Residents are assigned two preceptors. One preceptor will be the five year mentor and will follow the resident through their residency, providing more longitudinal feedback. The second preceptor is a one year preceptor and will change from year to year. During each year of training, residents are expected to undergo at least one two-hour observation session with each mentor.
These sessions should be coupled with the completion of an evaluation form followed by a 20-30 minute debriefing on the same day. This encounter will be arranged at a time of mutual convenience for resident and mentor and with the permission of the preceptor responsible for the resident's supervision during the ED shift in question. Mentors will attempt to evaluate both clinical acumen and as many of the CanMeds roles as appropriate; however, the focus should be resident/mentor-directed based on real or perceived areas of weakness.
Evaluation forms, available online, should be used as a foundation for assessment. Residents are responsible for handing in completed evaluation forms to Maria. Over the five-year training period, residents are expected to include day, evening, and possibly night or weekend observations. At the PGY3 or PGY4 level, the session may involve observation of clinical teaching of a junior learner to assess a resident's teaching skills. This would require the prior agreement of the junior learner. During the PGY5 observation, residents are expected to be "in charge" of the department or pod(s) for that shift, handling calls and day-to-day administrative functions.
During all of these observations, residents interact with, and report back to, the preceptors they've been assigned to. Mentors observe any interactions between residents and staff, as well as resident-patient, resident-family, resident-nurse, resident-learner, resident-consultant, and any other resident interactions.