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Increasing the Rate of Return of Resident Rotation Evaluations by Their Attending Physicians in an In-Patient Psychiatric Facility

Received July 19, 2006; revised February 23, 2007; accepted June 27, 2007. From the Department of Psychiatry, University of Texas Harris County Psychiatric Center (N.S., P.A.), and the Department of Psychiatry, Baylor College of Medicine (B.T., N.S.). Address correspondence to Dr. Averill, University of Texas Harris County Psychiatric Center–Psychiatry, 2800 South MacGregor Way, Houston, Texas, 77021; patricia.averill{at}uth.tmc.edu (e-mail).

OBJECTIVE: Psychiatrist’s evaluations of residents are the primary means of determining whether the residents are ready to be promoted. However, the return rate for evaluations is quite low. The purpose of this study was to increase the return rates. METHODS: Feedback from two surveys and open discussion was utilized to develop and implement a system for increasing completion rates. Completion rates before and after the intervention were compared. RESULTS: The survey revealed that the initial evaluation form was too complex and not readily available. In addition, participants indicated that reminders would be helpful for increasing compliance. Completion rates were 48% and 80% for the 4 months prior and after the intervention, respectively. CONCLUSION: Addressing the problem and implementing suggested strategies increased completion rates significantly. However, it is unclear which strategy was most associated with the change. Future directions will focus on determining whether gains will be maintained and what would be necessary to obtain 100% compliance rates.

Key Words: Residents • Evaluation • Promotion

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