Family Medicine and Ambulatory Care Clerkship
GRADE EVALUATION
Student:
________________________ Class of: Rotation: Group #
Evaluator who is responsible for
completing form:_____________ To
be completed between:_________
Indicate the box
which best describes this student's performance for each competency, compared to other students at the same stage of training. Note: If you mark the highest or lowest box in any
category, you must provide comments that support that rating.
1. Professionalism: 5 %
|
Honesty, respectfulness, cultural
sensitivity, selflessness, compassion, willingness to concede mistakes or attitudes
towards patients, staff or peers are sometimes a cause for concern. At times inappropriate behavior or
interactions. |
Behavior and interactions appropriate but
rarely outstanding. Work ethic,
maturity, honesty, respectfulness, cultural sensitivity and compassion
acceptable. Open to feedback but does
not overtly welcome it. |
Behavior and interactions are always
appropriate and occasionally outstanding.
Consistently mature, honest, respectful, culturally sensitive and
compassionate in interactions with patients, peers, staff and teachers. Strong work ethic. Welcomes feedback. |
Behavior and interactions
are consistently outstanding. Overtly
demonstrates maturity, honesty, respect and compassion in interactions with
patients, peers, staff and teachers.
High regard for cultural differences.
Work ethic is exemplary. Actively seeks feedback. |
Comments: __________________________________________________________________________________
_________________________________________________________________________________________
2. Patient
Care
a.
History:
10 %
|
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
elaborated but chronology may be unclear or some aspects omitted. |
Almost always identifies and characterizes
the needed information with accurate chronology. Efficiency or ability to
recognize and address subtleties can be improved. Usually reports important test results and information from
record. |
Consistently performs a complete, accurate
and efficient assessment. Able to
elaborate key subtleties. Chronology
clear. Consistently obtains pertinent
test results and information from record. |
Comments:
__________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________
b. Physical Exam: 10 %
|
Performance of exam is sufficiently weak to
be a source of concern. |
Adequate exam skills. Sometimes misses things or
sometimes less than optimal technique. |
Very good exam skills. |
Consistently performs a complete, accurate
and efficient assessment. Links exam
with issues raised in history. |
Comments: _________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________
c. Information Management: 5 %
|
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 are
comprehensive and systematic. |
Comments:
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________
3. Medical Knowledge:
a. Core Discipline: 10 %
|
Level of knowledge and understanding too
often weak and superficial. May at
times demonstrate difficulty learning or applying information. |
Adequate knowledge and understanding of
common primary care topics. |
Very good knowledge and understanding of a
variety of common primary care topics.
|
Extensive and in-depth knowledge and
understanding of many primary care topics. |
Comments:
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________
b. Health Maintenance: 2.5 % Demonstrates knowledge and
application of health maintenance and disease prevention strategies in health
care delivery.
|
Insufficient knowledge or interest about
health maintenance and disease prevention. |
Shows awareness of health maintenance and
disease prevention, but often neglects to address these issues. |
When appropriate, usually considers health
maintenance and disease prevention. |
Health maintenance and disease prevention a
priority. Able to weigh conflicting
national recommendations and make balanced recommendations for patients. |
Comments: _____________________________________________________________________________________________________________________________________
c. Problem Solving: 5 %
|
The student demonstrated one or more
of the following: Insufficient ability to analyze patient data base or
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 or
developing diagnostic and therapeutic approaches, even with directive
questioning. |
Usually demonstrates an adequate analysis of
patient data base and integration of relevant basic and clinical scientific
knowledge. Occasionally has difficulty discerning the forest from the
trees. Able to define a core
differential diagnosis and a reasonable plan of care. |
Consistently reasonable analysis of patient
data base, integration of relevant basic and clinical scientific knowledge,
and clinical judgement. Able to
elaborate a reasonable differential diagnosis and define logical diagnostic
and therapeutic approaches. Sees the
big picture and focuses on what is important. |
Often demonstrates insightful analysis of
information and/or insightful approach to diagnosis and treatment. Able to apply basic science knowledge to
clinical situations. Accurately
interprets and weighs conflicting information. |
Comments:
__________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________
4. Practice-based Learning: 5 % Demonstrates initiative in seeking new knowledge and applying
it, and growth in knowledge base.
|
Insufficient initiative in seeking,
critically evaluating or applying new information. Unsatisfactory growth in
knowledge base. |
Satisfactory initiative in seeking,
critically evaluating and applying new knowledge. Interested in learning.
Reads on patients' problems.
Asks some questions.
Satisfactory growth in knowledge base. |
Good initiative in seeking, critically
evaluating and applying new knowledge.
Familiar with multiple sources of information. Often asks good
questions. Good growth in
knowledge base. |
Keenly seeks new knowledge and asks
excellent questions. Shows
considerable effort and skill in the critical evaluation and application of
new information. Impressive growth in
knowledge base. |
Comments:
__________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________
5. Interpersonal
and Communication Skills:
a. Human Relationships: 10 %
|
Shortcomings in awareness of the relevance
of psychosocial factors, cultural diversity, or support systems to care of
individual patients. Misses obvious
opportunities to apply this information in the care of patients and families.
|
Shows some awareness of the relevance of
psychosocial factors, cultural diversity, and support systems to health
care. Sometimes applies this
knowledge in the care of patients and families. |
Shows good awareness of the
relevance of psychosocial factors, cultural diversity, and support systems to
health care. Able to apply this
knowledge well in the care of patients and families. |
Has extensive knowledge of psychosocial
factors, cultural diversity and support systems. Shows excellent judgment and
great insight in applying it to patients and families. |
Comments:
_____________________________________________________________________________________________________________________________________
b. Human Communications: 10 %
|
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.
Able to do so even under difficult circumstances. |
Comments:
____________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________
6.Systems-based Practice: 2.5 %
|
The student demonstrated one or more
of the following: Insufficient knowledge or interest about health care
financing or the constraints of managed care systems; Insensitive to practicality and
cost-efficiency considerations;
Inadequate awareness of other treatment options such as rehabilitation,
palliative care, alternative medicine, and pain management. |
Shows awareness of health care financing and
the constraints of managed care systems.
Aware of issues of practicality and cost efficiency. Sometimes
considers other treatment options. |
Understands and usually considers health
care financing and managed care issues.
Usually considers practicality and cost efficiency. Often recognizes opportunities to use
other treatment options such as rehabilitation, palliative care, alternative
medicine, and pain management.. |
Knowledgeable about, and a patient advocate
regarding financial and managed care issues.
Places a premium on practicality and cost efficiency
considerations. Insightful
consideration of other treatment options. |
Comments: _____________________________________________________________________________________________________________________________________
_____________________________________________________________________________
Summative Comments:
__________________________________________________________
__________________________________________________________________________________________________________
contact: glenda@dean.med.ufl.edu