1. Resident Impact Pam Lupo, CO Director of Orthotics and Post Breast Surgery Care

2. Demographics Total number of residents 28 Total number of residents 28 Still employed with W & F 14 Still employed with W & F 14 Moved out of state 6 Moved out of state 6 Chose not to hire 6 Chose not to hire 6 Transferred residency 1 Transferred residency 1 Changed careers 1 Changed careers 1

4. Positive Impact for Staff A pleasure to train them and contribute to the future of the profession. A pleasure to train them and contribute to the future of the profession. Rewarding to watch them go from “thinking they know everything” to “actually learning”! Rewarding to watch them go from “thinking they know everything” to “actually learning”! Keeps educators knowledge base updated. Keeps educators knowledge base updated. Pass on what is not in any book. Pass on what is not in any book. Residents teach us a few thing too! Residents teach us a few thing too!

5. Positive Impact on business Looks good to referral sources. Looks good to referral sources. Pleased to help in the process. Pleased to help in the process. Identifies those clinicians you would want to add to your staff. Identifies those clinicians you would want to add to your staff. After 6 months can assist with patient load. After 6 months can assist with patient load.

6. Negative Impact on Staff Frustrating Frustrating Some Residents think they know everything. Some Residents think they know everything. Feels a lot like babysitting. Feels a lot like babysitting. Takes more time than if they worked alone. Takes more time than if they worked alone.

7. Negative Impact on business Intangibles Intangibles Takes time to teach them work ethics, responsibility, professionalism, etc. Takes time to teach them work ethics, responsibility, professionalism, etc. Financial Financial Remakes Remakes Patient’s time Patient’s time Delays care Delays care May impact on referral source May impact on referral source Clinician’s time Clinician’s time Meetings Meetings Don’t come prepared, don’t show Don’t come prepared, don’t show

8. Residency Manuals Manual #1 Business Manual #1 Business Manual #2 Clinical Manual #2 Clinical

10. Self-Evaluation Identifies how the resident thinks they are doing vs. how you think they are doing! Identifies how the resident thinks they are doing vs. how you think they are doing!

11. Self Evaluation Encourages resident time to reflect privately on their performance. Encourages resident time to reflect privately on their performance. Opportunity for resident to communicate how resident believes they are doing on paper, when some have difficulty articulating face to face. Opportunity for resident to communicate how resident believes they are doing on paper, when some have difficulty articulating face to face.

12. Process for Self-evaluation Resident completes form prior to performance review with supervisor. Resident completes form prior to performance review with supervisor. Resident makes copy of form for each individual attending and one blank form for final. Resident makes copy of form for each individual attending and one blank form for final. The Goal is to provide insight into residents perspective. The Goal is to provide insight into residents perspective.

13. Resident # 1 First Quarterly eval Self Evaluation Actual Evaluation

14. At the end of the day…

15. Contact me: Contact me: plupo@wright-filippis.com plupo@wright-filippis.com plupo@wright-filippis.com Cell: 248 670 7113 Cell: 248 670 7113 Work: 248 829 8284 Work: 248 829 8284