Residency Evaluations and Feedback

Program Aims

Residency programs have a core focus that is shaped by the mission of the sponsoring institution and the health needs of the surrounding region. This resource page begins with the Aims of our residencies and drills down into how each rotation is designed to move you closer to independent practice.
Categorical Medicine Aims
Transitional Year Aims

Internal Medicine Program Aims

The mission of the Summa Health System / NEOMED Internal Medicine residency program is to provide the highest quality education to our residents to train them to provide the highest quality, compassionate care to their patients now and throughout their future careers, thereby contributing to a healthier community. The focus of our educational program is on patient care for those in the greater Akron, Ohio area and throughout northeastern Ohio. Graduates will contribute to improved patient care as general internists providing office-based care, hospitalists, or subspecialists (after completing further subspecialty training if they so choose). This mission is consistent with the mission of Summa Health System which is to “provide the highest quality, compassionate care to our patients and members and to contribute to a healthier community.”

Transitonal Year Program Aims

The Summa Health System Transitional Year residency provides physicians from a diverse background with in depth, experiential learning exposure to inpatient and ambulatory internal medicine in an urban community health setting that emphasizes personal responsibility for patient care and personal and professional growth as clinicians. The residency shares values and rotation assignments with the Summa Internal Medicine residency, such that there is a strong experience of clinical collaboration for transitional year and categorical medicine residents. Beyond clinical competence, the program places special emphasis on continuous quality improvement, professional development and developing a life long strategy to ensure personal wellness.

Using Milestones to advance your skills and autonomy

The ACGME Milestones identify key knowledge, skills and behaviors associated with the practices of effective clinicans in each specialty. Our programs use the ACGME Milestones to shape curriculum and to create individualized learning plans for each resident.

Milestones are organized by Competencies (major skill areas) and by Milestone Levels 1-5 that mark a resident moving from novice to expert in that skill or behavior. Our curriculum and evaluation system uses Milestones to describe goals for resident learning in each rotation.

Milestones use a narrative approach to describe the same skill at different levels of professional development.
As you progress through residency, you can use the Milestones to form learning goals. Download the complete set of Milestones for IM or TY here:
Internal Medicine MilestonesTransitional Year Milestones

Categories of Supervison

It's important as a learner to understand categories of supervision. What activities require direct, indirect supervison and oversight? What policies govern these levels? Supervision progresses for Categorical medicine based on the PGY and individual assessment by direct observation of resident skills. Each level of resident learning is addressed in the polices available here. Certain situations require higher levels of supervison regardless of PGY level. Take a moment to review the policies provided in this section. They pertain to both Categorical and Transitonal Year residents.
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Situational SupervisionCategories of SupervisionProgressive Supervision

How you will receive Feedback on your skills

Work-based Feedback on rotations

Much of the formative feedback you will receive during residency will happen as you care for patients together with senior residents and attending physicians. Supervisng physicians receive training in the Milestones and can provide feedback that can help you advance your skills from novice to competent, and on to expert.

At the end of your rotation the attending may give you a summary of your current progress. Watch for specific action steps in the summary you can take to advance your knowledge, skills and behaviors. If you need more specifics, ask your evaluator for them.

REEAC (Resident Education Evaluation and Assessment Committee)

Several times a year this faculty group meets to review your individual progress in a summative way. They will review all of your evaluations from rotations, patients, nurses and self evaluation to form a clear picture of your growth as a resident. Your academic advisor leads the group in understanding your goals and personal learning curve.

This group looks for ways to enhance your devlopment as a physician. Specific goals and resources may be recommended if the group believes this might help you move through a challenge or opportunity. The faculty wants you to succeed.

After this review, your advisor will set up a brief conversation to review the REEAC summary and work together to form realistic learning goals for the next six months.

How you are advanced to supervisory roles

Clinical Competency Committee

Toward the end of the internship year for categorical IM progress is evaluated for each individual resident in an educaional review called the Clinical Competency Committee. Faculty familiar with the Milestones and resident evaluation are appointed by the Program Director to reveiw the full progress of each resident and to make a recommendation for advancement.

Welcome to the Evaluation System

The era of time-consuming evaluations is over.
In June 2019, the Internal Medicine Faculty developed a New Evaluation System to allow very quick documentaion of evaluations.  Unlike prior evals, we hope this will take you a fraction of the time to complete.

Pros of the new system
- Ability for very quick completion of evals by allowing you to only rate what you observed.
- Ability to create an app icon on your phone’s home screen for future access. This allows real time evaluation if desired.
- Immediate email of your evaluation to you, the evaluated resident, and the resident’s faculty advisor.

Thanks in advance for evaluating our residents and all you do for our residency!



about SUmma HEALTH

Summa Health System is located in Northeast Ohio. It's multiple campuses serve as an academic community teaching resource for the Northeast Ohio Medical University and hosts 11 residencies and 7 fellowship programs.

useful links
Summa Health SystemWellness Resources: GMECHealthcare Equity Resources
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