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https://www.abplasticsurgery.org/PeerReview/PeerReviewForm.aspx?ItemKey=96dfbd2b-7f8f-4c7e-864a-ae6a9555c589
Submission: On April 06 via manual from US — Scanned from DE
Submission: On April 06 via manual from US — Scanned from DE
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<div style="font-family: Calibri,Arial,sans-serif; font-weight: bold; font-size: 28pt;">The American Board of Plastic Surgery, Inc.<span style="font-size: 18pt;"><sup>®</sup></span></div>
<div style="font-family: Calibri,Arial,sans-serif; font-size: 13pt; white-space: nowrap;">Seven Penn Center • Suite 400 • 1635 Market Street • Philadelphia, PA 19103</div>
<div style="font-family: Calibri,Arial,sans-serif; font-size: 13pt; white-space: nowrap;">Phone: 215.587.9322 • Email: info@abplasticsurgery.org • Internet: https://www.abplasticsurgery.org</div>
<div style="margin-top: 10px;"><img src="../images/ABPSHeaderShieldGray.png" height="100" width="100"></div>
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<span class="AppFormColName">Evaluation aligned with the Six Core Competencies of the American Board of Medical Specialties (ABMS). Please select the appropriate option for each question. Note: If “Unsatisfactory” is selected
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</form>Text Content
The American Board of Plastic Surgery, Inc.® Seven Penn Center • Suite 400 • 1635 Market Street • Philadelphia, PA 19103 Phone: 215.587.9322 • Email: info@abplasticsurgery.org • Internet: https://www.abplasticsurgery.org Peer Evaluation Form Please complete all of the information before submitting. Identification of Reviewer: Full Name Full Title E-mail Full Hospital/Facility Name * Address Line 1 * Address Line 2 City * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY AA AE ---- Canadian Provinces ---- AP AB BC MB NB NL NS NT NU ON PE QC SK YT Other State/Province * Zip Code * Name of Candidate/Diplomate: Walter Sweeney Evaluation aligned with the Six Core Competencies of the American Board of Medical Specialties (ABMS). Please select the appropriate option for each question. Note: If “Unsatisfactory” is selected please explain under Comments. A. Patient Care and Procedural Skills: Able to provide patient care that is compassionate, appropriate and effective for the treatment of health problems and the promotion of health and effective technical and surgical skills. Satisfactory Unsatisfactory No concerns reported * B. Medical Knowledge: Demonstrates knowledge of established and evolving biomedical, technical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care. Satisfactory Unsatisfactory No concerns reported * C. Interpersonal and Communication Skills: Demonstrates interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals. Satisfactory Unsatisfactory No concerns reported * D. Professionalism: Demonstrates commitment to carrying out professional responsibilities and an adherence to ethical principles, honesty and trustworthiness in evaluating and demonstrating own skills and abilities. Satisfactory Unsatisfactory No concerns reported * E. Systems-based Practice: Demonstrates an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. Satisfactory Unsatisfactory No concerns reported * F. Practice-based Learning and Improvement: Demonstrates the ability to investigate and evaluate care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning. Satisfactory Unsatisfactory No concerns reported * Comments: A comment is required if unsatisfactory is selected for any one competency. Additional comments are welcome. (Exceeds character limit) I believe that this physician is a competent and ethical practitioner. I do not recommend this physician. I am unable to evaluate this physician. * Date (mm/dd/yyyy) * Date entry is not a valid format.