September 29, 2020


Requirements Overview: CPME and Document CPME is the application which must be submitted to be considered for approval as a sponsor. CPME Standards and Requirements CPME Procedures for Approval of Residencies CPME Evaluation Team Report. Basic Competencies & Rotations Competencies.

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This one’s for all of you Residency Directors. As a new director of a podiatric residency program a little over a yearI am quickly learning just how hard this job actually is. I observed my Residency Director during my training, and he always seemed to have a handle on every part of residency training.

For me, this is a learning process with a very rapid learning curve — out of necessity! But I’m finding that one of the most challenging parts of being a director is assessing resident competency. Doing this right is a lot harder than it looks. In the section below, I’m “opening up the books” on the Chino Valley Medical Center residency program’s resident assessment methods. For those of you interested, I hope you find this thought provoking, and if nothing else, I hope this helps you to understand just how complicated this task can be.

Before I “show you mine,” it’s useful to understand the way in which the Council on Podiatric Medical Education CPME defines a residency program and what their general expectations are.

Approval Information for Residencies | CPME

According to the CPME document, a residency program is a “resource-based, competency-driven, assessment-validated model of training”. Each of these specific competencies must be achieved by every resident identified by the sponsoring institution as having successfully completed the residency program. To provide the most effective validation, assessment is conducted both internally within the program and externally by outside organizations. If you think about what this actually means, it’s a tall order.

Happily, the CPME gives directors leeway as to how to assess their residents.

Good for you CPME! General guidelines allow directors boundaries within which to function, while allowing the freedom for creativity and innovation.


With that said, here is how this one particular Residency Director assesses his residents for competency. Each of my residents receives a monthly rotation evaluation, a quarterly evaluation, and a yearly one.

CPME 320, 330 and 370 Documents

As an example of one of the rotation assessments, look at Figure 1. For purposes of space, I’m showing only the first page.

Additionally, included in this podiatric rotation assessment are competencies for wound care, office and clinics, podiatric surgery, and sports medicine. You might also take note of the beginning section, in which the numbers correspond to levels of proficiency.

In order to gather a more complete assessment, I also like to survey the residents on their opinions of rotations. This gives me xpme opportunity to get a good feel cpms the quality of education during rotations, as perceived by the residents, clme the non-podiatric ones. To maintain some semblance of anonymity, I ask the residents to turn their forms in to our graduate medical education office. The administrators then de-identify these forms and send me a copy. Granted, I can probably figure out who’s who I currently have only four residentsbut it’s the best I can do for now.

For longer-term assessments, such as the quarterly and yearly assessments, I use the cpne partially shown in Figure 3. The form assesses the following criteria: Along with each of these parameters is a verbal descriptor of an appropriately functioning resident for each resident’s levelcomments that I make, and action items for resolution of deficiencies.

This form allows me to have a guided conversation with each resident, while maintaining a paper trail for disciplinary purposes. I try to leave no ambiguity of expectations for 3200 residents, since that cpne to problems. I’m always on the search for new assessment methods. To that end, I have a few more assessments in store for my residents. The residents will carry a 5×7 inch card with the Dreyfus assessment model on one side and a comments section on the other.

Immediately after completing procedures, the residents’ attendings will use this form cpmr both assess surgical skills and provide direct and immediate feedback in about two minutes. We’ll see how this goes. The biggest hurdle is getting busy surgeons to provide feedback and complete the form. The residents will have to complete various skills for example, performing a running subcuticular suture or assessing a diabetic foot infection cpmf set up in stations. Each station will have an objective rubric to allow clear assessment of each resident.


At the end of the examination, two things will occur.

I will have an objective assessment of each resident’s skills and the residents will receive feedback about their performance. Everything I have described thus far are internal assessments of resident performance.

Additionally, the residents are cpe up for the ABPM In-Training examination during their second and third years to assess their medical knowledge base.

There you have it — a glimpse into one residency program’s assessment. This is just one way to do it. There are likely as many methods as there are residency programs, cpmr my way is likely not the best way. But of course, any assessment and focus on competencies instead of simply time to completion and minimum volume is better than none. For all you Residency Directors, I appreciate all you do, and you should give yourself a small pat on the back.

But you’d better make it quick, because the next administrative hurdle is just around the corner. Figure 1 Monthly rotation assessment example showing a portion of the evaluation of a podiatry rotation. Cpe image for PDF form. Figure 2 Resident assessment of rotation using a Likert scale method. Figure 3 Sample portion of quarterly evaluation of resident. Figure 4 Surgical competency assessment form. Effective eLearning and a Colleague Network await you. This ezine was made possible through the support of our sponsors: