The need to assess clinical competencies in a medical environment is an intriguing issue due to the progressive involvement of young physicians in clinical practice as well as for the connections tied to evaluation systems to define postgraduate training and career progression.
To reach this goal, all the system must be based upon contributions that are targeted to achieve a clear and homogeneous evaluation pathway and strictly related to the continuing medical education institution (credits).
All these presuppositions are instrumental for the proposal of a sheet which could allow a data retrieval useful to depict a career progression by means of:
- identification of reproducible parameters along with clear standards,
- advices for indicators,
- objective judgments,
that could drive to a score meaningful for reaching higher steps in the performance evaluation.
This work had been carried out in the Azienda Sanitaria Locale 1 di Cuneo (ASLCN1) from 2014 to 2017 in order to provide a widely usable evaluation framework for all the medical workers.
Aim of this work is thus to show up an original methodology, as much as possible based upon objective items, related to the professional improvement of a nephrologist working in Hospital and following him along his clinical course.
KEYWORDS: clinical competence, nephrology, professional levels, evaluation pathway