Criticalcare Assessment Evaluation | KK Women's and Children's Hospital

Children's Intensive Care Unit (CICU) Assessment and Evaluation Guidelines

1. Aim of Assessment

Fellows are required to continually demonstrate the six competencies throughout the programme.

Patient Care
Medical Knowledge
Practice-Based Learning and Improvement
Interpersonal and Communication skills
Professionalism
Systems-Based Practice

The other key competency areas include:

effective patient care (e.g.: complete and appropriate assessment of the patient);
effective communicator with other health care providers and the community;
effective clinical decisions;
proficient and appropriate use of procedural skills;
interprets data information.

2. Assessment Approaches

Type
mini-CEX	2 per 6 months
Case-based Discussion (CBD)	2 per 6 months
Multi-rater 360 evaluation	1 per 6 months

Table 1: Assessment mode for one year of paediatic critical care fellowship programme

Fellows are required to attain a 70% percentage pass for this training and fellowship programme.

*Please note that details on assessment will be revealed when an applicant enrolls in this training and fellowship programme.

3. Evaluation Process

General overall grading system

The general overall grading system evaluates the fellow’s performance upon completion of the fellowship programme. All fellows will be given a general overall grading status at the end of the fellowship programme based on the grading criteria requirements incorporating the six competencies based knowledge, skills and performance that fellows must demonstrate throughout the programme.

Grading Status	Description	Grading Criteria Requirements
CMP	Completes the programme	More than 80% attendance for all lectures and training skills courses Active participation observed in all lectures and training skills courses Completes all modes of assessment achieving 70% of the passing rate Completes all training skills courses Achieves satisfactory multi-source feedback assessment (>70%)
USP	Unsatisfactory performance	Poor attendance rate (less than 50%) for all lectures and training skills courses Unsuccessful attempt mini-CEX and CBD (scores as unsatisfactory) Poor multi-source feedback assessment (less than 50%) Achieves less than 50% the passing rate Consistently demonstrates a poor level of meeting the six competencies Consistently demonstrates poor training skills and patient care Consistently demonstrates a poor professional attitude throughout the programme Demonstrates low level of respect towards advisors and other health professionals Demonstrates a lack of responsibility throughout the programme
DCP	Did not complete the programme	Attends less than 50% of lectures and training skills courses Fails to provide supporting documents as a valid reason for not completing the programme (e.g.: medical / hospitalisation leave) Did not complete required modes of assessment
WDN	Withdrawn from the programme	Did not complete or attend any part of the programme within two months

Table 2: Critical Care training and fellowship programme, General overall grading system, KKH, Eduction Office, 2013

Options for fellows who were graded with a (USP) for unsatisfactory performance

Fellows who have attained a USP grade are given options to extend their fellowship programme. Fellows are required to attend and complete the fellowship programme (at cost) to receive a credited certificate within 6 months. This will depend on the faculty's evaluation on the fellow's clinical skills and professional attitude. The fellow has to show improvement in attendance and assessment modes to a level of a CMP grading status.

4. Approver and Authoriser of assessment

A/Prof Loh Tsee Foong
Head and Senior Consultant, Children's Intensive Care
Qualification: MBBS, MMED (PAEDS), FAMS