Please evaluate the fellow who presented for case conference. Each question indicates the skill and required supervision expected at each level (1-5 or in-between levels). Please note, a fellow must be able to perform all listed activities to select that level of competency. Please note, level 5 is considered to be aspirational, and fellows are not expected to reach this level. Skills increase in difficulty, responsibility and supervision.

Level 1: The fellow demonstrates milestones expected of an incoming trainee.

Level 2: The fellow is advancing and demonstrates additional milestones, but is not yet performing at a mid-training level.

Level 3: The fellow continues to advance and demonstrate additional milestones, consistently including the majority of milestones targeted for the fellowship program.

Level 4: The fellow has advanced so that he or she now substantially demonstrates the milestones targeted for the fellowship program. This level is designed as the graduation target.

Level 5: The fellow has advanced beyond performance targets set for the program and is demonstrating "aspirational" goals which might describe the performance of someone who has been in practice for several years. It is expected that only a few exceptional fellows will reach this level.

Selecting a box in the middle of a level implies that milestones in that level AND lower levels have been demonstrated. Selecting a box on a line between levels indicates that milestones in lower levels AND some of the milestones in the higher level have been demonstrated.

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Level 1: The fellow does not reference primary literature and/or does not critically evaluate evidence. Level 2: The fellow makes an effort to identify pertinent primary literature, but the review lacks sufficient depth. Level 3: The fellow properly identifies primary literature sources and critically evaluates the evidence. The literature review is sufficient. Level 4: The fellow is highly skilled at identifying and summarizing primary literature data and prepares sophisticated visual aids to aid in understanding. The literature review is robust Level 5: The fellow writes and publishes systematic review(s) and is a leader in research N/A
Review of Primary Literature
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Level 1 Level 2 Level 3 Level 4 Level 5 N/A
The fellow was unprepared and/or the presentation was ineffective. There is no use of audiovisual materials or any used are unclear. Fellow is uncomfortable with topic and/or unable to answer questions appropriately
The fellow prepared for the presentation but fell short in some aspects such as lack overall organization or clarity. Fellow attempts to answer questions but answers lack depth
The fellow was well prepared, presents with enthusiasm, and conveys thoughts well throughout the presentation. Audiovisual materials are accurate and complement the verbal presentation. The fellow was able to answer questions logically and accurately
The fellow's presentation is exemplary in that the delivery is polished and the fellow engaged the attendees in an interactive discussion. Audiovisual materials are outstanding and greatly enhance the presentation
The fellow presents at national and/or international conferences and is a leader in the field. The fellow mentors and/or teaches others
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Level 1 Level 2 Level 3 Level 4 Level 5 N/A
The case is irrelevant to the audience. The content of the case presentation and discussion was superficial and/or lacked multiple key elements
The case is moderately relevant to the audience. The fellow attempted to perform an in-depth case presentation and discussion, but fell short in one or more aspects
The case is relevant to the audience. The case presentation and discussion covered all key elements. The fellow sought out expertise in their topic from faculty members and/or external sources
The case is particularly interesting and selected for the target audience. The content of the case presentation and discussion was robust; the fellow clearly has a thorough understanding of the case
The fellow publishes case studies and/or presents nationally or internationally
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Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree
Working with an interprofessional team
Engaging in effective interprofessional communication
Defining the roles/responsibilities of my team members
Applying values/ethics to interprofessional practice

Commercial bias is defined as a personal judgment in favor of a specific proprietary business interest of an entity that produces, markets, sells, or distributes healthcare goods or services consumed by, or used on, patients. It is important that CE activities accredited by the University of Wisconsin - Madison Interprofessional Continuing Education Partnership be free of commercial bias.