CLINICAL COMPETENCY EVALUATION
through Well Child Visits in Resident Continuity Clinic

In the Spring of each year, Residents will be observed while conducting a well-child visit.  Faculty will observe using surveillance cameras located in designated exam rooms in the resident Continuity Clinics both at the PCP-Galveston and at Academic Pediatrics at Bay Colony.  Faculty will complete an evaluation form, provide feedback, and the resident will complete a self-evaluation form.  Evaluations will be entered into the Resident's evaluation portfolio maintained by the Residency Program Office.

 WELL-CHILD OBSERVATIONS - FACULTY INSTRUCTIONS

at PCP or Bay Colony

BEFORE THE SESSION BEGINS

1. Secure a spot at a PC in the Gen Peds workroom  (not a thin client)
2. Open the WCC Observation/Evaluation form for yourself
3. Print a Resident Self-Evaluation Form (to give to the resident)
4. Print a Consent to Photograph

CONSENT

Explain to family that this is an activity to observe the provider.  Obtain informed consent. 
Note: Almost always we are not recording, only viewing.  If decision has been made to record,
explain to the family that the recording will only be used for educational purposes.

IN THE EXAM ROOM

1. Turn on the camera switch on the exam room wall (this turns the camera around and starts the mic)

VIEWING with video surveillance software.

Note:  the software has been loaded to PC's in the General Peds Workroom.

Only designated pediatric faculty have been given access to to this software.
You may also download the software on your office PC if you wish to observe from there.

1. Sign-on to a computer (not a thin client) in the General Peds workroom. 
2. Click the Milestone Systems icon à then Connect

The first time ever that you log-on you must add the server address: digicap.utmb.edu.  Never again.
 

3. Notice the tabs at the top of the window.  “Live” should be highlighted.

   

    

4. Under “Views” window (left pane), select the room you will be observing.
5. Insert headphones or ear buds into the earphone/speaker jack on the PC.

EVALUATE

Use the Observed WCC faculty evaluation form

(difficult to type live on the Word form while viewing, so you might want a printed copy for note-taking )

AFTERWARDS

• CAMERA OFF: Turn off the camera switch on the wall of the examining room. This step is very important, because if the switch is left on the milestones software will continue to run and temporarily record the empty room until the switch is turned off.
• SELF-EVALUATION: Give the Self-Evaluation form to the Resident.  Remind resident what to do with this form (directions at the bottom)
• FEEDBACK: Ideally, discuss the encounter with the resident that same day.  Theoretically you will have time because the resident won’t have to present the case, but sometimes things are just too hectic to have a quality interaction.  In that case, try to schedule a time to chat later in the week.
• SUBMIT: Send your completed evaluation form to Lolly Vasquez, scanned or as email attachment.   
  note: Residents are responsible for submitting their own self-evaluations.
• CONSENT FORM:  Give the consent form to the clinic staff for scanning into the EHR.