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Get the free Resident Evaluation Form – VA Urgent Care Rotation - psychres washington

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This form is designed to evaluate residents in the VA Urgent Care Psychiatry rotation. It assesses various competencies in areas such as patient care, knowledge, interpersonal skills, professionalism,
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How to fill out resident evaluation form va

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How to fill out Resident Evaluation Form – VA Urgent Care Rotation

01
Obtain the Resident Evaluation Form from the VA Urgent Care Rotation coordinator.
02
Begin by entering the resident's full name and identification number at the top of the form.
03
Fill in the dates of the evaluation period, ensuring they correspond to the time spent in the rotation.
04
Evaluate the resident’s performance according to the specific criteria outlined in the form, such as clinical skills, professionalism, and teamwork, providing examples when necessary.
05
Assign a rating for each competency area based on the evaluation guidelines.
06
Include any additional comments that highlight the resident’s strengths or areas for improvement.
07
Sign and date the form to verify its accuracy and completion.
08
Submit the completed form to the appropriate supervisor or coordinator.

Who needs Resident Evaluation Form – VA Urgent Care Rotation?

01
Residents participating in the VA Urgent Care Rotation.
02
Supervisors and faculty who are responsible for evaluating the residents.
03
Administrative staff managing residency programs that require documentation of evaluations.
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Veterans are eligible for the urgent care benefit if they are enrolled in VA health care and have received care through VA (from either a VA or community provider) within 24 months prior to receiving this care. To check their eligibility, Veterans should contact their local VA medical facility.
Or, you can fax it to: (844) 531-7818 (inside the U.S.) (248) 524-4260 (outside the U.S.) You can also go to your local regional office and turn in your application for processing.
To have your doctor make a request Your doctor or provider can contact UnitedHealthcare at 1-800-711-4555 for the Prior Authorization department to submit a request, or fax toll-free to1-844-403-1028 call at 1-866-842-4968 (TTY 711), 8 a.m. –8 p.m. local time, 7 days a week.
you may submit a NF or PA-F prescription to the VA medical facility. Send the prescription to the VA Pharmacy to initiate the request and review process. Electronic prescribing is encouraged. Provide notes/labs/imaging & justification addressing CFU with the prescription to reduce delay & support accurate assessment.
Community Care Provider-Request for Service (RFS), VA Form 10-10172, is used to request additional services or continued care from VA. The requested care may be performed within VA or in the community based on a Veterans eligibility. The signed RFS is required to facilitate care review and authorization.
Complete/review information, sign and date. Fax signed forms to CVS/Caremark at 1-855-245-2134. This fax machine is located in a secure location as required by HIPAA regulations. Please contact Pharmacy at 1-855-582-2022 with questions regarding the prior authorization process.

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The Resident Evaluation Form for VA Urgent Care Rotation is a tool used to assess and document the performance and competency of residents during their rotation in urgent care settings within the Veterans Affairs healthcare system.
Residents participating in the VA Urgent Care Rotation are required to file the Resident Evaluation Form as part of their assessment process.
To fill out the Resident Evaluation Form, residents must provide their identification details, evaluate their clinical skills, report on their interactions with patients, and other relevant activities during the rotation, following the guidelines provided by their program.
The purpose of the Resident Evaluation Form is to provide structured feedback to residents regarding their clinical performance, identify areas for improvement, and ensure they meet the requisite competencies for their training.
The form must report information including the resident's clinical skills assessment, professionalism, communication skills, patient interactions, and any specific incidents or cases that highlight their performance during the rotation.
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