MD How objective are clinical evaluations??? Got a 2/5!!

[VacheronConstantin]

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I am on pediatric inpatient right now - and today both my attending and senior resident (PGY-3) on my team filled out my evaluation.

My Attending gave me a 4/5 overall, yet my senior resident gave me a 2/5 with brief comment that "needs to improve knowledge, needs to independently formulate A&P". I struggled with some patients that was somewhat complicated with multi-organ failure, but did fine on some patients that are more straight forward.

I am just really shook up with no confidence right now. Is it common to get a "need improvement" evaluation of 2 on a 1-5 scale?? If so, why did attending gave me a 4/5??

 

[deleted707454]

Maybe he's more of a Patek guy

 

[funtertaining15]

I am on pediatric inpatient right now - and today both my attending and senior resident (PGY-3) on my team filled out my evaluation.

My Attending gave me a 4/5 overall, yet my senior resident gave me a 2/5 with brief comment that "needs to improve knowledge, needs to independently formulate A&P". I struggled with some patients that was somewhat complicated with multi-organ failure, but did fine on some patients that are more straight forward.

I am just really shook up with no confidence right now. Is it common to get a "need improvement" evaluation of 2 on a 1-5 scale?? If so, why did attending gave me a 4/5??

Idk. I personally think they're pretty subjective for the most part. Half the time the person evaluating me can be someone I didn't work with as much so there goes that eval lol. Also some just have higher expectations and if you don't go out of your way or that's not your personality, then it gets more difficult to get there.at some point I didn't care about honors -it would be nice- but I didn't feel the extra struggle and work was worth it. As long as I learned and did my best that was fine. Every school is different, tho, that's just my experience...but I like to think I have a more chill personality in that respect, so take it with a grain of salt 🙂

Sent from my Moto G (5) Plus using SDN mobile

 

[Lnsean]

damn that sux

 

[Black Coffee 24/7]

I am on pediatric inpatient right now - and today both my attending and senior resident (PGY-3) on my team filled out my evaluation.

My Attending gave me a 4/5 overall, yet my senior resident gave me a 2/5 with brief comment that "needs to improve knowledge, needs to independently formulate A&P". I struggled with some patients that was somewhat complicated with multi-organ failure, but did fine on some patients that are more straight forward.

I am just really shook up with no confidence right now. Is it common to get a "need improvement" evaluation of 2 on a 1-5 scale?? If so, why did attending gave me a 4/5??

Your Peds resident was told about the incident of you bumping out his buddy in the OR.

It’s a small world.

 

[Lawpy]

Your Peds resident was told about the incident of you bumping out his buddy in the OR.

It’s a small world.

That would be unfortunate but not surprising.

 

[nimbus]

Your Peds resident was told about the incident of you bumping out his buddy in the OR.

It’s a small world.

All kidding aside, social skills matter a lot when working in a team setting. I’ll bet more than a deficit in knowledge, OP just rubbed the resident the wrong way.

It can be hard to be graceful and socially adept in the setting of 3rd year clerkships. My advice would be to be kind, respectful, and humble. Nobody likes a completely self absorbed medical student. Think of the patients and team more than yourself. Get out of your own head and more into your surroundings. Be the teachable blank slate. Change your mindset from performing and impressing to observing and learning. Ask your residents, “how can I help?” Then listen to them. Being selfless will reflect well on you and you’ll get better evaluations.

Also it never hurts to learn a silly joke or two. Try to have fun with your team.

 

[mistafab]

Honestly dude you’ll click with some people and you won’t with others.

I wouldn’t worry about a single eval unless you notice a pattern of people saying the same thing. If you think the resident’s comments are fair then work on what was said and improve for next time.

 

[deleted480308]

don't email the dean's officer either....

take a deep breath and move on to the next rotation

 

[Caltechstud]

Your Peds resident was told about the incident of you bumping out his buddy in the OR.

It’s a small world.

Thats scary

 

[ciestar]

Honestly dude you’ll click with some people and you won’t with others.

I wouldn’t worry about a single eval unless you notice a pattern of people saying the same thing. If you think the resident’s comments are fair then work on what was said and improve for next time.

OP’s surgery eval mentioned him being overbearing. So various comments at this point.

 

[831929]

OP’s surgery eval mentioned him being overbearing. So various comments at this point.

oh this is that same person? hmm yeah in that case you really need to do some reflecting. The resident comment sounds kind of harsh. did they give you feedback during the rotation and did you not improve upon it? Did you do something really bad to the resident? Usually residents are nicer with their grading so there must have been something that happened unless that resident is known to be a hard grader

 

[Psai]

If it's everybody maybe it's you

 

[ciestar]

oh this is that same person? hmm yeah in that case you really need to do some reflecting. The resident comment sounds kind of harsh. did they give you feedback during the rotation and did you not improve upon it? Did you do something really bad to the resident? Usually residents are nicer with their grading so there must have been something that happened unless that resident is known to be a hard grader

Yeah that was my thought with this eval. Basically, is a pattern developing?

But always, ALWAYS ask everyone around you for feedback. You can’t fix anything if you don’t ask.

 

[21Rush12]

The first one was a “maybe this is them, not you.”

Two in a row makes it probably you.

Try to get some honest feedback and LISTEN to it so you can make changes and not have bad grades and an unflattering Dean’s letter.

 

[deleted480308]

The first one was a “maybe this is them, not you.”

Two in a row makes it probably you.

Try to get some honest feedback and LISTEN to it so you can make changes and not have bad grades and an unflattering Dean’s letter.

they got honest feedback, twice

 

[21Rush12]

they got honest feedback, twice

Yes, and perhaps didn’t listen the first time because it was easier on the ego to dismiss rather than face it.

 

[mvenus929]

I don’t know if your school does this, so take this part with a grain of salt. Peds residencies have moved to milestone evaluations of residents, where 1 is ‘needs a lot of work’ and 5 is ‘expert in the field’, and most graduates are somewhere around 3-4 at time of graduation. Our clerkship directors were moving towards a similar system when I left residency for the students. In that case, a 2/5 is probably reasonable for someone starting out in third year who has various areas they need to improve on.

I have to grade student presentations on a scale of 1-4, and hardly ever give out 4s because I see those as the amazing speakers who don’t need to improve on their technique.