Physician Performance Evaluation
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2Physician Performance Evaluation
Physician Under Review:
Date of Review: / /
Section 1: Patient Care
Quality of care:
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4
5
Adherence to QA standards:
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2
3
4
5
Appropriateness of Diagnostics and Therapeutics:
1
2
3
4
5
Continuing Medical Education (CME) Requirements met:
Y / N
Section 2: Communication and Interaction
Communication and interaction with fellow providers:
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3
4
5
Communication and interaction with staff:
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3
4
5
Communication and interaction with patients and families:
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3
4
5
Patient satisfaction:
1
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3
4
5
Communication with referring physicians (including timeliness and thoroughness):
1
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4
5
Timeliness, legibility, and thoroughness of documentation:
1
2
3
4
5
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Parent category: Business