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1. Personal Information: Doctor's basic information including name, medical license number, specialization, department, and years of service
2. Evaluation Period: Time period covered by the appraisal and date of review
3. Clinical Competency Assessment: Evaluation of medical knowledge, clinical skills, patient care, and diagnostic abilities
4. Professional Conduct: Assessment of adherence to medical ethics, professional standards, and hospital policies
5. Communication Skills: Evaluation of interaction with patients, families, and healthcare team members
6. Quality of Care Metrics: Quantitative measures including patient outcomes, safety records, and compliance with clinical guidelines
7. Administrative Responsibilities: Assessment of record-keeping, documentation, and administrative duties
8. Research and Academic Contributions: Evaluation of research activities, publications, and teaching responsibilities
9. Overall Performance Rating: Summary scoring and general performance assessment
10. Development Plan: Identified areas for improvement and specific action plans
11. Sign-off Section: Signatures of the evaluator, physician, and relevant department heads with dates
1. Peer Review Results: Optional section for including feedback from peer review processes, used when peer review is part of the evaluation cycle
2. Patient Satisfaction Metrics: Optional section for including patient feedback and satisfaction scores, used when such data is collected systematically
3. Leadership Responsibilities: Optional section for evaluating performance in leadership roles, used for doctors with administrative or management duties
4. Emergency Response Assessment: Optional section for evaluating performance in emergency situations, particularly relevant for emergency medicine specialists
5. Specialized Procedures Competency: Optional section for evaluating specific technical skills relevant to the doctor's specialization
6. Teaching Evaluation: Optional section for assessing teaching capabilities, used for doctors involved in medical education
7. Cultural Competency Assessment: Optional section for evaluating ability to work with diverse patient populations, particularly relevant in multicultural settings
1. Schedule A - Performance Metrics Definitions: Detailed definitions and calculations for all quantitative performance metrics
2. Schedule B - Competency Framework: Detailed breakdown of expected competencies and their evaluation criteria
3. Schedule C - Rating Scale Guide: Detailed explanation of the rating system and scoring methodology
4. Appendix 1 - Patient Care Quality Indicators: Specific quality indicators and benchmarks for patient care
5. Appendix 2 - Professional Development Resources: List of available resources and programs for identified development areas
6. Appendix 3 - Incident Reports Summary: Summary of any reported incidents or concerns during the evaluation period
7. Appendix 4 - Previous Goals Review: Review of goals and objectives set in the previous evaluation period
Clinical Competency
Continuing Medical Education (CME)
Clinical Privileges
Department
Evaluator
Healthcare Institution
Medical Staff
Performance Metrics
Professional Standards
Quality Indicators
Rating Scale
Remediation Plan
Review Committee
Scheduled Duties
Scope of Practice
Supporting Documentation
Medical Records
Patient Outcomes
Peer Review
Professional Development
Clinical Guidelines
Quality of Care
Evidence-Based Practice
Patient Safety Metrics
Incident Reports
Medical Ethics
Professional Conduct
Administrative Duties
Clinical Leadership
Performance Improvement Plan
Regulatory Compliance
Assessment Criteria
Competency Framework
Healthcare Team
Patient Satisfaction
Medical License
Hospital Privileges
Professional Boundaries
Quality Assurance
Risk Management
Medical Staff Bylaws
Performance Standards
Clinical Supervision
Medical Practice
Healthcare Delivery
Professional Conduct
Confidentiality
Data Protection
Quality Assurance
Patient Care
Professional Development
Documentation Requirements
Compliance
Performance Metrics
Evaluation Process
Appeals Process
Record Keeping
Privacy Protection
Professional Standards
Medical Ethics
Patient Safety
Administrative Duties
Research and Education
Communication Standards
Peer Review
Remediation
Performance Improvement
Reporting Requirements
Accountability
Dispute Resolution
Health and Safety
Risk Management
Professional Boundaries
Regulatory Compliance
Healthcare
Medical Services
Hospital Administration
Private Medical Practice
Public Health
Medical Education
Clinical Research
Pharmaceutical Research
Healthcare Technology
Occupational Health
Human Resources
Medical Administration
Quality Assurance
Clinical Operations
Medical Education
Professional Development
Compliance
Medical Records
Performance Management
Clinical Governance
Medical Staff Office
Physician Services
General Practitioner
Medical Specialist
Surgeon
Emergency Physician
Pediatrician
Psychiatrist
Radiologist
Anesthesiologist
Cardiologist
Oncologist
Chief Medical Officer
Department Chief
Medical Director
Clinical Professor
Research Physician
Resident Physician
Fellow
Locum Doctor
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