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Physician 360 Assessment for Ron Reyes, MD

Purpose

This 360° assessment is designed to provide Ron Reyes, MD, with a well-rounded understanding of how his professional behaviors and workplace interactions are experienced by the people who work with him.

The assessment focuses on communication and coordination, teamwork and respect, clinical ownership and reliability, professionalism under pressure, and the impact his behaviors have on the team and work environment. Feedback will help identify strengths, recurring patterns, and areas where greater awareness or behavioral change may improve his effectiveness and his interactions with others.

Your candid feedback is an important part of this process. Individual responses will remain confidential and results will be reported in aggregated form, with the exception of feedback from Dr. Reyes’ direct supervisor, which will be reported separately.
What is your primary working relationship with Ron Reyes, MD?
Please rate how frequently Dr. Reyes demonstrates the following behaviors in his day-to-day work.

Use the scale as follows:

Rarely – This behavior is seldom demonstrated.
Occasionally – This behavior is demonstrated inconsistently.
About Half the Time – This behavior is demonstrated about half the time.
Frequently – This behavior is demonstrated regularly.
Consistently – This behavior is demonstrated reliably and serves as a strength.
N/A – You do not have enough interaction with this physician to rate this behavior.

Please base your responses on direct experience and observation whenever possible.
Follows through on commitments.
Speaks up to support safe, high-quality care.
Is dependable and available when needed.
Addresses concerns in a constructive manner.
Demonstrates behaviors that support a respectful and professional team environment.
Keeps team members informed of changes in patient status or plan.
Takes ownership for patient care decisions.
Demonstrates professionalism in all interactions.
Is open to input from other team members.
Responds promptly and professionally to requests for consults or assistance.
Communicates clear and timely plans of care.
Treats team members with respect in all interactions.
Takes responsibility when issues arise.
Is approachable and makes team members comfortable asking for help or raising concerns.
Works collaboratively with nurses and other clinicians.
Ensures handoffs are clear and complete.
Sets a positive example for others.
Maintains composure in stressful situations.
Handles conflict constructively.
Contributes to a positive clinical environment.
What does Dr. Reyes do particularly well?
What is one thing Dr. Reyes could do to be more effective?
What impact does Dr. Reyes have on the care team?