CSEF 2023-2024

Select ONE descriptor that most accurately reflects the student’s performance based on the behaviors they were most consistently demonstrating at the end of the clerkship.

In this evaluation the following terms are defined as: CONSISTENTLY (Student exhibits this behavior ~ 80% of the time), SOMETIMES (Student exhibits this behavior ~50% of the time), RARELY (Student exhibit this behavior ~ 20% of the time)

A 3rd year student who is competent in this domain: -Delivers presentations that are accurate, clear, well organized, focused, and concise for most patients -Accurately reports patient data (history, exam, tests) -Engages audience with excellent public speaking skills -Presents pertinent positive and negative findings in a manner that enables listener to recognize/prioritize the differential diagnosis and rule in/out diseases) -Presents clinical reasoning, including a synthesis statement (i.e., “one-liner”) with a leading diagnosis, a prioritized differential diagnosis with justification, and a management plan for common conditions

A 3rd year student who is competent in this domain: -Writes notes that are complete, accurate, and well-organized -Documents diagnostic reasoning, including a synthesis statement (i.e., “one-liner”) with a leading diagnosis and a prioritized differential diagnosis, justifying it with epidemiology (e.g., prevalence) and positive and negative findings -Creates a problem list that is appropriately prioritized and complete for major biopsychosocial problems -Provides an appropriate rationale for the management plan for common conditions

A 3rd year student who is competent in this domain: -Identifies and attempts to prioritize patients' major biopsychosocial problems and concerns, in the synthesis statement (i.e., “one-liner”) -Prioritizes differential diagnosis accurately for majority of common clinical problems specific to the patient including “can’t miss” diagnoses -Justifies differential diagnosis logically for common clinical problems by using relevant epidemiology (e.g., prevalence), pathophysiology, and pertinent positive and negative clinical findings -Occasionally makes the correct diagnosis for typical presentations of common diseases

A 3rd year student who is competent in this domain: -Provides appropriate management suggestions for most common conditions -Attempts to provide appropriate management suggestions for less common conditions -Provides an appropriate rationale for the management of common conditions

A 3rd year student who is competent in this domain: -Communicates information to the patient that is accurate -Communicates an appropriate level of detail, emphasizes key points and encourages patient questions/perspectives/concerns -Uses language familiar to the patient based on health literacy, avoiding medical jargon, and using an interpreter appropriately -Checks that patient/family understands explanations/counseling

A 3rd year student who is competent in this domain: -Demonstrates respectful interactions with team members and clinical staff -Integrates into team function, by being prepared, completing assigned tasks and volunteering to help with team tasks -Demonstrates an understanding the roles and responsibilities of interprofessional team members -Communicates effectively with interprofessional team members -Proactively keeps team members informed and up to date

A 3rd year student who is competent in this domain: -Shows patients, colleagues, and staff respect, empathy, and compassion -Demonstrates trustworthiness with patients colleagues, staff and team members -Validates patient’s physical and emotional needs and tries to address them -Demonstrates preparedness, punctuality, and reliability with student responsibilities -Maintains confidentiality -Receives feedback openly and uses it to grow and change behavior

A 3rd year student who is competent in this domain: -Introduces self to patient and attempts to develops rapport -Takes a chronologic history of present illness without interruption -Attempts to use the differential diagnosis to gather data ·Follows an organized interview framework -Uses summarization of history back to patient or checks for accuracy -Actively listens using verbal and non-verbal techniques (reflective statements, summary statements, open body language, nodding, eye contact, etc.) -Completes within appropriate time frame

A 3rd year student who is competent in this domain: -Uses correct technique for routine physical exam in an organized fashion -Uses the differential diagnosis to guide exam -Performs examination in a patient- sensitive manner -Identifies and interprets common and obvious pertinent findings