Year Two OSCEs Checklist Info
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CHECKLIST INSTRUCTIONS:
Evaluate and rate the student based on the criteria below for their level of training as a year two student. Please read all the subcomponents of each question carefully to identify the best score; KEEP IN MIND THE BROAD GOALS of the OSCE.
NEEDS IMPROVEMENT=Student did not perform this skill or performed inadequately for a year two student at their current level of training.
MAKING PROGRESS=Fair performance in this area for a year two student at their current level of training, but would benefit from additional practice.
MEETS EXPECTATIONS=Good solid performance at a level of mastery expected for a year two student.
CHECKLIST COMPONENTS:
Part 1: Overall/General Assessment
Part 2: History
Part 3: Physical Exam
Part 4: Oral Presentation
Part 5: Clinical Competencies -
Student Full Name (Last, First)
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OSCE Evaluator Full Name
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Patient Safety Simulation & Training Center; Dartmouth-Hitchcock Medical Center
Part 1: Overall/General Assessment
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1. BUILDS A RELATIONSHIP (Greets and shows interest in patient; Uses words that show care and concern; Uses correct tone, pace, eye contact, and posture)
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2. OPENS THE DISCUSSION (Allows patient to complete opening statement without interruption; Elicits full set of concerns by asking if there are other concerns besides the chief complaint; Sets an agenda)
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3. GATHERS INFORMATION (Begins asking open-ended questions; Clarifies details as necessary with more specific yes or no questions; Summarizes, gives patient opportunity to correct or add information; Performs organized, appropriate physical exam; Mindful of patient comfort during exam)
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4. UNDERSTANDS THE PATIENT'S PERSPECTIVE (Asks about life events, circumstances, other health factors; Elicits patient's beliefs, concerns, and expectations about illness and treatment; Responds explicitly to patient's statements about ideas and feelings)
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5. SHARES INFORMATION (Assesses the patient's understanding of problem and desire for more information; Explains without using jargon; Asks if patient has any questions; Delivers an organized, clear oral presentation)
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6. PROVIDES CLOSURE (Asks if patient has any further concerns; Summarizes; Clarifies follow-up or contact arrangements)
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Comments
Part 2: Detailed History
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1. Fully characterizes the CC; asked OLDCARTS questions (gets complete patient story and relevant data).
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2. Any associated symptoms; ROS.
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3. PMH of chronic illness and similar problems.
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4. Patient's adherence to medication regimen; any medication side effects.
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5. Any relevant risk factors (smoking, hypertension, diabetes, hyperlipidemia, FH).
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Comments
Part 3: Physical Exam
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1. Washes or sanitizes their hands prior to the exam
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2. Performs the relevant parts of the exam accurately.
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Comments
Part 4: Oral Presentation
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1. Organization of HPI
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2. Relevant ROS, PMH, FH and Habits
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3. Pertinent vitals and physical exam
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4. Summary statement.
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5. Assessment that includes a brief differential diagnosis and plan.
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Comments
Part 5: Clinical Competencies
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Part 5 Instructions:
Geisel School of Medicine at Dartmouth has designated a specific set of clinical skills to be directly and carefully observed by OSCE evaluators during the On Doctoring course. Students are to be evaluated as to the level of performance achieved at the end of year two On Doctoring. Please see the competency scores below for a longer explanation of levels of performance expected of our students at the end of year two.
NOT COMPLETED=Student did not perform this skill or performed inadequately for a year two student at their current level of training.
NOVICE= Student is learning this clinical skill, but is often not accurate or able to perform independently; performance is slow and deliberate, often following a written outline or template. This is the expected level of performance at the end of year two On Doctoring.
*Please select Novice for every skill presented that was observed during the OSCE, and initial. If students did not perform the skill, select Not Observed. -
1. Professional Manner and Rapport
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Please initial by selecting the pen icon.
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2. Interview: HPI & PMH relevant for case
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Please initial by selecting the pen icon.
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3. Physical Exam: Focused exam based on specified case
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Please initial by selecting the pen icon.
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4. Communication: Oral Presentation with assessment and plan
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Please initial by selecting the pen icon.
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Comments
