EPA: Thyroid Disease

Includes the following conditions:

Follicular neoplasm

Hyperthyroidism

Papillary thyroid cancer

Thyroid nodule

Evaluatee Name

Enter resident starting with last name. Once a form has been submitted, the resident will receive a copy of the evaluation.

Evaluator Name

Rotation

Date of Assessment

mm/dd/yyyy

Phase of Care

UPDATE! You can only select one phase of care. Complete an assessment for each phase of case separately.

Intraoperative

Postoperative

Preoperative/Nonoperative

Overall Performance

Based on your observation, what level of autonomy would you trust the resident to manage this surgical condition or perform this procedure at the next encounter?

Limited Participation: Learner has basic knowledge and skills, attending does show and tell

Direct Supervision: Attending provides active help

Indirect Supervision: Attending provides passive help

Practice Ready: Attending is available but is not needed for routine cases/presentations, but input may be needed for complex cases

Comment

Please provide feedback to the trainee: specify the steps to achieve the next level of autonomy.

Send me a copy of my responses

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