V. Evaluations

Tri-Annual Resident Evaluation by Faculty Mentor

Tri-Annual Resident Evaluation Form

Overall Clinical Competence

Overall Clinical Competence

General Dentistry Check-Off List for Tri-Annual Resident Evaluation

1. Faculty evaluation of resident
   1. Review of Portfolio
      1. Copy of CPR Card
      2. Copies of Treatment Electronic Plans with Appropriate Signatures
      3. Case Completes/Quality Assessments (at least 10)
      4. Mentor List, Class Roster, Clinic Schedule
      5. Case Presentations/Mini Presentations
      6. Quarterly Procedural Utilization Forms
      7. Quarterly Productivity Forms
      8. Treatment Requirement Forms
      9. Tri-Annual Evaluations With Signatures
      10. Competency Statements
      11. Competency and Proficiency Certifications Forms
      12. Resume
      13. Acknowledgement Statement – Orientation Manual
      14. Other documentation (Biopsy Report, Prescriptions, Consult, CE Certificates, Transcripts, etc)
      15. Screening Information, ADA Codes
   2. Review of Status of Patient Treatment
   3. Review of Needs (treatment areas where resident needs more experience)
   4. Review of Clinical Performance
      1. Quality of Work
      2. New Techniques Learned
      3. Complexity of Cases
      4. Quantity of Work (Productivity sheets)
      5. Q.A. Review (Case Complete and Chart Audits)
   5. Review of Didactic Performance
      1. Quality of Portfolio
      2. Seminar Planning and Leading
      3. Seminar Participation
      4. Examination scores and grade transcripts
2. Resident Evaluation of Program
   1. Quality and relevance of seminars
   2. Quality and amount of clinical instruction
   3. Clinical and laboratory support
   4. Staff’s approach
   5. Faculty’s approach
   6. 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 
   • Performs the appropriate procedure on the appropriate patient at the appropriate 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
    • Utilizes resources to effectively carry out quality assurance, infection control, financial management and staff morale programs.

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

Treatment Planning/Case Presentation Evaluation Form

Resident Survey or Program Institutional and Program Effectiveness

Resident Survey or Program Institutional and Program Effectiveness Form

Education Program

Advanced Education in General Dentistry Faculty Evaluation

Advanced Education in General Dentistry Faculty Evaluation Form

Advanced Education in General Dentistry Dental Hygiene Evaluation

Advanced Education in General Dentistry Dental Hygiene Evaluation Form

Outcomes Assessment Survey

Outcomes Assessment Survey