Competency Assessment

Student Handbook, Psychiatry and Behavioral Sciences: Reno

By the completion of residency training, each resident must demonstrate competency in six general areas. Competency in these areas will be assessed using the following tools:

Competency Area Tools

Competency Area Tools for Competency Assessment
Patient Care Annual Comprehensive Oral Exam Patient Logs Training Skills Checklist Rotation Evaluations
Medical Knowledge PRITE USMLE Step III exam Rotation Evaluations Journal Club
Interpersonal & Communication Skills Annual Comprehensive Oral Exam Training Skills Checklist Rotation Evaluations 360 Degree Evaluations
Professionalism Annual Comprehensive Oral Exam Case Conferences Rotation Evaluations 360 Degree Evaluations
Practice-Based Learning Rotation Evaluations Case Conferences Journal Club Case Conference
Systems-Based Practice Rotation Evaluations 360 Degree Evaluations Case Conference

To demonstrate competency, each resident must meet the following standards:

  • Annual Comprehensive Oral Examination: Pass the ACOE given in the third training year.
  • Patient Logs: Submit their patient logs to the program director at each 6 month review. The program director will determine by inspection or computer analysis if the resident has had a sufficient breadth and depth of patient contact experiences.
  • Training Skills Checklist: Must complete 40% of all boxes by the end of the first 6 months of each training year, and must complete at least one box from each category and 80% of all boxes by the end of the training year.
  • PRITE: Must achieve a global score by training year of at least the 30th percentile in psychiatry.
  • USMLE Step III Exam: All M.D. residents must take and pass USMLE as per University of Nevada, Reno School of Medicine Institutional Guidelines.
  • COMLEX III: All D.O. residents must take and pass COMLEX III as per University of Nevada, Reno School of Medicine Institutional Guidelines.
  • Case Conferences: Must receive a global score of 3 or better, based on the consensus evaluation of all evaluators, for each presentation.
  • Rotation Evaluations: Must receive a score of 3 or better in all assessed areas on all rotation evaluations.
  • Journal Club: Must receive a global score of 3 or better, based on the consensus evaluation of all evaluators, for each presentation.

A resident may not be able to meet all of the standards above. If this happens, then the following educational experiences may be used at the discretion of the Residency Education Committee in order to help such residents achieve competency:

  • Annual Comprehensive Oral Examination: The resident must arrange a repeat examination at least every 3 months until a passing score is achieved.
  • Patient Logs: The resident will have one month after the 6 month review to complete the patient logs. If not completed, or if patient care experiences are deemed inadequate, then the resident's progress will be formally reviewed by the Residency Education Committee.
  • Training Skills Checklist: The resident must develop and implement a corrective action plan at the time of the 6 month review. The resident's progress with this plan must be reviewed in two months by the Program Director. If the plan has failed to help the resident achieve the requirements, then the resident's progress will be formally reviewed by the Residency Education Committee.
  • PRITE: The resident must develop an educational program approved by the program director. If the resident fails to achieve the 30% standard by the next PRITE examination, then the resident's progress will be formally reviewed by the Residency Education Committee.
  • Case Conferences: The resident must arrange to present a new case to either a new evaluator or one of the original evaluators.
  • Rotation Evaluations: The resident will meet with the Program Director to develop a corrective action plan, considering recommendations from the resident's evaluators.
  • Journal Club: The resident must arrange to present a new article to one of the original evaluators.

These tools must be reviewed by the Residency Education Committee each Fall.