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1. Basic Information: Doctor's name, specialty, department, employee ID, evaluation period, and evaluator details
2. Clinical Performance Metrics: Assessment of medical knowledge, patient care quality, diagnostic accuracy, and treatment outcomes
3. Professional Behavior: Evaluation of communication skills, teamwork, professionalism, and adherence to institutional policies
4. Quality and Safety Metrics: Assessment of patient safety records, adherence to protocols, and quality improvement participation
5. Regulatory Compliance: Evaluation of compliance with documentation requirements, billing practices, and regulatory standards
1. Research and Academic Activities: Optional section for evaluating research contributions and teaching responsibilities in academic medical centers or teaching hospitals
2. Leadership and Administrative Duties: Optional section for evaluating management responsibilities and leadership effectiveness for doctors with administrative roles
3. Patient Satisfaction Metrics: Optional section for analyzing patient feedback and satisfaction scores when such data is available and relevant
1. Schedule A: Clinical Quality Metrics Details: Detailed breakdown of quality indicators and benchmarks
2. Schedule B: Peer Review Summary: Summary of peer review findings and feedback
3. Schedule C: Continuing Medical Education Record: Documentation of completed CME credits and professional development activities
4. Appendix A: Performance Improvement Plan: If applicable, detailed plan for addressing identified areas for improvement
5. Appendix B: Previous Period Objectives Review: Assessment of progress against previously set objectives
Evaluation Period
Clinical Competency
Performance Standards
Quality Metrics
Patient Satisfaction Scores
Peer Review
Professional Development
Medical Staff Bylaws
Clinical Outcomes
Core Competencies
Continuing Medical Education (CME)
Performance Improvement Plan
Quality Assurance
Risk Management
Patient Safety Indicators
Clinical Documentation
Regulatory Compliance
Medical Staff Privileges
Healthcare Quality Measures
Professional Conduct
Patient Care Standards
Medical Record Documentation
Procedural Competency
360-Degree Feedback
Quality of Care Standards
Professional Conduct
Patient Safety
Documentation Compliance
Communication Skills
Interpersonal Relations
Technical Skills
Medical Knowledge
Professional Development
Regulatory Compliance
Patient Satisfaction
Confidentiality
Ethics and Professionalism
Attendance and Punctuality
Leadership Skills
Resource Management
Quality Improvement Participation
Research and Academic Contributions
Team Collaboration
Risk Management
Administrative Responsibilities
Peer Review Participation
Goals and Objectives
Performance Improvement Plans
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