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The following samples are provided for your information.  They are not endorsed by the AOGME or AACOM to reflect best practice.   They are meant to be used as examples for development of resources that are appropriate for your particular need.

If you have a sample you would like to share with colleagues or are looking for something that is not included below, send your request to aogme@aacom.org.


Calendar of Events

OGME Calendar


Evaluation and Assessment

Ambulatory Performance Evaluation

Attending Evaluation of Resident

Community Health Center 360 Exam

Community Health Center Trainee Evaluation Form

Community Health Center Designation for Clinical Teaching

Community Health Center Bi-Annual Resident Formative Review

Community Health Center Intern-Resident Narrative Quarterly Review

Family Practice Faculty Evaluation

Family Practice Resident Evaluation

Evaluation of Rotation and Faculty

Intern and Resident Evaluation

Intern and Resident Service Evaluation

OGME-1 Quarterly Evaluation Form

OGME-1 Performance Evaluation

Resident Evaluation Attending Rotation

Resident Surveillance Response

Q Eval Sheet

Handbooks, Manuals and Policies

Housestaff Manual – McClaren Oakland

Housestaff Manual – Branch County

Housestaff Manaul Policies – AODME

Institutional Core Competency Plans (ICCP)

 AOA Core Competency Matrix

Job Descriptions

DME Job Description

Library Resources

AOA Library Annual Report Form

AOA Library Annual Report Form No 2

Notes and Attestations

Musculosketal Evaluation Form

Procedural Attestation – Anoscopy

Procedural Attestation – Female Breast Exam

Procedural Attestation – Breast Cyst Aspiration

Procedural Attestation – Casting

Procedural Attestation – Cerumen Removal

Procedural Attestation – Neonatal Circumcision

Procedural Attestation – Colposcopy with Biopsy

Procedural Attestation – Cryotherapy

Procedural Attestation – Injection – Carpal Tunnel

Procedural Attestation – Curettage of Skin Lesion

Procedural Attestation – Office ECG

Procedural Attestation – Endometrial Biopsy

Procedural Attestation – I&D Abscess

Procedural Attestation - IUD Insertion-Removal

Procedural Attestation – Joint Injection – Knee-Aspiration

Procedural Attestation – Joint Injection – Shoulder

Procedural Attestation – Joint Injection

Procedural Attestation – Laceration Repair – Non-Facial

Procedural Attestation – Laceration Repair – Facial

Procedural Attestation – Male Genital Exam

Procedural Attestation – Female Genital Exam and PAP Smear

Procedural Attestation – Vaginal Delivery – Uncomplicated

Procedural Attestation – Office OMT

Procedural Attestation – Skin Biopsy-Punch Biopsy

Procedural Attestation – Excision of Skin Lesion

Procedural Attestation – Office Spirometry

Procedural Attestation – Toenail Excision

Procedural Attestation – Triggerpoint Injection

Procedural Attestation – Urine Analysis-Mircosopy