PMR Program Oversight

PMR Program Oversight

PM&R Residency Program Manual
PM&R Residency Program Oversight and Evaluation

PM&R Graduate Medical Education Committee (GMEC)
The purpose of the PM&R Graduate Medical Education Committee is to insure optimal training program management and ongoing periodic review and enhancement of the PM&R resident training program. Committee membership includes the Chair of the PM&R GMEC, the PM&R Residency Program Director and Associate Director, the Chair of the Research Subcommittee (if other than the Department Chair), the Medical Director of the UVa-HealthSouth Rehabilitation Hospital, the Director of the PM&R Division of Sports and Spine Care Outpatient Clinics, the Director of the PM&R Consult Service, the Chief Residents and the Residency Coordinator.

PM&R Residency Program goals and objectives, as well as program effectiveness are reviewed on a regular basis. Recommendations for program changes and enhancement may be presented at departmental faculty meetings for adoption. Individual PM&R resident performance issues may be discussed, and actions planned as needed. The committee is also responsible for periodically evaluating the utilization of resources available to the program, the financial and administrative support of the program, the volume and variety of patients available to the program for educational purposes, the performance of members of the teaching staff, and the quality of supervision of residents.

PM&R Residency Program Evaluation
The program has several mechanisms in place to ensure that the educational effectiveness of the Residency Program is evaluated and improved in an ongoing and systematic fashion.Program evaluation consists of several major aspects:

  • Faculty evaluation of resident performance, including results of end-of-rotation written examinations.
  • Results of national Self Assessment Examinations.
  • Resident evaluation of faculty and rotation.
  • Resident evaluation of program as discussed with the Program Director in the biannual resident review process.
  • Passing rate and board scores.
  • Success of graduates in achieving fellowship positions.
  • Achievements post graduation.

PM&R Faculty Evaluation of Residents
The program ensures periodic evaluation of the resident during the training process by attending physicians and faculty responsible for the educational growth of the resident and to ensure that residents obtain competencies in the six required areas outlined in the General Core Competencies of the program and specific competencies for each rotation. 

PM&R Resident Evaluations:  Resident evaluations are completed by faculty following the completion by the resident of an assigned rotation.

  • Resident performance is evaluated by the faculty to whom they are assigned for rotation, following each rotation.
  • Faculty members receive evaluation forms following each rotation. Once completed, the forms are included in the resident’s training file.
  • Faculty give a written examination at the end of each rotation in the Dept. of PM&R.
  • Faculty determine competency levels for each of the rotation’s specific objectives at the end of the rotation. 
  • Resident evaluations by faculty will be used, in part, by the Program Director to formulate the semi-annual and annual performance evaluations of the resident.
  • Resident evaluations by faculty are available for the resident’s review during regular office hours through the Residency Coordinator’s office.

PM&R Resident Semi-Annual Evaluations: Semi-annual evaluations are conducted around the mid-year point each year by the Program Director and Assistant to the Director.  During this evaluation, residents meet with program administrators to discuss the year-to-date evaluations, progress, plans, and any problems.

PM&R Resident Annual Evaluations: The annual evaluation of the resident physician is completed in accordance with AAPMR and institutional standards and consists of a summary of evaluations received throughout the performance period as well as personal interaction and observation by the Program Director and Assistant to the Director. This takes place at the end of the academic year. Residents provide valuable feedback regarding rotations and ways to improve the clinical and educational experience. The Residency Coordinator may be present at the review.

PM&R Resident Examinations:  The Department of PM&R will fund annual participation of its residents in the SAE-R offered by the AAPM&R.  Residents will also be offered the opportunity to take the EMG self-assessment examination in the 3rd or 4th year of training.

PM&R Resident Evaluation of Faculty
  • Following the completion of a clinical rotation, the resident will complete both a rotation evaluation form and a faculty evaluation form for the rotation.
  • Residents will evaluate the teaching received during the rotation and the effectiveness of the rotation’s contribution toward their educational experiences and goals. 
  • The Residency Coordinator will prepare an evaluation summary report for each rotation and faculty member at the end of the academic year.  Resident names will be withheld from the summary reports.
  • The UVa CME Office will tabulate all faculty lecture evaluation forms and prepare a summary report at the end of the academic year.  Resident names will be withheld from the summary reports.
  • Summary reports will be submitted to the Program Director annually for review with each faculty member.
  • The Department Chair will meet annually with each faculty member and discuss the summary evaluations as well as other aspects of their performance.   Evaluations will be maintained in each faculty member’s academic file and will serve as major criteria for consideration of promotion and tenure.

PM&R Resident Procedure Logs
Procedure Logs will be maintained by residents to document and track all procedures performed by Physical Medicine and Rehabilitation Residents.Each resident should utilize the supplied form, to document all procedures performed. Information included should be:

  • Patient’s Name
  • Medical Record Number (a.k.a. “History Number”)
  • Date
  • Attending Physician
  • Diagnosis
  • Procedure
  • Resident’s Role (i.e. observed, assisted, or performed procedure)

Documentation of the following should be kept:

  • All Joint Injections
  • Trigger Point Injections
  • EMG/NCV
  • Compartment Pressure Testing
  • Epidurals, etc.

After completion of each academic year, a copy of the procedure documentation should be turned into the PM&R Residency Coordinator for review by the Program Director. Patient identifying information will be protected.  A copy of the log books containing confidential information will be placed in the residents personal file, which is kept by the Resident Coordinator, and stored in cabinets that lock. The Housestaff office will be given a copy of the procedure log upon written request.  Residents are advised and encouraged to destroy patient identifying information from their records as soon as it is no longer needed.