Resident name:__________ Year of training: :__________ Date: __________
Presentation type: grand rounds _____ journal club__________ meeting__________
Medical Expert: “demonstrate diagnostic and therapeutic skills for ethical and effective patient care, access and apply relevant information to clinical practice and demonstrate effective consultation services with respect to patient care, education and legal opinions”
The resident:	Not done	Done — needs improvement	Done adequately	Done well	Not applicable
• Demonstrates basic science and up-to-date clinical knowledge
• Uses knowledge & analytical thinking to address clinical questions
Feedback:
Communication: ”obtain and synthesize relevant history from patients/families/communities, listen effectively and discuss appropriate information with patients/families and the health care team”
The resident:	Not done	Done — needs improvement	Done adequately	Done well	Not applicable
• Spoke clearly
• Presented the topic in a comprehensive fashion
• Created effective visuals that were easy to read and understand
• Completed the talk within the time frame allotted
• Responded appropriately to questions
Feedback:
Collaborator: “the physician must consult effectively with other physicians and health care professionals and contribute effectively to other interdisciplinary activities.”
The resident:	Not done	Done — needs improvement	Done adequately	Done well	Not applicable
• Collaborated effectively with colleagues
• Referred to other experts for clarification of issues outside the realm of urology
Manager: “utilize resources effectively to balance patient care, learning needs and outside activities, allocate finite health care resources wisely, work effectively and efficiently in a health care organization and utilize information technology to optimize patient care, life-long learning and other activities.”
The resident:	Not done	Done — needs improvement	Done adequately	Done well	Not applicable
• Used appropriate technology for the presentation
Advocate: “identify the important determinants of health affecting patients, contribute effectively to improved health of patients and communities and recognize and respond to those issues where advocacy is appropriate.”
The resident:	Not done	Done — needs improvement	Done adequately	Done well	Not applicable
• Identified any cultural and societal aspects associated with the topic
• Identified any issues associated with patient safety
Scholar: “develop, implement and monitor and personal continuing education strategy, critically appraise sources of medical information, facilitate learning of patients, house staff/students and other health professionals and contribute to the development of new knowledge”
The resident:	Not done	Done — needs improvement	Done adequately	Done well	Not applicable
• Did a critical review of the literature on the topic
• Provided a structured and understandable presentation
• Presented directions for future research on the topic
• Contributed to resident and faculty education
Professionalism: “deliver the highest quality of care with integrity, honesty and compassion, exhibit appropriate personal and interpersonal professional behaviors and practise medicine ethically consistent with obligations of a physician.”
The resident:	Not done	Done — needs improvement	Done adequately	Done well	Not applicable
• Dressed appropriately for the presentation
• Interacted appropriately with the audience
Feedback:

^*Adapted from the Toolbox of Assessment Methods,⁸ the 1996 CanMEDS competencies¹ and the “Competency Evaluation Template.”¹⁴