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Submission: On December 10 via api from RU — Scanned from IS
Submission: On December 10 via api from RU — Scanned from IS
Form analysis
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<h2 style="font: 24pt Book Antiqua; margin-top: 20px;">American Board of Orthopaedic Surgery </h2>
<h2 style="font: 24pt Book Antiqua; margin-top: 20px;">Peer Review</h2>
<p id="ctl00_ContentPlace_Main_P2" style="margin-top: 30px;margin-left:150px;margin-right:150px;"> The American Board of Orthopaedic Surgery (ABOS) appreciates Peer Review by orthopaedic surgeons, other physicians, and non-physician
professionals. You need not be an orthopaedic surgeon or be Board Certified by the ABOS to complete this Peer Review Survey.</p>
<p id="ctl00_ContentPlace_Main_InstructionLabel" style="margin-top: 10px;"> Please complete all of the information before submitting.</p>
<p id="ctl00_ContentPlace_Main_P3" style="margin-top: 30px;"> Peer Review of:</p>
<p id="ctl00_ContentPlace_Main_P1" style="margin-top: 10px;">
<b>Dr. William Mcgarvey</b><br>
<b>23910 Katy freeway Suite 201</b><br>
<b>Katy, TX</b>
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<tr>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormFamiliarity_3" type="radio" name="ctl00$ContentPlace_Main$EvalFormFamiliarity" value="EvalFormFamiliarity_3"></span> Moderately familiar
</td>
</tr>
<tr>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormFamiliarity_4" type="radio" name="ctl00$ContentPlace_Main$EvalFormFamiliarity" value="EvalFormFamiliarity_4"></span> Very familiar
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<!--- new table --->
<!--- open the main form body content --->
<div id="ctl00_ContentPlace_Main_FormFieldsDiv">
<p id="ctl00_ContentPlace_Main_P4" style="text-align:left;margin-left:165px">Please evaluate Dr. William Mcgarvey in the following areas:</p>
<!--- open the evaluation controls table --->
<!--- new table --->
<table style="width: 80%; border: thin solid #999; padding: 2px; text-align:left; margin-bottom: 10px">
<tbody>
<tr id="ctl00_ContentPlace_Main_RowEvalFormCare" valign="top">
<td id="ctl00_ContentPlace_Main_QcolEvalFormCare" class="PeerSurveynum">
</td>
<td>
<span id="ctl00_ContentPlace_Main_LabelEvalFormCare">PATIENT CARE</span><br>
<table style="margin-top: 5px; margin-bottom: 10px; width: 100%; text-align: center">
<tbody>
<tr>
<td style="width: 20%"> Unsatisfactory </td>
<td style="width: 20%"> Marginal </td>
<td style="width: 20%"> Satisfactory </td>
<td style="width: 20%"> Excellent </td>
<td style="width: 20%"> Unable to evaluate </td>
</tr>
<tr>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormCare_1" type="radio" name="ctl00$ContentPlace_Main$EvalFormCare" value="EvalFormCare_1"></span><br> 1
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormCare_2" type="radio" name="ctl00$ContentPlace_Main$EvalFormCare" value="EvalFormCare_2"></span><br> 2
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormCare_3" type="radio" name="ctl00$ContentPlace_Main$EvalFormCare" value="EvalFormCare_3"></span><br> 3
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormCare_4" type="radio" name="ctl00$ContentPlace_Main$EvalFormCare" value="EvalFormCare_4"></span><br> 4
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormCare_0" type="radio" name="ctl00$ContentPlace_Main$EvalFormCare" value="EvalFormCare_0"></span><br> UA
</td>
</tr>
</tbody>
</table>
<table style="margin-top: 5px; margin-bottom: 10px; width: 100%;">
<tbody>
<tr style="vertical-align: top;">
<td style="width: 47%">Poor clinical skills; poor judgement; disregard of patient preferences; inappropriate/ineffective care </td>
<td style="width: 6%"> </td>
<td style="width: 47%">Excellent clinical skills; sound judgement; respect of patient preferences; appropriate/effective care </td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<!--- new table --->
<table style="width: 80%; border: thin solid #999; padding: 2px; text-align:left; margin-bottom: 10px">
<tbody>
<tr id="ctl00_ContentPlace_Main_RowEvalFormManagement" valign="top">
<td id="ctl00_ContentPlace_Main_QcolEvalFormManagement" class="PeerSurveynum">
</td>
<td>
<span id="ctl00_ContentPlace_Main_LabelEvalFormManagement">MANAGEMENT OF MULTIPLE COMPLEX PROBLEMS</span><br>
<table style="margin-top: 5px; margin-bottom: 10px; width: 100%; text-align: center">
<tbody>
<tr>
<td style="width: 20%"> Unsatisfactory </td>
<td style="width: 20%"> Marginal </td>
<td style="width: 20%"> Satisfactory </td>
<td style="width: 20%"> Excellent </td>
<td style="width: 20%"> Unable to evaluate </td>
</tr>
<tr>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormManagement_1" type="radio" name="ctl00$ContentPlace_Main$EvalFormManagement" value="EvalFormManagement_1"></span><br> 1
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormManagement_2" type="radio" name="ctl00$ContentPlace_Main$EvalFormManagement" value="EvalFormManagement_2"></span><br> 2
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormManagement_3" type="radio" name="ctl00$ContentPlace_Main$EvalFormManagement" value="EvalFormManagement_3"></span><br> 3
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormManagement_4" type="radio" name="ctl00$ContentPlace_Main$EvalFormManagement" value="EvalFormManagement_4"></span><br> 4
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormManagement_0" type="radio" name="ctl00$ContentPlace_Main$EvalFormManagement" value="EvalFormManagement_0"></span><br> UA
</td>
</tr>
</tbody>
</table>
<table style="margin-top: 5px; margin-bottom: 10px; width: 100%;">
<tbody>
<tr style="vertical-align: top;">
<td style="width: 47%">Very limited ability to manage patients with multiple complex medical and surgical problems </td>
<td style="width: 6%"> </td>
<td style="width: 47%">Excellent ability to manage patients with multiple complex medical and surgical problems. </td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<!--- new table --->
<table style="width: 80%; border: thin solid #999; padding: 2px; text-align:left; margin-bottom: 10px">
<tbody>
<tr id="ctl00_ContentPlace_Main_RowEvalFormSkills" valign="top">
<td id="ctl00_ContentPlace_Main_QcolEvalFormSkills" class="PeerSurveynum">
</td>
<td>
<span id="ctl00_ContentPlace_Main_LabelEvalFormSkills">SURGICAL SKILLS</span><br>
<table style="margin-top: 5px; margin-bottom: 10px; width: 100%; text-align: center">
<tbody>
<tr>
<td style="width: 20%"> Unsatisfactory </td>
<td style="width: 20%"> Marginal </td>
<td style="width: 20%"> Satisfactory </td>
<td style="width: 20%"> Excellent </td>
<td style="width: 20%"> Unable to evaluate </td>
</tr>
<tr>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormSkills_1" type="radio" name="ctl00$ContentPlace_Main$EvalFormSkills" value="EvalFormSkills_1"></span><br> 1
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormSkills_2" type="radio" name="ctl00$ContentPlace_Main$EvalFormSkills" value="EvalFormSkills_2"></span><br> 2
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormSkills_3" type="radio" name="ctl00$ContentPlace_Main$EvalFormSkills" value="EvalFormSkills_3"></span><br> 3
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormSkills_4" type="radio" name="ctl00$ContentPlace_Main$EvalFormSkills" value="EvalFormSkills_4"></span><br> 4
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormSkills_0" type="radio" name="ctl00$ContentPlace_Main$EvalFormSkills" value="EvalFormSkills_0"></span><br> UA
</td>
</tr>
</tbody>
</table>
<table style="margin-top: 5px; margin-bottom: 10px; width: 100%;">
<tbody>
<tr style="vertical-align: top;">
<td style="width: 47%">Unsafe, inadequately prepared, indecisive, lacking knowledge, not surgically proficient, limited medical knowledge </td>
<td style="width: 6%"> </td>
<td style="width: 47%">Safe, prepared, decisive, knowledgeable, surgically proficient, exceptional medical knowledge </td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<!--- new table --->
<!--- new table --->
<!--- new table --->
<table style="width: 80%; border: thin solid #999; padding: 2px; text-align:left; margin-bottom: 10px">
<tbody>
<tr id="ctl00_ContentPlace_Main_RowEvalFormInterpersonal" valign="top">
<td id="ctl00_ContentPlace_Main_QcolEvalFormInterpersonal" class="PeerSurveynum">
</td>
<td>
<span id="ctl00_ContentPlace_Main_LabelEvalFormInterpersonal">COMMUNICATION AND INTERPERSONAL SKILLS</span><br>
<table style="margin-top: 5px; margin-bottom: 10px; width: 100%; text-align: center">
<tbody>
<tr>
<td style="width: 20%"> Unsatisfactory </td>
<td style="width: 20%"> Marginal </td>
<td style="width: 20%"> Satisfactory </td>
<td style="width: 20%"> Excellent </td>
<td style="width: 20%"> Unable to evaluate </td>
</tr>
<tr>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormInterpersonal_1" type="radio" name="ctl00$ContentPlace_Main$EvalFormInterpersonal" value="EvalFormInterpersonal_1"></span><br> 1
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormInterpersonal_2" type="radio" name="ctl00$ContentPlace_Main$EvalFormInterpersonal" value="EvalFormInterpersonal_2"></span><br> 2
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormInterpersonal_3" type="radio" name="ctl00$ContentPlace_Main$EvalFormInterpersonal" value="EvalFormInterpersonal_3"></span><br> 3
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormInterpersonal_4" type="radio" name="ctl00$ContentPlace_Main$EvalFormInterpersonal" value="EvalFormInterpersonal_4"></span><br> 4
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormInterpersonal_0" type="radio" name="ctl00$ContentPlace_Main$EvalFormInterpersonal" value="EvalFormInterpersonal_0"></span><br> UA
</td>
</tr>
</tbody>
</table>
<table style="margin-top: 5px; margin-bottom: 10px; width: 100%;">
<tbody>
<tr style="vertical-align: top;">
<td style="width: 47%">Poor relationships/communications with patients/colleagues; not respectful or compassionate; avoid educating and counseling patients; accepts counsel poorly </td>
<td style="width: 6%"> </td>
<td style="width: 47%">Excellent relationships/communications with patients/colleagues; respectful and compassionate; educates and counsels patients; accepts counsel well </td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<!--- new table --->
<!--- new table --->
<table style="width: 80%; border: thin solid #999; padding: 2px; text-align:left; margin-bottom: 10px">
<tbody>
<tr id="ctl00_ContentPlace_Main_RowEvalFormBehavior" valign="top">
<td id="ctl00_ContentPlace_Main_QcolEvalFormBehavior" class="PeerSurveynum">
</td>
<td>
<span id="ctl00_ContentPlace_Main_LabelEvalFormBehavior">PROFESSIONAL BEHAVIOR</span><br>
<table style="margin-top: 5px; margin-bottom: 10px; width: 100%; text-align: center">
<tbody>
<tr>
<td style="width: 20%"> Unsatisfactory </td>
<td style="width: 20%"> Marginal </td>
<td style="width: 20%"> Satisfactory </td>
<td style="width: 20%"> Excellent </td>
<td style="width: 20%"> Unable to evaluate </td>
</tr>
<tr>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormBehavior_1" type="radio" name="ctl00$ContentPlace_Main$EvalFormBehavior" value="EvalFormBehavior_1"></span><br> 1
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormBehavior_2" type="radio" name="ctl00$ContentPlace_Main$EvalFormBehavior" value="EvalFormBehavior_2"></span><br> 2
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormBehavior_3" type="radio" name="ctl00$ContentPlace_Main$EvalFormBehavior" value="EvalFormBehavior_3"></span><br> 3
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormBehavior_4" type="radio" name="ctl00$ContentPlace_Main$EvalFormBehavior" value="EvalFormBehavior_4"></span><br> 4
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormBehavior_0" type="radio" name="ctl00$ContentPlace_Main$EvalFormBehavior" value="EvalFormBehavior_0"></span><br> UA
</td>
</tr>
</tbody>
</table>
<table style="margin-top: 5px; margin-bottom: 10px; width: 100%;">
<tbody>
<tr style="vertical-align: top;">
<td style="width: 47%">Not professional/proper, avoids responsibility for errors; lack of respect for patients and colleagues </td>
<td style="width: 6%"> </td>
<td style="width: 47%">Professional/proper, accepts responsibility for errors; respects patients and colleagues </td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<!--- new table --->
<!--- new table --->
<table style="width: 80%; border: thin solid #999; padding: 2px; text-align:left; margin-bottom: 10px">
<tbody>
<tr id="ctl00_ContentPlace_Main_RowEvalFormIntegrity" valign="top">
<td id="ctl00_ContentPlace_Main_QcolEvalFormIntegrity" class="PeerSurveynum">
</td>
<td>
<span id="ctl00_ContentPlace_Main_LabelEvalFormIntegrity">INTEGRITY AND ETHICAL VALUES</span><br>
<table style="margin-top: 5px; margin-bottom: 10px; width: 100%; text-align: center">
<tbody>
<tr>
<td style="width: 20%"> Unsatisfactory </td>
<td style="width: 20%"> Marginal </td>
<td style="width: 20%"> Satisfactory </td>
<td style="width: 20%"> Excellent </td>
<td style="width: 20%"> Unable to evaluate </td>
</tr>
<tr>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormIntegrity_1" type="radio" name="ctl00$ContentPlace_Main$EvalFormIntegrity" value="EvalFormIntegrity_1"></span><br> 1
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormIntegrity_2" type="radio" name="ctl00$ContentPlace_Main$EvalFormIntegrity" value="EvalFormIntegrity_2"></span><br> 2
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormIntegrity_3" type="radio" name="ctl00$ContentPlace_Main$EvalFormIntegrity" value="EvalFormIntegrity_3"></span><br> 3
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormIntegrity_4" type="radio" name="ctl00$ContentPlace_Main$EvalFormIntegrity" value="EvalFormIntegrity_4"></span><br> 4
</td>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormIntegrity_0" type="radio" name="ctl00$ContentPlace_Main$EvalFormIntegrity" value="EvalFormIntegrity_0"></span><br> UA
</td>
</tr>
</tbody>
</table>
<table style="margin-top: 5px; margin-bottom: 10px; width: 100%;">
<tbody>
<tr style="vertical-align: top;">
<td style="width: 47%">No integrity or ethical values, low character; inadequate commitment to honesty </td>
<td style="width: 6%"> </td>
<td style="width: 47%">High integrity and ethical values, high character; exceptional commitment to honest </td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<table style="width: 80%; text-align:left; margin-bottom: 10px">
<tbody>
<tr id="ctl00_ContentPlace_Main_RowEvalFormAllowed" valign="top">
<td id="ctl00_ContentPlace_Main_QcolEvalFormAllowed" class="PeerSurveynum">
</td>
<td>
<span id="ctl00_ContentPlace_Main_LabelEvalFormAllowed">To your understanding, does Dr. William Mcgarvey practice safe, ethical, and effective orthopaedic surgery and meet the highest standards of practice and
conduct?</span><br>
<table style="margin-top: 5px; margin-bottom: 10px; width: 100%; text-align: left">
<tbody>
<tr>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormAllowed_1" type="radio" name="ctl00$ContentPlace_Main$EvalFormAllowed" value="EvalFormAllowed_1"></span> Yes, I feel Dr. William Mcgarvey meets the
highest standards of practice and conduct.
</td>
</tr>
<tr>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormAllowed_0" type="radio" name="ctl00$ContentPlace_Main$EvalFormAllowed" value="EvalFormAllowed_0"></span> No, I do not feel Dr. William Mcgarvey meets
the highest standards of practice and conduct.
</td>
</tr>
<tr>
<td>
<span class="checkbox"><input id="ctl00_ContentPlace_Main_EvalFormAllowed_2" type="radio" name="ctl00$ContentPlace_Main$EvalFormAllowed" value="EvalFormAllowed_2"></span> I feel Dr. William Mcgarvey meets the
standards of practice and conduct with the following reservations:
</td>
</tr>
<tr id="ctl00_ContentPlace_Main_RowEvalFormComments" valign="top">
<td id="ctl00_ContentPlace_Main_QcolEvalFormComments">
<span id="ctl00_ContentPlace_Main_LabelEvalFormComments"><br>If no, or with reservations, please explain and list anyone the board should contact.</span> <span class="footnote">Please limit entry to 255
characters:</span><span id="ctl00_ContentPlace_Main_EvalFormCommentsValidator" style="color:Red;visibility:hidden;"> (Exceeds character limit)</span><br>
<textarea name="ctl00$ContentPlace_Main$EvalFormComments" rows="5" cols="20" id="ctl00_ContentPlace_Main_EvalFormComments" onkeydown="javascript:checkLength(this,'255');" style="width:75%;"></textarea>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<!--- new table
<table style="width: 80%; text-align:left; margin-bottom: 10px">
<tr id="ctl00_ContentPlace_Main_RowRatingsComments" valign="top">
<td>
<span id="ctl00_ContentPlace_Main_LabelRatingsComments">ADDITIONAL COMMENTS</span><br />
<table style="margin-top: 5px; margin-bottom: 10px; width: 100%; text-align: left">
<tr valign="top">
<td id="ctl00_ContentPlace_Main_QcolRatingsComments">
<span id="ctl00_ContentPlace_Main_LabelRatingsCommentsDesc">Please provide additional comments if either Unsatisfactory or Excellent were selected for all responses:</span> <span class="footnote">(Please limit entry to 255 characters or less!)</span><span id="ctl00_ContentPlace_Main_RatingsCommentsValidator" style="color:Red;visibility:hidden;"> (Exceeds character limit)</span><br />
<textarea name="ctl00$ContentPlace_Main$RatingsComments" rows="5" cols="20" id="ctl00_ContentPlace_Main_RatingsComments" onkeydown="javascript:checkLength(this,'255');" style="width:75%;">
</textarea>
</td>
</tr>
</table>
</td>
</tr>
</table> --->
</div>
<table style="width: 80%; border: thin solid #999; padding: 2px; text-align:left; margin-bottom: 10px">
<tbody>
<tr id="ctl00_ContentPlace_Main_RowSignature" valign="top">
<td id="ctl00_ContentPlace_Main_QcolSignature">
<span id="ctl00_ContentPlace_Main_LabelSignature">Electronic Signature</span><br>
<span class="checkbox" groupname="Signature"><input id="ctl00_ContentPlace_Main_Signature" type="checkbox" name="ctl00$ContentPlace_Main$Signature"></span> By checking this box, I attest that the responses recorded above have
been provided by <b>Leah Williams</b> and that checking this box constitutes <b>Leah Williams's</b> electronic signature.
</td>
</tr>
<tr id="ctl00_ContentPlace_Main_RowPhoneNumber" valign="top">
<td id="ctl00_ContentPlace_Main_QcolPhoneNumber" align="left">
<span id="ctl00_ContentPlace_Main_LabelPhoneNumber" style="display:inline-block;height:16px;width:16%;">PHONE NUMBER</span> <input name="ctl00$ContentPlace_Main$PhoneNumber" type="text" maxlength="15"
id="ctl00_ContentPlace_Main_PhoneNumber" onkeyup="javascript:backspacerUP(this,event);" onkeydown="javascript:checkLength(this,'255');javascript:backspacerDOWN(this,event);" style="width:25%;">
<span id="ctl00_ContentPlace_Main_PhoneNumberValidator" style="color:Red;visibility:hidden;"> (Exceeds character limit)</span>
</td>
</tr>
</tbody>
</table>
<!--- open the SaveButtonRow table --->
<table id="ctl00_ContentPlace_Main_SaveButtonRow" style="width: 80%; margin-top: 10px; margin-bottom: 20px">
<tbody>
<tr valign="top">
<td align="center">
<input type="submit" name="ctl00$ContentPlace_Main$SaveButton" value="Finalize Form"
onclick="if(!confirm('Please review the evaluation to make sure that it is complete and accurate.\nFinalizing will NOT allow you to edit the evaluation any further.\nAre you sure you want to finalize the evaluation?')){return false;};WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions("ctl00$ContentPlace_Main$SaveButton", "", true, "", "", false, false))"
id="ctl00_ContentPlace_Main_SaveButton">
</td>
</tr>
</tbody>
</table>
<!--- close outer table --->
</td>
</tr>
</tbody>
</table>
</div>
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AMERICAN BOARD OF ORTHOPAEDIC SURGERY PEER REVIEW The American Board of Orthopaedic Surgery (ABOS) appreciates Peer Review by orthopaedic surgeons, other physicians, and non-physician professionals. You need not be an orthopaedic surgeon or be Board Certified by the ABOS to complete this Peer Review Survey. Please complete all of the information before submitting. Peer Review of: Dr. William Mcgarvey 23910 Katy freeway Suite 201 Katy, TX 1. Which best represents your relationship to the applicant? (Select one) Orthopaedic Colleague Current Practice Partner Former Practice Partner Chief of Orthopaedics Chief of Surgery Chief of Anesthesiology Chief of Staff Head of Orthopaedic Nursing Other (please state): 2. Which best represents your familiarity with the practice of Dr. William Mcgarvey? Not familiar Slightly familiar Moderately familiar Very familiar Please evaluate Dr. William Mcgarvey in the following areas: PATIENT CARE Unsatisfactory Marginal Satisfactory Excellent Unable to evaluate 1 2 3 4 UA Poor clinical skills; poor judgement; disregard of patient preferences; inappropriate/ineffective care Excellent clinical skills; sound judgement; respect of patient preferences; appropriate/effective care MANAGEMENT OF MULTIPLE COMPLEX PROBLEMS Unsatisfactory Marginal Satisfactory Excellent Unable to evaluate 1 2 3 4 UA Very limited ability to manage patients with multiple complex medical and surgical problems Excellent ability to manage patients with multiple complex medical and surgical problems. SURGICAL SKILLS Unsatisfactory Marginal Satisfactory Excellent Unable to evaluate 1 2 3 4 UA Unsafe, inadequately prepared, indecisive, lacking knowledge, not surgically proficient, limited medical knowledge Safe, prepared, decisive, knowledgeable, surgically proficient, exceptional medical knowledge COMMUNICATION AND INTERPERSONAL SKILLS Unsatisfactory Marginal Satisfactory Excellent Unable to evaluate 1 2 3 4 UA Poor relationships/communications with patients/colleagues; not respectful or compassionate; avoid educating and counseling patients; accepts counsel poorly Excellent relationships/communications with patients/colleagues; respectful and compassionate; educates and counsels patients; accepts counsel well PROFESSIONAL BEHAVIOR Unsatisfactory Marginal Satisfactory Excellent Unable to evaluate 1 2 3 4 UA Not professional/proper, avoids responsibility for errors; lack of respect for patients and colleagues Professional/proper, accepts responsibility for errors; respects patients and colleagues INTEGRITY AND ETHICAL VALUES Unsatisfactory Marginal Satisfactory Excellent Unable to evaluate 1 2 3 4 UA No integrity or ethical values, low character; inadequate commitment to honesty High integrity and ethical values, high character; exceptional commitment to honest To your understanding, does Dr. William Mcgarvey practice safe, ethical, and effective orthopaedic surgery and meet the highest standards of practice and conduct? Yes, I feel Dr. William Mcgarvey meets the highest standards of practice and conduct. No, I do not feel Dr. William Mcgarvey meets the highest standards of practice and conduct. I feel Dr. William Mcgarvey meets the standards of practice and conduct with the following reservations: If no, or with reservations, please explain and list anyone the board should contact. Please limit entry to 255 characters: (Exceeds character limit) Electronic Signature By checking this box, I attest that the responses recorded above have been provided by Leah Williams and that checking this box constitutes Leah Williams's electronic signature. PHONE NUMBER (Exceeds character limit)