WRITING EFFECTIVE PERFORMANCEBASED NARRATIVE EVALUATIONS WORKSHOP GUIDELINES FOR WRITING

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Narrative information includes:

Writing Effective Performance-Based Narrative Evaluations Workshop


Guidelines for Writing Performance-based Narrative Evaluations


Evaluation, is a judgment or calculation about the quality, importance, or value of something; evaluations are formulated and made meaningful in relation to relevant institutions including the departments, schools, and professional communities, and therefore should reflect important features and qualities that are relevant to those communities.


Purposes of evaluation:




Numeric ratings are useful to capture performance on a spectrum, but must be justified by well-written, performance-based comments. Performance-based comments are:

  1. Specific, detailed, and use concrete examples to validate and characterize a learner’s clinical skills and observed behaviors.

  2. Linked to the learning objectives and/or competencies:



WRITING EFFECTIVE PERFORMANCEBASED NARRATIVE EVALUATIONS WORKSHOP GUIDELINES FOR WRITING

Useful tips


WRITING EFFECTIVE PERFORMANCEBASED NARRATIVE EVALUATIONS WORKSHOP GUIDELINES FOR WRITING

Common errors to avoid





Overused or problematic phrases or words to use sparingly or avoid:

1. “above and beyond” (overused)

2. “went the extra mile” (overused)

3. “overall” loses its meaning if used repeatedly in one evaluation

4. “came early and stayed late” (gives the message that students work extra hours will receive better grades; undermines duty hours policies)

5. “very” (often it is better to leave this adjective out)

6. “S/he is bright/smart/intelligent” (judgment or opinion, not performance based)


Sample good summary comments


Jane performed in outstanding fashion on the emergency medicine sub-internship. She earned high marks for her fund of knowledge, work ethic, professionalism, and technical ability. Jane participated in all departmental academic activities, and gave an excellent oral presentation on the uses of hyperbaric oxygen therapy at Student Grand Rounds. One of the senior residents commented, “Jane was particularly helpful to the team in carefully coordinating communication with a seriously injured patient’s primary care physician.” This and other comments validated her outstanding team work skills.

Positive aspects: Well synthesized, performance based, specific example of her presentation topic, one verbatim comment to help individualize the evaluation.

 

Jill’s diligence resulted in a great performance on pediatrics. She had a very good fund of knowledge that she worked to augment by taking the time to read about her patients and specific issues related to their care. She could be depended upon to take excellent histories and perform thorough physical exams, and her presentations were always on target. Jill showed great improvement in synthesis of information and presentation skills and with her kind and honest demeanor put patients at ease with her bedside manner. She was a very hard worker and great team player when things were busy.

Positive aspects: Well synthesized, easy to discern that this student’s performance was at the expected level of competency, all voiced positively. This could easily be contrasted with someone who demonstrated higher levels of competency.


Jack is an enthusiastic, hardworking, motivated team player. He integrated well into the inpatient team, interacted wonderfully with patients, and demonstrated a fund of knowledge that exceeds his peers’ at this level of training. More importantly, he is self-motivated and adeptly incorporates new knowledge from each pediatric experience into his clinical care and decision making. His presentations were concise, focused, and well developed, his documentation was thorough, and he developed great rapport with the medical team. He will be a well-rounded and thoughtful clinician in the field of his choice.

Positive aspects: Well synthesized, Covered a range of competency domains. Gave a sense of fund of knowledge compared to peers without knocking peers. Delved into medical knowledge by describing how he uses new knowledge.


Jane did an excellent job during her neurology rotation. On a very challenging case, she helped the team gather information and presented summaries of her readings. Her neurological knowledge base grew appropriately over the course of the month. During the outpatient clinics, she was able to reliably get a good history and pick up on neurological findings. Comments from the observed neurological examination include, “She performed a well-organized, professional exam on a challenging patient.” Her empathy is outstanding: she frequently spent time with patients at the bedside, listening and providing support, and was often able to facilitate communication of the medical plan to the patient. This wonderful approach will be of value to her as she moves forward in her training.

Positive aspects: Areas where this student is at the expected level of competency and where she really shines are clearly differentiated, conveying confidence that the team knew her well.


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