Unsatisfactory Needs attention Satisfactory Well above average 1. Verbal description of clinical assessment History taking deficient, sketchy Takes a comprehensive and pertinent history Jumbled/Disorganised Well organised Much irrelevant information Focused, relevant Unsystematic Systematic in presentation 2. Written record of clinical assessment Inadequate or incomplete Adequate and complete Medical records inaccurate Maintains accurate medical records Illegible Legible Not focused, specific Precise and perceptive 3. Eliciting Clinical Findings Superficial in examination, misses details Thorough, focussed and relevant examination Poor ability to elicit symptoms & signs Excellent clinical assessment Demonstrates no regard for cultural and social factors when taking a history Obtains clinical information in a manner cognisant of cultural and social factors 4. Demonstration of Clinical Competence in Diagnosis Poor interpretation of clinical features Excellent interpretation of clinical features Fails to associate details in complex situations Readily recognises clinical complexities Fails to apply knowledge in analysis of clinical findings Uses knowledge to analyse clinical findings Does not differentiate cardiothoracic conditions amenable to surgical treatment Accurately differentiates cardiothoracic conditions amenable to surgical management 5. Post-operative care Lacks interest Fully involved in post-op care Late to notice complications Recognises complications early Happy to leave care to others “Hands-on” approach to care Inappropriate /deficient involvement of other relevant personnel Appropriate co-ordination and use of other personnel C. CLINICAL DECISION-MAKING: Application of knowledge, clinical information and signs elicited to form a management plan operative operative
Place an “x” in the box that best reflects the specified attribute of the trainee SPECIALIST TRAINEE’S PERFORMANCE IS: Unsatisfactory Needs attention Satisfactory Well above average 1. Clinical Judgement to grasp significance of findings Recognises significance of clinical findings Fails to respond to significant clinical findings Responds rapidly & appropriately to significant clinical findings Unable to distinguish specific cardiothoracic needs Recognises and responds to needs specific to cardiothoracic patients Unaware of limitations Aware of limitations Inappropriate reaction to emergencies Appropriate reaction to emergencies Reluctant to seek advice appropriately Seeks advice appropriately 2. Use of investigations Inappropriate Appropriate selection and use of investigative Exhibits no regard for patient needs in planning investigations Critically evaluates the advantages and disadvantages of each investigative modality as applied to patient needs Poor ability to select investigations Safe and efficient and choice of investigations Limited ability to interpret Excellent at interpretation 3. Clinical Care Fails to develop an appropriate management plan Uses all information to develop an efficient and logical management plan Poor understanding of treatment options Accurately identifies the risks, benefits and mechanisms of action of medications and other treatment options Ignores/avoids managing complications Recognises early and manages complications effectively Unaware of patient needs Manages patients with sensitivity to physical, social, cultural and psychological needs Unable to recognise risks Identifies and manages risks and can implement a risk management plan D. TECHNICAL SKILLS
an “x” in the box that best reflects the specified attribute of the trainee SPECIALIST TRAINEE’S PERFORMANCE IS: Unsatisfactory Needs attention Satisfactory Well average 1. Operative Ability Lacks interest Highly motivated Reluctant to be taught Learns avidly Fails to learn techniques shown Excellent ability to learn new techniques Poor hand-eye co-ordination Excellent hand-eye No effort made to understand procedure prior to surgery Excellent pre-operative preparation and demonstrates procedural knowledge No appreciation of own technique Analyses own technique as part of quality improvement process Slow and inefficient Accurate and efficient Shows poor knowledge of anatomy Excellent knowledge of anatomy Appears to struggle surgically Fluent and in control Rough Delicate with tissues Ties knots poorly All knot tying secure No ability to adapt skills to requirements Adapts skills to requirements in each patient Ergonomically inefficient Ergonomically efficient Poor surgical judgement Excellent surgical judgement Does not seek assistance appropriately Seeks assistance appropriately Little attention to detail Meticulous technique Panics in emergency In control in emergency Place an “x” in the box that best reflects the specified attribute of the trainee E. SCHOLARSHIP SPECIALIST TRAINEE’S PERFORMANCE IS: Unsatisfactory Needs attention Satisfactory Well above average 1. Teaching and Learning