Examinations and Evaluations

Student Handbook, Psychiatry and Behavioral Sciences: Reno

1. Examinations

During the fall of each year of training, residents are given the Psychiatry Resident in Training Examination (PRITE) published by the American College of Psychiatrists. The PRITE provides an objective external criterion to help scrutinize curriculum content, goals, and effectiveness. It is not meant to be a certification instrument. It will be used as only one factor among many for assessing the competency of a resident. The primary objective is to provide educationally useful feedback to residents and the residency directory.

Each resident receives a detailed computer analysis of his/her test performance in comparison with other residents at a similar level of training. The training director receives statistical summary data comparing his/her training program with other groups of participants. In addition, the training director receives copies of test results of individual residents. Otherwise, test results are kept strictly confidential.

The PRITE is a two stage, timed, proctored, and closed-book examination taken under group testing conditions by all residents in the program. The examination takes approximately 150 minutes on two different occasions, usually scheduled early in October of each year.

At the end of each training year, residents sit for an Annual Comprehensive Oral Examination (ACOE). During this examination, the resident examines a patient for 45 minutes, followed by a 45 minute examination in which the resident presents the case, provides a biopsychosocial formulation, makes multiaxial diagnoses, and discusses a biopsychosocial treatment plan. An ABPN Clinical Skills evaluation (CSE) may be done at the same time. Instructions for ACOE and CSE examiners are found in Appendix C. The evaluation form is found in Appendix B.

The results of both the PRITE and the oral examination are given to the resident for review and feedback. Results are reviewed by the residency committee during reappointment deliberations during the spring of each year.

2. Ongoing Performance Evaluations

Residents are both evaluators of the system and are evaluated by it. Residents provide evaluations of their rotations, clinical supervisors, psychotherapy supervisors, and didactic seminars at the end of their rotations/experience and during an annual retreat where all residents participate in a review of all aspects of the program including rotations, attending didactics and administration. The Chief residents then write a report which is submitted to the Program Director and the Residency Education Committee. All of these evaluations are considered to provide information to help improve the program. Teaching evaluations are a major basis for promotion of faculty members.

All supervisors for either clinical rotations or individual psychotherapy, fill out timely end of rotation forms on all aspects of clinical competence of residents. For rotations or experiences that are year long, quarterly evaluations are filled out. Informal/oral mid-rotation evaluations are expected. If the attending has significant concerns about the resident’s performance, these mid-rotation evaluations are expected to be in writing and the Program Director notified. All evaluations are to be reviewed by the resident and Program Director. Performance problems and issues are discussed with the Program Director who may refer the problem to the Residency Education Committee which may help make recommendations for remedial action.

3. Evaluation Process

During PGY1 -2, evaluations will be distributed to clinical supervisors the last week of each rotation. During PGY 3-4, the residency training office will distribute appropriate evaluation forms quarterly and/or at the last week of the rotation. The residents will also be given evaluation forms to evaluate faculty members and the rotation semiannually and /or the last week of the rotation. The residency office will file the resident's report on the rotation in a restricted file, preserving the evaluation, but protecting the confidentiality of the resident. Each resident will formally meet with the Program Director on a semiannual basis to review progress and evaluation materials. These meetings will be documented and information placed in the resident's file in the residency office. If evaluations reflect problems, more frequent evaluations and meetings with the Program Director may be scheduled.

Residents are expected to attend all seminars and case conferences. The training office must be contacted if a resident is unable to attend. If lack of attendance becomes an issue, it will be reviewed by the Residency Education Committee which may impose the following sanctions. The resident's reappointment may be delayed and/or a letter of reprimand may be sent, a copy of which will be entered into the resident's personal file. The resident may also be required to obtain reading materials on the didactic subjects taught in his/her absence, and to sit for a written or oral examination on the material.

Following semiannual meetings with the Program Director, a verbal or written report will be made to the Residency Education Committee. A written final evaluation will be prepared for each resident completing the program.

4. Evaluation Forms

See Appendix B for evaluation forms.