Generic Clerkship Evaluation

Clerkship Competency Evaluations

George Bush
 

Select the option which best describes this student's typical performance for appropriate competencies.

1. Human Relationships: (10%) Is knowledgeable about psychological, social, and economic factors and cultural diversity as they pertain to health care, and demonstrates evidence of inquiry into familial and other support systems.
Shortcomings in awareness of the relevance of psychococial factors, cultural diversity, and support systems to care of individual patients. Shows some awareness of the relevance of psychococial factors, cultural diversity, and support systems to health care and sometimes applies this knowlede in the care of individual patients. Shows good awareness of the relevance of psychococial factors, cultural diversity, and support systems to health care and applies this knowledge in the care of individual patients. Has extensive knowledge of psychosocial factors, cultural diversity and support systems, and shows excellent judgment and great insight in applying it to individual patients and families.

2. Human Communications: (10%) Effectively engages the patient and/or family in verbal communication.
Ability to establish rapport and communicate with patients and families is sufficiently weak to be a cause for concern. Reasonably good at establishing rapport and communicating with patients and families. Sometimes lapses into medical jargon or fails to appreciate significant patient responses. Effective in establishing rapport and communicating with patients and families. Engenders confidence. Highly effective in establishing rapport and communicating with patients and families, even under the most difficult circumstances.

3. Professional Behavior: (10%) Demonstrates respect for patinets, families, and members of the health care team; is truthful and honest with colleagues; communicates an attitude of empathy and caring; places patient's well-being over self-interest (altruism) and is dedicated to patient care; shows ability to resolve conflicts between personal moral convictions and patient's choices; preserves patient confidentiality; and shows appropriate self-assessment and willingness to admit mistakes.
Honesty, respectfulness, attitudes towards patients and peers, selflessness, dedication to patient care, and willingness to concede mistakes are sometimes a cause for concern. At times inappropriate. Respectful and honest. Generally good attitudes to patients and peers. Demeanor and behavior always appropriate. Readily acknowledges mistakes. Consistently demonstrates respect, honesty and compassion for patients, peers and other staff. Dedicated to patient care. Actively seeks critical feedback. Overtly demonstrates honesty, integrity, selfessness, compassion and respect for patients, peers and other staff. Goes above and beyond in caring for patients. A role model.

4. Core Discipline (Knowledge base): (10%) Demonstrates knowledge of pirmary care topics, including pertinent clinical, basic science, population-based and evidence-based information.
Level of knowledge and understanding too often weak and superficial. Adequate knowledge and understanding. Knows enough to handle common situations. Very good knowledge and understanding. Asks insightful questions. Extensive and in-depth knowledge and understanding. Actively contributes to discussion and decision-making.

5. Data gathering - History: (10%) Demonstrates ability to perform a problem focused and/or comprehensive new and return history, and incorporate appropriate data from medical records, consultations with family members, laboratory and other diagnostic studies.
Ability to take a history and retrieve background medical information is too often incomplete and inaccurate. Usually identifies the key points but misses subtleties. Chief complaint ebalorated but chronology may be unclear. Almost always identifies and characterizes the needed information with accurate chronology. Usulaly reports most important data from records, laboratory studies and diagnostic tests. Consistently performs a complete, accurate and efficient assessment. Elaborates key subtleties. Chronology absolutely clear. Consistently obtains pertinent information from record and relevant results from laboratory and other diagnostic studies.

6. Data gathering - Physical: (10%) Demonstrates ability to perform a problem focused and/or comprehensive physical exam.
Performance of exam is sufficiently weak to be a source of concern. Adequate exam. Sometimes misses things, sometimes less than optimal technique. Very good exam skills. Consistently performs a complete, accurate and efficient assessment. Links exam with issues raised in history.

7. Information Management: (10%) Demonstrates adequate oral case presentation skills, mastery of traditional organization of medical data, and adequate medical record keeping.
Presentations and notes too often incomplete, disorganized, inaccurate or lacking in detail. Presentations and notes generally clear, complete and accurate. Occasionally not well organized or focused. Presentations and notes are organized, accurate and concise. Occasionally misses minor points. Model presentation and notes. Consistently complete, accurate, concise and well organized. Assessments comprehensive and systematic.

8. Health Care Management:

Not Used In This Course


9. Health Service Delivery:

Not Used In This Course


10. Procedural:

Not Used In This Course


11. Physician Scholar: (10%) Demonstrates initiative in seekiing new knowledge and applying it, and growth in knowledge base.
Insufficient initiative in seeking new knowledge, critically evaluating new information, and applying it. Unsatisfactory growth in knowledge base. Interested in learning. Reads on patients' problems. Asks questions. Usually evaluates and applies new information/knowledge reasonably well. Often asks questions and generally shows evidence of seeking new knowledge. In response to direct questions, is able to critically evaluate and apply new information. Solid growth in knowledge base. Keenly seeks new knowledge and asks questions. Shows considerable effort and skill in the critical evaluation and application of new information. Impressive growth in knowledge base.

12. Health Care Team: (10%) Demonstrates an understanding of the roles and competencies of other health care professionals and engages them in an organized, team approach to health care delivery.
Effectiveness, reliability, and organization in working with the health care team and guiding patient management are a source of concern. Often passive in patient management. A cooperative member of the team. Handles day to day responsibilities adequately. Keeps up with patient information and clerical duties. Reasonably organized. Appropriate attention to detail. A cooperative, organized, and effective member of the team. Handles day to day responsibilities well. Shows initiative regarding patient management issues. A highly effective member of the team. Handles complex tasks well. Consistently seeks responsibilities and does whatever it takes to fulfill them. Actively engages non-MD health care professionals and providers.

13. Problem Solving: (10%) Demonstrates the ability to analyze the patient data base, relate it to basic scientific and clinical fund of knowledge, generate a ranked differential diagnosis, draw logical conclusions about the salient problems, and propose cogent diagnostic and therapeutic approaches.
Insufficient ability to analyze patient data base and integrate relevant basic and clinical scientific knowledge. Significant difficulty in discerning the forest from the trees. Difficulty in elaborating a core differential diagnosis, prioritizing patient problems and developing diagnositic and therapeutic approaches, even with directive questioning. Usually adequate analysis of patient data base and integration of relevant basic and clinical scientific knowledge. Sometimes some difficulty in discerning the forest from the trees. Able to define a core differential diagnosis and reasonable plan of care. Consistently reasonable analysis of patient data base, integration of relevant basic and clinical scientific knowledge, and clinical judgment. Able to elaborate a reasonable differnetial diagnosis and define logical diagnostic and therapeutic approaches. Sees the big picture and focuses on what is important. Consistently insightful analysis of information, and insightful approach to diagnosis and treatment. Integrates basic knowledge into the clinical situation. Accurately inteprets and weighs conflicting information.

14. Comments:

15* Rotation and Dates:



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Generated by EvalCGI v5.0b6 on March 18, 2003 at 3:49 PM for Richard Rathe