Part I: General Interview

PART I: GENERAL INTERVIEW

  • Part I Instructions:
    Evaluate the student at their level of training as a year two student.

    Explanation of Scores:
    NC=Not Completed or observed
    Poor= May need remediation before promotion. Inadequate performance for the end of year two. Not ready to move on to year three.
    Fair= Making progress towards expectations. Fair performance in this area, but would benefit from a bit more practice before beginning year three.
    Good= Meets expectations. Good solid performance at a level of mastery expected for the end of year two.
    Very Good= Exceeds expectations. Better than average for a year two student. This student displays proficiency for a year two student and is already performing in this area at a level comparable to a novice year three student.

  • I.A. BUILDS A RELATIONSHIP (Greets and shows interest in patient; Uses words that show care and concern; Uses correct tone, pace, eye contact, and posture)

  • I.B. 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)

  • I.C. 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)

  • I.D. 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)

  • I.E. SHARES INFORMATION (Assesses the patient's understanding of problem and desire for more information; Explains without using jargon; Asks if patient has any questions)

  • I.F. PROVIDES CLOSURE (Asks if patient has any further concerns; Summarizes)

Part II: Detailed History

PART II: DETAILED HISTORY A. Did the student specifically ask the patient about:

  • Part II Instructions:
    Evaluate the student at their level of training as a year two student.

    Explanation of Scores:
    Yes= The student completed the task. Some answers of "Yes" may require further explanation in a drop-down list.
    No= The student did not complete the task, or did not complete the task with enough accuracy to be excusable. Some answers of "No" may require further explanation in a drop-down list.

  • II.A.1. PMH of chronic diseases

  • II.A.2. PMH of similar problems

  • II.A.3. Fully characterize the CC; asked OLDCARTS questions

  • What questions were asked if any? Please provide feedback.

  • II.A.4. Any associated symptoms

  • II.A.4.a. List relevant symptoms the student asks about:

  • II.A.5. Patient's treatments for symptoms

  • II.A.6. Patient's adherence to medication regimen

  • II.A.7. Any medication side effects

  • II.A.8. Any relevant risk factors

  • II.A.8.a. Smoking

  • II.A.8.b. Hypertension

  • II.A.8.c. Diabetes

  • II.A.8.d. Hyperlipidemia

  • II.A.8.e. Family Hx of early CAD

  • II.A.9. Associated ROS

Part III: Physical Exam Components

PART III: PHYSICAL EXAM COMPONENTS III.A. Did the student's physical exam contain the following:

  • Part III Instructions:
    Evaluate the student at their level of training as a year two student.

    Explanation of Scores:
    Yes= The student completed the task.
    No= The student did not complete the task, or did not complete the task with enough accuracy to be excusable. Some answers of "No" may require further explanation in a drop-down menu.

  • III.A.1. Wash or sanitize their hands prior to the exam

  • III.A.2. Re-check any abnormal vital signs

  • III.A.3. Perform the relevant exam parts accurately

  • What was inaccurate? Please provide feedback.

  • III.B. General Comments on Patient Interaction:

  • III.C. Specific Comments on Data Gathering & Physical:

Part IV: Oral Presentation of History

PART IV: ORAL PRESENTATION OF HISTORY A. Did the student's presentation include the following:

  • Part IV Instructions:
    Evaluate the student at their level of training as a year two student.

    Explanation of Scores:
    Yes= The student completed the task.
    No= The student did not complete the task, or did not complete the task with enough accuracy to be excusable. Some answers of "No" will require further explanation in a drop-down menu if it appears.

  • IV.A.1. Organization

  • Please provide feedback.

  • IV.A.2. Relevant ROS, PMH, FH and Habits

  • IV.A.3. Pertinent vitals and physical exam

  • IV.A.4. Summary Statement

  • IV.A.5. Assessment that includes a brief differential diagnosis and plan

  • IV.A.6. Please provide any additional comments on the oral presentation.

Part V: Clinical Competencies

PART V: CLINICAL COMPETENCIES

  • Part V Instructions:
    Evaluate the student at their level of training as a year two student. Students are to be evaluated as to level of performance achieved at the end of On Doctoring.

    Explanation of Scores:
    Not Observed (N/A)=Student did not complete this task during the OSCEs.
    Novice (N)=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; expected level of performance at the end of On Doctoring, or during the first few weeks of an early Year 3 clerkship; student is not yet ready to move on to Year 4 clerkships or SubInternships.
    *(ONLY USE THE FOLLOWING IN AREAS OF EXCEPTIONAL PERFORMANCE) Advanced Beginner (AB)= Student performs this clinical skill with increased dexterity, speed, independence, and accuracy; expected level of performance at the end of a Year 3 clerkship; student is ready to continue on to the greater independence and responsibilities of Year 4 clerkships and SubInternships.

  • Professional Manner and Rapport

  • Please explain the reasoning for this score.

  • Please initial by selecting "Sign"

  • Interview: HPI relevant for case

  • Please explain the reasoning for this score.

  • Please initial by selecting "Sign"

  • Counsel: Shared Decision Making

  • Please explain the reasoning for this score.

  • Please initial by selecting "Sign"

  • Counsel: Smoking Cessation

  • Please explain the reasoning for this score.

  • Please initial by selecting "Sign"

  • PE: Focused exam based on specified case

  • Please explain the reasoning for this score.

  • Please initial by selecting "Sign"

  • Communication: Oral Presentation of Patient

  • Please explain the reasoning for this score.

  • Please initial by selecting "Sign"

  • Comments:

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