Resident Advancement
Criteria for Advancement of Residents
University of Arizona College of Medicine
Internal Medicine Categorical Residency Program
Advancement from R1 to R2
• Successfully completed R1 rotations. The Evaluation and Promotion Committee will be responsible for reviewing an unsatisfactory evaluation and for determination of any necessary remediation.
• Passed the Clinical Evaluation Exercise as determined by assigned Department of Medicine faculty.
• Passed the BCLS/ACLS courses
• Competent to supervise R1 residents and medical students per Department of Medicine faculty evaluation.
• Able to perform resident duties with limited independence per Department of Medicine faculty evaluation.
• Successfully performed all entry-level procedures, with documentation on file in the Department of Medicine
• Has demonstrated sufficient progress in the components of clinical competence that he/she is capable of functioning as a team leader. Specifically, the resident has the necessary skills in data gathering, medical knowledge, clinical insight, and critical thinking to be a team leader. He/she is demonstrating significant elements of practice-based learning and system-based learning in clinical encounters.
Advancement from R2 to R3
• Successfully completed R2 rotations. The evaluation and Promotion Committee will be responsible for reviewing any unsatisfactory evaluations and for determination of any necessary remediation.
• Has taken USMLE Step 3 examination.
• Competent to supervise R1 and R2 residents and medical students per Department of Medicine faculty evaluation.
• Maintain BCLS/ACLS certification.
• Seeks appropriate consultation when indicated.
• Able to perform resident duties with minimal supervision per Department of Medicine faculty evaluation.
The resident is capable of making independent decisions based on previous clinical experiences. He/she has the ability to recognize and manage “new� clinical problems (scenarios not previously encountered) skillfully.
• Has demonstrated significant progress in the components of actively functioning as a team leader.
Specifically, the resident has the necessary skills in data gathering, medical knowledge, clinical insight, and critical thinking while team leading. He/she is demonstrating significant elements of practice-based learning and system-based learning in clinical encounters.
Completion of training
• Successfully completed R3 rotations. The Evaluation and Promotion Committee will be responsible for reviewing and unsatisfactory evaluations and for determination of any necessary remediation.
• Passed USMLE Step 3.
• Able to perform independently in the practice of general internal medicine per Department of Medicine faculty evaluation.
• Successfully performed all required procedures, with documentation on file in the Department of Medicine.
• Has the sufficient medical knowledge base, problem-solving skills, and clinical judgment that enable him/her to provide satisfactory patient care.
• Has actively demonstrated practice-based learning and system-based learning in clinical encounters.
At every level of advancement and at the time of completion of training, the resident must demonstrate the following:
• Interpersonal and communication skills are satisfactory or superior, and documented by evaluators in inpatient and ambulatory setting. Works well with patients, fellow residents, faculty, consultants, ancillary staff and other members of the health care team in a manner that fosters mutual respect and facilitates the effective handling of patient care issues as demonstrated by satisfactory staff and faculty professional behavior evaluations. Any disciplinary action plans as a result of unprofessional behavior must have been successfully completed.
• Absence of impaired function due to mental or emotional illness, personality disorder or substance abuse. Any disciplinary actions, or treatment programs implemented per the U of A policies on impaired function must have been successfully completed and reinstatement approved by the Internal Medicine Program Directors per University Policy.