Name Wayne Tsuang PGY-2 Categorical Track Residency Start date: July 1, 2007 End date: June 30,2010 Date - 1/6/2009 meeting with Dr. Rouan Director's Comments: Subspecialty Interests: Awards and Recognition: V <>Early Oxygen Desaturation During Six Minute Walk Test (6MWT) Suggests Worse Air Flow Limitation and Greater Air Trapping in Individuals with Chronic Obstnictive Pulmonary Disease <>AN INR of 18: The Etiology Diag~losed by X- %lY CEX exams completed 08-09: Poster Presentation <>Tsuang W, Ahmed K, Eckert D, Helmy T, Grunenwald P. "Cocaine Chest Pain or Congenital Heart Disease?" <>An TNR of 18: The Etiology Diagnosed by X- &lY <>Tsuang W, Subramaniail R, Liu 0, Heart J, Mohant~ S. The need for liver biopsy in a patient with acute HCV infection. Professionalisn~ Index: Poster Presentation ITE esam Results: Midwest SGIM, Chicago, IL Publications Poster Presentation Publications 09- 25- 08 National ACP - Washington, DC 05- 15- 08 Letter to the Editor. American Family Physician National SGIM Pittsburgh, PA Nature Clinical Practice Gastroenterology and Hepatology 0 In-Training Exam <>In-Training Exam 04- 30- 08 04- 11- 08 12- 01- 07 2007 2008 47 49 14 6 I (0 I
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Name Wayne Tsuang
PGY-2 Categorical Track Residency Start date: July 1, 2007 End date: June 30,2010
Date - 1/6/2009 meeting with Dr. Rouan
Director's Comments:
Subspecialty Interests:
Awards and Recognition: V
<>Early Oxygen Desaturation During Six Minute Walk Test (6MWT) Suggests Worse Air Flow Limitation and Greater Air Trapping in Individuals with Chronic Obstnictive Pulmonary Disease
<>AN INR of 18: The Etiology Diag~losed by X- %lY
CEX exams completed 08-09:
Poster Presentation
<>Tsuang W, Ahmed K, Eckert D, Helmy T, Grunenwald P. "Cocaine Chest Pain or Congenital Heart Disease?"
<>An TNR of 18: The Etiology Diagnosed by X- &lY
<>Tsuang W, Subramaniail R, Liu 0, Heart J, Mohant~ S. The need for liver biopsy in a patient with acute HCV infection.
Professionalisn~ Index:
Poster Presentation
ITE esam Results:
Midwest SGIM, Chicago, IL
Publications
Poster Presentation
Publications
09- 25- 08
National ACP - Washington, DC
05- 15- 08
Letter to the Editor. American Family Physician
National SGIM Pittsburgh, PA
Nature Clinical Practice Gastroenterology and Hepatology
Hi Bonnie, this is what I filled out on medportal for the appt with Dr. Rouan on Jan 6th. Wayne
Strengths: -Listening -Being team player -Case repom Improvements : -Standardized test taking -Fund of knowledge -Signing off on IJ and subclavian lines Learning Goals (6 months): Go through MKSAP. And also prepare for and take step III in feb. Learning Goals (2 weeks): -Get ready for Step 111 in Feb. Review surgery, oblgyn, and peds Career Plans/Interests: academic pulmonary/critical care medicine Ongoing learning: have MKSAP texts, online rnksap, and harrisons. also online access to usrnle-world for step 111. Will try to take an hr each day to do questions.
Orientation: Liked the lectures on fellowship/finding jobs, and step 3. I liked the experience our year. Clinic experience: 2 months into long block, finally getting the hang of it. Dealing with all the narcotic requests can be frustrating at time. But, overall, I like the clinic experience. Volume/Variety patients: Volume is good at 5-6 pts per half day. Plenty of chronic diseases with occasional mre illnesses. Quality of conferences: I have been at the VA past 2 months, so, quite honestly, have not have a chance to attend very many lectures at TUH. Notable Interactions: Some of my clinic patients have appreciated me going the extra mile or making extra effort to care for them. Mentoring: Dr. Mathis has been great. I am lucky to have him as a mentor.
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r m t 7/1/2007 7/1/2007 ShiR
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Assisnment Checked Source By Hours Renal Ward 8/2/2007 Intern 11:20:33 Res Res 7.00 Comments &E& Non-Call AM Shift
Renal 8/2/2007 Ward 11:20:33 Res Res 16.50 Comments Details Intern AM On-Call
Renal Ward 8/2/2007 Intern 11:20:33 Res Res 12.00 Comments Details Non-Call AM Shift
Renal Ward 8/2/2007 Intern 11:20:33 Res 12.00 Comments Details Non-Call AM Shift
8/15/2007 Ward 7:44:13 Res Res 16.50 Comments D&& Intern pM On-Call
Renal Ward Intern Non-Call Shift
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Renal Ward Intern Non-Call Shift
8/15/2007 7:44:13 Res Res 13.75 Comments Details PM
8/15/2007 7:44:13 Res Res 6.00 Comments Details PM
8/15/2007 7:46:00 Res Res 12.00 Comments Details PM
Renal 8/15/2007 Ward 7:46:00 Res Res 16.50 Comments Details Intern pM On-Call
Renal Ward 8/15/2007 Intern 7:46:00 Res Res 12.00 Comments Details Non-Call PM Shift
Renal Ward 8/15/2007 Intern 7:46:00 Res Res 12.00 Comments E!& Non-Call PM Shift
Renal 8/15/2007 Ward 7:46:00 Res Res 16.50 Comments Details Intern pM On-Call
Renal 8/15/2007 Ward 7:46:00 Res Res 12.00 Comments Details Intern PM
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Renal Ward 8/15/2007 Intern 7:47:18 Res Non-Call PM Shift
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8/15/2007 7:47:18 Res PM
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Renal Ward 8/20/2007 Intern 2:25:13 Res Non-Call AM Shift
Renal Ward 8/27/2007 Intern 4:56:41 Res Non-Call AM Shift
Renal 8/27/2007 Ward 4:56:41 Res Intern AM On-Call
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12.00 Comments Details
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9.75 Comments &Qik 7.00 Comments
Non-Call Shift Renal
7/30/2007 7/31/2007 Call 8/27/2007 r Edit 8:OOAM 1:15 AM Ward 4:58:16 Res Res Intern On-Call AM
Renal Ward 9/3/2007
r ~ d l t 7131/2007 713112007 Shift Intern 4:39:00 Res Res Tue 6:00 AM 9:15 PM Non-Call PM Shift
9/3/2007 !- &lJ Wed ::iLy:7 0:iLF:7 Elective Elective 4:39:00 Res Res
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9/3/2007 r a t 81412007 81412007 Elective Elective 4:39:00 Res Res Sat 8:00 AM 5:00 PM
PM
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8:00 AM 5:00 PM PM
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9/3/2007 r ~ d i t 811512007 8/1512007 Elective Elective 4:40:07 Res Res Wed 8:00 AM 5:00 PM PM
8/16/2007 8/17/2007 can Night 9/3/2007 r ~ d i t Thu 8:00 PM 8:15AM Float- 4:40:07 Res Res Admit pM
Ward
8/17/2007 8/18/2007 Call Night 9/3/2007 r Edit Fri 8:00 PM 8:15 AM Float- 4:40:07 Res Res Admit pM Ward
8/19/2007 8/20/2007 Call Night 9/3/2007 r ~ d i t ~elete sun 8:00 PM 8:OoAM Float- 4:40:07 Res Admit pM
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i- Edit 8/21/2007 8/22/2007 can Night 9/3/2007 Res Res
Tue 8:00 PM 8:00 AM Float- 4:40:07
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7:00 AM 3:00 PM Weekday Intern
10/28/2007 10/29/2007 Call ~ d i t ~elete Sun 7:00AM ~ : O O A M UH Intern CCU unknown Sched
I & D of Abscess (Internal Medicine) I And D Abcess (Internal Medicine) Indirect Laryngoscopy (Internal Medicine) Insert/Plcmt Swan Ganz (Internal Medicine)
Insertion Arterial Line (Internal Medicine) Insertion Central Line Catheter (Internal Medicine) Interp Rightside Catheter Tracing (Internal Medicine)
Evaluation of Resident 2008-2009 UNIVERSrn OF CINCINNATI MEDICAL CENTER DEPARTMENT OF INTERNAL MEDICINE EVALUATION OF RESIDENT 2008-2009
R- 2 Standard Scale Average Average Mln~niurn Maxlrnum Devlat~on
Overall Total Not Passed
0
Category/Question
PATIENT CARE Incomplete, Superb, accurate, inaccurate medical comprehensive interviews, physical medical interviews, examinations, and physical review of other examinations, review data; incompetent of other data, and performance of procedural skills; 1-9 7.21 7.80 7.00 9.00 0.84 essential always makes procedures; fails to diagnostic and analyze clinical therapeutic decisions data and consider based on available patient preferences evidence, sound when making judgement, and medical decisions patient preferences
PATIENT CARE
Overall % for Credential
6%
Medical Interviewing: Logical, Incomplete, illogical, thorough, and
disregards risk and patients' discomfort to patients discomfort.
MEDICAL KNOWLEDGE
Exceptional Limited knowledge knowledge of basic of basic and and clinical sciences; clinical sciences; highly resourceful minimal interest in development of
5 learning; does not knowledge; 1-9 6.99 7.40 6.00 9.00 1.14 understand comprehensive complex understanding of relationships, complex mechanisms of relationships, disease mechanisms of
disease
PRACTICE-BASED LEARNING AND IMPROVEMENT
Fails to perform self-evaluation; lacks insight, initiative; resists or ignores feedback; fails to use information technology to enhance patient care or pursue self- improvement
Constantly evaluates own performance, incorporates feedback into improvement activities; effectively uses technology to manage information for patient care and self-improvement
INTERPERSONAL AND COMMUNICATION SKILLS
Does not establish Establishes highly adequate, effective humanistic effective, and therapeutic humanistic and relationships with therapeutic patients and families; relationshi~s with demonstrates patients and families; conveys poor, ineffective listening, narrative or nonverbal skills; does not provide education or counseling to patients, families, or colleagues.
excellent listening, l-g narrative and
7.52 8.20 8.00 9.00 0.45
nonverbal skills; successful in educating and counseling patients, families, and colleagues; always "interpersonally" engaged
self-assessment; fails to acknowledge errors; does not consider needs of patients, families, colleagues; does not display responsible behavior
responsible behavior; total commitment to self-assessment; willingly acknowledges errors; consistently considers needs of patients, families, colleagues
SYSTEM-BASED LEARNING
Unable to accesslmobilize outside resources; resists efforts to improve systems of care; does not use systematic approaches to reduce error and improve patient care
Effectively accesses/utilizes outside resources; effectively uses systematic approaches to reduce errors and improve patient care; enthusiastically assists in developing systems' improvement
OVERALL CLINICAL COMPETENCE
This rating represents your assessment of the resident's overall performance during this month of training.
Superior: Far exceeds reasonable expectations.
10 Satisfactory: Always meets and occasionally exceeds reasonable expectations.
Marginal: Meets some expectations but occasionally falls short.
Unsatisfactory: Consistently falls short of reasonable expectations.
OVERALL CLINICAL COMPETENCE
11 Has this form be reviewed by the resident?
OVERALL CLINICAL COMPETENCE
12 Number of patients admitted during this rotation
OVERALL CLINICAL COMPETENCE
Number and types of procedures done l3 during this rotation were rev~ewed and
documented
OVERALL CLINICAL COMPETENCE
14 Medical Records, e.g. dictationlsignatures, are complete
OVERALL CLINICAL COMPETENCE
Attending's Comments (Required):
~uest ion comments A
12) -56
No Boolean (1) Yes
(1)
Comment
Boolean Yes (1)
Boolean Yes (4)
Comment
Weintraub, Neal 10/07/2008 12) approximately 30
IM-CCU-UH Wilkin,
J~~~~ 12) n/a 12/30/2008 IM-CAR-VA
15) I t was a pleasure to work with Wayne during the month. He is a diligent team leader, assuring that appropriate care gets taken for patients on the service, yet allowing the more junior members of the team
Kra'ovic' taken on the responsibilities of completing the tasks for the patients. July is always a difficult month for ~ ~ ~ ~ o 0 8 transitioning, but Wayne acquitted himself quite well during this transition. Wayne is a team leader who
leads by quiet example; he does not "toot his own horn," but rather leads through example and 1M-VA3-VA professionalism. He received the respect of his team in quick order and established a good patient care
environment for all the team members, which is a key to good team leading.
Weintraub, 15) Wayne is a pleasure to work with- always positive and upbeat, great "team player." I am impressed with Neal his knowledge base, clinical acumen, and interpersonal skills. At times I am tough on Wayne- only because I 10107/2008 know how much potential he has and am pushing him to be the very best he can be! IM-CCU-UH Effat,
yz$:,"08 15) Wayne is a hardworking resident. He is a diligent caretaker of his patients.
IM-CCU-UH Rashkin, Mitchell 11/25/2008 15) insufficient contact IM-MICU- 2-UH * Nath, 15) Wayne is an excellent resident, with an academic bent of mind. He worked alone with me on some days Amaresh (when the fellow was in clinic) and did an excellent job in spite of a busy consult service, PFTs and several 12/15/2008 procedures on that day. He is polite, soR spoken and respectful. I have encouraged him to be more IM-PUL-VA expressive to reveal his true depth of understanding. He will make an excellent academic physician.
Wilkinf 15) Dr. Tsuang did a very credible job. Secondary to many conflicts he had limited exposure. He has done lames very well and has been extremely intersted in learning. I am sure he will make an excellent graducate of our 12/30/2008 program. IM-CAR-VA
Evaluation PATIENT CARE of Team Leader Incomplete, Superb, accurate, 2008-2009 inaccurate medical comprehensive
interviews, physical medical interviews, UNIVERSm examinations, and physical OF review of other examinations, review
data; incompetent of other data, and 1 performance of procedural skills; 1-9 CENTER
7.54 9.00 9.00 9.00 always makes
DEPARTMENT Ez%;es; fails to diagnostic and OF INTERNAL analyze clinical therapeutic decisions MEDICINE EVALUATION data and consider based on available
OF TEAM patient preferences evidence, sound LEADER 2008- when making judgement, and 2009 medical decisions patient preferences
PATIENT CARE
Performance needs attention Checkbox
MEDICAL KNOWLEDGE
Limited Exceptional knowledge of knowledge of basic 1-9 7.56 9.00 9.00 9.00 basic and clinical and clinical sciences; sciences; minimal highly resourceful
interest in development of learning; does not knowledge; understand comprehensive complex relations, understanding of mechanisms of complex relationships, disease mechanisms of
disease
MEDICAL KNOWLEDGE
Performance needs attention Checkbox
PRACTICE-BASED LEARNING AND IMPROVEMENT
Fails to perform self-evaluation; lacks insight, initiative; resists or ignores feedback; fails to use information technology to enhance patient care or pursue self- improvement
Constantly evaluates own performance, incorporates feedback into improvement activities; effectively uses technology to manage information for patient care and self-improvement
PRACTICE-BASED LEARNING AND 6 IMPROVEMENT Checkbox
Performance needs attention
INTERPERSONAL AND COMMUNICATION SKILLS
Does not establish even minimally Establishes a highly effective effective therapeutic therapeutic relationship with relationships with patients and families; patients and demonstrates families; does not excellent relationship demonstrate ability building through to build listening, narrative 7.71
relationships and nonverbal skills; through listening, excellent education narrative or and counseling of nonverbal skills; patients, families, does not provide and colleagues; education or always counseling to interpersonally patients, families, engaged or colleagues
INTERPERSONAL AND 8 COMMUNICATION SKILLS Checkbox
Performance needs attention
PROFESSIONALISM
Lacks respect, Always demonstrates compassion, respect, compassion, integrity, honesty; integrity, honesty; disregards need for teacheslrole models self-assessment; responsible fails to behavior; total 1 -Y I .o>
acknowledge commitment to self- errors; does not assessment; willingly consider needs of acknowledges patients, families, errors; always colleagues; does considers needs of
not displa responsibl behavior
patients, families, colleagues
PROFESSIONALISM
lo Performance needs attention Checkbox
SYSTEM-BASED LEARNING
Unable to access/mobilize outside resources; actively resists efforts to improve
11 systems of care; does not use systematic approaches to reduce error and improve patient care
Effectively accesses/utilizes outside resources; effectively uses systematic approaches to 1-9 reduce errors and improve patient care; enthusiastically assists in developing systems improvement
SYSTEM-BASED LEARNING
l2 Performance needs attention Checkbox
SYSTEM-BASED LEARNING
13 Residents Overall Clinical Competence in 1-9 7.67 9.00 9.00 9.00 Internal Medicine on Rotation
SYSTEM-BASED LEARNING
l4 Performance needs attention Checkbox
SYSTEM-BASED LEARNING
l5 Interns Comments Comment
Evaluator Question Comments Steinbaugh, Linda Anne 08/01/2008 IM-VA3-VA
15) Wayne is an excellent resident. He consistently showed compassion, professionalism, knowledge, and committment to patients and to the team. He was always respectful of my role as intern, and he displayed great leadership. I t was a pleasure work with him. 2.7
// E x ~ o r t to Excel
Notes:
tion (only one score) or that this statistic does not