Field Notes (FN)
A categorized, narrative record of feedback provided by a supervising Preceptor or other health care professional based on direct observation of Resident performance/behavior or case discussion. Provided by the Program to the Residents in the form of a logbook.
In Training Evaluation Report (ITER)
Our program utilizes a variety of weekly, mid and overall rotation ITERs throughout residency to track competency. ITERs are aligned with the set learning objectives for the rotation, the CFPC 6 skill dimensions and relevant EPAs.
Internal Medicine ORITER - Calgary Program
Internal Medicine ORITER - Rural Program
Intra-Partum Field Note (IPFN)
A narrative record of feedback, completed by a supervising Preceptor at the end of a clinical intra-partum experience. Provided by the Program to the Residents in the form of a logbook.
IPFN Guidance Document
Informed Self-Assessment of Progress (iSAP)
A reflective tool completed by Residents ahead of each progress review meeting with their Primary Preceptor.
Patient Centred Skills Form (PCSF) - Calgary Program Only
Completed at the end of the of a patient centred care lab (PCCL) following review of a video consultation of a patient by the Resident. Please visit the PCCL page for more information.
Midterm Review (8 week review) – Calgary Program Only – Informal 15-20 minute meeting between Primary Preceptor and Resident approximately mid-way between progress reviews. A short mid-term review report is completed by the Preceptor at the end of the meeting using One45.
4 Month Progress Review – scheduled meeting between the Resident and Primary Preceptor/Site Director, which occurs generally every 4-5 months over the period of training. Dring this meeting, the Primary Preceptor/Site Direcotr reviews with the Resident, the Resident’s assessment data collected over the previous 4-5 months and provides feedback on how the Primary Preceptor/site Director feeld the Resident is progressing (on track, or not) in relation to the identified set of EPAs and expected level of competency (level of supervision) for the time point at which the review occurs. A progress report is completed at the end of each review, which must be signed by the Resident, Primary Preceptor and Division Director/Site Director.
Please see the Progress Review Process section for more information
American Board of Family Medicine In-Training Examination (USITE)
In the fall of each academic year the Residents write the American Board of Family Medicine In-Training Exam. Residents are scheduled time within academics to complete the online exam. The formative exam gives the Residents an opportunity to assess their progress and to identify any learning gaps. Individual scores are included in the Residents assessment portfolio and shared with their Primary Preceptor/Site Director in order to promote discussion around any areas of weakness or learning needs.
2016 USIT Examination Questions
2016 USIT Examination Pictorial Atlas
2016 USIT Examination Answer Key
2017 USIT Examination Questions
2017 USIT Examination Answer Key
JAMA Conversion Chart
Progress Review Process
Each Resident attends regularly scheduled progress reviews with their Lead Preceptors/Site Director throughout their program (4 month progress reviews and mid-term 8 week reviews). It is the Residents responsibility to coordinate a meeting ahead of the progress review submission deadline. Residents provide evidence of their progress in their assessment portfolios, which contain the following:
- Field Notes
- ITERs (In-training evaluations on One45)
- USITE Results in Block 8 of R1 and R2 (please see below for more information on the USITE)
- IPFNs if available
- DOPs forms if available
Four-Month Progress Review Procedure
At least one week before the Progress Review meeting, the Resident is required to:
- Download the 4-month Progress Review and Informed Self-Assessment of Progress (iSAP) forms – link to appropriate pages;
- Complete the Informed Self-Assessment of Progress (iSAP) form:
- Compile the top copies of all field notes, available IPFNs and DOPs for the 4 block period being reviewed;
- Complete Parts I through IV of the 4-Month Progress Review form;
- Send all of the above to Lead Preceptor/Site Director;
After the meeting please collected all required documents and submit to your division Program Coordinator. Complete the checklist to confirm you have all required documents, and submit a copy with your completed progress review package.
Schedule the Meeting
One on one meeting with the Resident, closed door protected time session, approximately 30-45 minutes
The Primary Preceptor receives copies of all completed ITER’s, PCOF’s, 8-week mid-term review, the completed last 4-month Progress Report, and any other assessment data available to review a week before the end of the block. Sent by the Program Coordinator in your Division.
The Resident and Preceptor meet, and the Preceptor records the outcome of the meeting.
- On Track – update Learning Plan in Progress Report
- Focused Attention Needed – write and implement a Focused Learning Plan (FLP) please see the FLP page for more information and to access the forms required (insert link to FLP page).
- Refer to the Resident Progress SubCommittee (RPS) for review
Provide a copy of the report, and all documents to the Resident. The Resident is responsible for submitting all documents to the Program.
Progress Review Form Word - Calgary Program
Progress Review Form PDF - Calgary Program
Progress Review Form PDF Fillable - Calgary Program
Progress Review Form Word - Rural Program
Progress Review Form PDF - Rural Program
Progress Review Form PDF Fillable - Rural Program
Requirements & Timelines
Assessment Tools Chart - Calgary Program
Assessment Tools Chart - Rural Program
Triple C Curriculum Requirements - Calgary Program
Assessment Program Timelines - Calgary Program
Assessment Program Timelines - Rural Program DRAFT
Mandatory Events Calendar
At the end of each Progress review the Primary Preceptor/Site Director makes a recommendation, based on a complete review of the elements submitted in the learning portfolio.
The Preceptor/Site Director may recommend that the Resident:
- Is on track
- Has some identified areas where focused attention is need (Focused Learning Plan)
- Be referred to the Resident Progress Sub-Committee (RPS) for review
Set new learning objectives for the next 4 months
Focused Learning Plan (FLP)
A Structured learning plan drawn up by the Resident and Primary Preceptor/Site Director (with input from Division Director if needed) to describe an area of performance deficiency requiring focused attention to bring the Resident up to the expected level of proficiency but not requiring a formal period of remediation. The plan includes a description of how the deficiency will be addressed and how it will be assessed and does not require any extension to training or result in any delay to promotion from PGY1 to PGY2.
FLP Form Word
FLP Form PDF
FLP Writing Learning Objectives
Learning Strategies Grid
Referral to Resident Progress Sub-Committee (RPS)
Due to identified areas of significant concern around performance. The RPS will determine what action is required, including deciding if a period of remediation or probation may be required. This may require an extension to training or may involve a period of remediation or probation.
A formal program of individualized education support, assessment and monitoring to assist in correcting identified performance deficiencies
A formal program of individualized educational support, assessment and monitoring with the requirement that the resident must demonstrate sufficient improvement in order to continue in the Residency Program.
For more information on remediation and probation please refer to the PGME Remediation and Probation guidelines
Promotion to R2
A Resident will be promoted to the next PGY level when the resident has met the expectations of the preceding PGY level, including rotations and any other program-specific criteria. The program must approve each resident’s promotion to the next PGY level (or completion status).
Please review the Promotion and Completion Requirements Policy for a complete overview of requirements for promotion to R2.
Calgary Promotion & Completion Requirements
Rural Promotion & Completion Requirements
A Resident will be considered for completion once all requirements for completion of training have been met. Please review the Promotion and Completion policy for a complete list of requirements.
Calgary Promotion & Completion Requirements
Rural Promotion & Completion Requirements
For helpful resources on teaching & resident assessment please visit the Preceptor Resources page