ELEMENT | NOTES |
---|---|
Patient encounter | |
• History taking and data collection | Facilitates patient’s telling of story; uses questions or directions to obtain accurate, complete information |
• Physical examination | Conducts appropriate examination(s), demonstrates appropriate techniques |
• Verbal communication skills | Demonstrates fluency in verbal communications (eg, grammar, vocabulary, tone, volume) |
• Nonverbal communication skills | Demonstrates responsiveness; demonstrates appropriate nonverbal communications (eg, eye contact, gesture, posture, use of silence) |
• Response to patient’s feelings, needs, and values | Shows respect, establishes trust; attends to patient’s needs of comfort, modesty, confidentiality, information |
• Organization | Approach is coherent and succinct |
• Management of standardized patient and case (ie, during 8-min patient encounter) | Explains rationale for test, treatment, or approach; obtains patient consent; educates or counsels regarding management; performs appropriate management; considers risks and benefits |
Postencounter probe | |
• Working diagnosis | Obtains correct diagnosis |
• Differential diagnoses | Provides most likely alternative diagnoses |
• Investigations | Selects appropriate diagnostic studies or treatments; considers risks, benefits, costs. |
• Treatment or management plan | Selects appropriate treatments (monitoring, counseling, medications); considers risks, benefits, costs |
Overall rating | |
• Rating based on the OVERALL performance; the candidate’s current competence | CLERKSHIP: Could function as a clerk; could complete accurate history taking and physical examination; able to provide diagnosis and differential diagnoses; and able to select appropriate investigations for common and life-threatening conditions FIRST-YEAR RESIDENT or higher: Could function as a resident; demonstrates skill in judgment, synthesis, caring, effectiveness; is efficient and organized in history taking and physical examination; skilled and selective in treatment planning; understands limits and abilities; demonstrates appropriate presence, confidence, and assuredness; shows balanced demonstration of technical and humanistic skills PRACTICE READY: Could practice without supervision; could function as an independent practitioner in primary care setting |
Unprofessional behaviour | Indicate if there was a critical incident of unprofessional behaviour; please describe in detail |
Key weaknesses | |
| Describe the candidate’s key weaknesses; provide detailed comments on all unprofessional behaviour and all unacceptable ratings |