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. Jennifer Dauria
3471 Fifth Avenue, Suite 1010
Pittsburgh, PA

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
 Other (please state):
2. Which best represents your familiarity with the practice of Dr. Jennifer Dauria?
 Not familiar
 Slightly familiar
 Moderately familiar
 Very familiar

Please evaluate Dr. Jennifer Dauria in the following areas:

PATIENT CARE
Unsatisfactory Marginal Satisfactory Excellent Unable to evaluate

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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

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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

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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

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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

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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

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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. Jennifer Dauria practice safe, ethical, and effective orthopaedic surgery and meet the highest standards of practice and conduct?
 Yes, I feel Dr. Jennifer Dauria meets the highest standards of practice and conduct.
 No, I do not feel Dr. Jennifer Dauria meets the highest standards of practice and conduct.
 I feel Dr. Jennifer Dauria 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:
Electronic Signature
 By checking this box, I attest that the responses recorded above have been provided by Melanie Smith-Fortney and that checking this box constitutes Melanie Smith-Fortney's electronic signature.
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