diligence2�This resident has very well-developed skills on par with a fully independent investigator. Note: Few residents will have achieved this level, although occasionally one with substantial prior research experience might.WThis resident has few research skills and functions at the undergraduate student level.fThis resident has average research skills on par with a PhD candidate halfway through his/her program.hAnnual Resident Evaluation of the Neurology Training Program (evaluates the program, rotations, faculty)Annual Evaluations (Feb)cCan resident identify and classify common ab<�0normal movements (ie tremors, tics, chorea, myoclonus)?,PC14, SP1, SP2, PL1, PL2, PR1, PR2, IC1, IC2>Can the resident evaluate optic nerve function and appearance?[Can the resident evaluate and treat optic neuritis not associated with multiple sclerosis?YCan the resident diagnose and manage a patient with idiopathic intracranial hypertension?sCan the resident distinguish diplopia due to cranial neuropathies from that caused by brainstem and muscle disease?MCan the resident diagnose giant cell arteritis and initiate treatment for it?%Can the resident evaluate anisocoria?)Can the resident interpret visual fields?PC1, PC2PC3, MK2PC1, PC2, PC3, PC10, MK2 PC1, PC2, MK1"PC1, PC2, PC3, PC6, PC10, MK2, MK3PC1, PC2, MK1, MK2PC2, MK14Can the resident evaluate cortical visual disorders?&SP1, SP2, PL1, PL2, PR1, PR2, IC1, IC2Burr Eichelman and Art Walaszek=Can the resident manage seizure emergencies among inpatients?iResident 360 Evaluation email distribution list (nurses, therapiests, technologists, case managers, etc.)�2襨Sl�mE誱�鮬/%q_\q�膓�遰st�ru� 藈zy� 鮵/弞��%�_簜� �D鍑T��')�?髺憲�E�[煕��仧��+Y�o瑗�*�@猕�墨�:�, ��cc��B�� G��$觳~�せ d褚MbP?_*+�€% ��&ffffff�?'ffffff�?(�?)�?�" B�333333�?333333�?ic�&�<3U}�}�6}U'$ h€> @ @� �u� �� r� v� z� M(� P� V� M)� P� V� M*� P� V� M+� P � V� M,� P � V� M-� P� V� M.� P� V� M/� P � V� M0� P� V� M1� P� V� M2� P� V� M3� P� V� M4� P� V� M5� P� V� M6� P� V� M7� P� V� M8� P� V� M9� P� V�NQW� M:� P� V� M;� P� V� M<�� P� V�NQW� MJ� P�� V � MK� P!� V �NQW� ML� P"� V#� MM� R$� V#�NQW� M=� R%� V&�DJl************************** €! 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