Posted: May 18, 2012

A Peer Evaluation Program to Improve the Quality of Fellow-written Inpatient Consultation Notes


This poster describes a unique peer evaluation program developed to improve the quality of inpatient, fellow-written consultation notes. The program taught trainees about the components of high-quality consultation notes, and engaged them in a self-improvement program through reflection on performance data and practice-based learning. The Quality of Consultation Assessment Tool (QCAT), a standardized tool, was developed to objectively evaluate consult notes. The QCAT collects information from written notes about the following domains: reason for consultation, diagnostic plan, therapeutic plan, communication, and educational value. A peer evaluation program was implemented in which trainees blindly reviewed peers' initial consultation notes, and self-reflected on the quality of their own notes. Divisional-level feedback was provided on a routine basis.

*Presented at 2012 Integrating Quality Meeting Poster Session


GME, Communication, Quality Improvement, Feedback, Integrating Quality (IQ), Fellow, Practice-based Learning, Peer Evaluation, Graduate Medical Education


Delphine Tuot, MDCM, MAS, UCSF Medical Center

Naama Neeman, MSc, UCSF Medical Center

Krishan Soni, MD, MBA, University of California, San Francisco Medical Center

Andrew Auerbach, MD, MPH, UCSF Medical Center

Niraj L. Sehgal, MD, MPH, University of California, San Francisco, School of Medicine