Presentation to Ward Tutor Initials Hospital Number Age Gender Tutor Date *Comments Signature *Comments: 1 - 3 = Unsatisfactory / See ‘Supervisor’ 4 - 5 = Unsatisfactory / Room for Improvement 6 = Satisfactory / Meets Expectations 7 - 8 = Satisfactory / Above Expectation 9 - 10 = Excellent / Truly Exceptional
MID BLOCK ASSESSMENT Criterion Unsatisfactory (Observed lapses in professional behaviour) Meets Expectations PASS (No observed lapses in professional behaviour / exemplary behaviour observed) Exceptional (Medal Candidate) 1 – 5 6 – 8 9 - 10 Clinical Skills / Competence Clumsy + abrupt. Little concern for patient’s comfort. Performs careless or incomplete examinations. Conducts a careful and complete history and physical examination. Accurately gathers all pertinent data and demonstrates an investigatory and analytic thinking approach to clinical situations. Has poor understanding of what constitutes a management plan Able to develop a management plan. Develops management plan with maturity. Takes cost, investigations + social aspects into account Fails to read up on patients Seeks to update knowledge in interest of current patients’ problems. Identifies relevant guidelines and practices evidence based medicine.
Patient Care Shows disrespect to patients and family. Rude and dismissive or insensitive to patient’s needs. Caring and respectful towards patients and families. Appropriately sensitive and responsive to patient’s needs. Friendly and compassionate to patients. Displays excellent patient-clinician skills. Team Work Disrespectful to peers + health professionals. Shirks responsibility – cannot be relied upon. Shows respect and relates well to peers and staff. Takes on share of team assignments and fulfils obligations. Sensitive to needs, feelings + wishes to peers and staff. Volunteers for additional tasks or responsibilities. Attitude & Behaviour Arrogant + Dresses inappropriately Dishonest, plagiarises + falsifies records. Humble + displays loyalty and integrity. Dresses appropriately. Adheres to ethical standards – respect, honesty. Exceptional loyalty + integrity. Elegant and well groomed. Exemplary ethical behaviour. Block Mark (This mark does not contribute to the final mark Comments (Comments are intended to identify problem areas and to assist in improving the final mark.)
Ward Performance Evaluation (6 WEEK BLOCK) Criterion Unsatisfactory (Observed lapses in professional behaviour) Meets Expectations PASS (Observed lapses in professional behaviour) Exceptional 1 – 5 6 – 8 9 – 10 Clinical Skills / Competence Score Clumsy + abrupt. Little concern for patient’s comfort. Performs careless or incomplete examinations. Conducts a careful and complete history and physical examination. Accurately gathers all pertinent data and demonstrates an investigatory and analytic thinking approach to clinical situations. Has poor understanding of what constitutes a management plan Able to develop a management plan. Develops management plan with maturity. Takes cost, investigations + social aspects into account Fails to read up on patients Seeks to update knowledge in interest of current patients’ problems. Identifies relevant guidelines and practices evidence based medicine. Ward + Tutorial Performance Score Attends <90% of ward rounds, seminars, intakes and teaching events. Sometimes / often arrives late. Attends >90% of ward rounds, seminars, intakes and other teaching events. Usually arrives on time Attends all ward rounds, seminars, intakes and other teaching events. Always punctual. Does not prepare for tutorials +/or lacks enthusiasm Not present in wards outside formal tutorial time. Actively participates in tutorials. Spends time constructively in wards Prepares exceptionally well for tutorials. Extremely diligent and enthusiastic learner. Patient Care Score Shows disrespect to patients and family. Rude and dismissive or insensitive to patient’s needs. Caring and respectful towards patients and families. Appropriately sensitive and responsive to patient’s needs. Friendly and compassionate to patients. Displays excellent patient-clinician skills.
Attitude + Behaviour Score Arrogant + Dresses inappropriately Dishonest, plagiarises + falsifies records. Humble + displays loyalty and integrity. Dresses appropriately. Adheres to ethical standards – respect, honesty. Exceptional loyalty + integrity. Elegant and well groomed. Exemplary ethical behaviour. Ward Mark 24 = Pass 32 = 1st Class Comments (Please ensure you give comments): Log Book 1 - 5 (DP Denied) 6 - 8 (DP Granted) 9 - 10 Exceptional Tick whichever is appropriate Logbook Score Maximum Mark: 10 Poor attendance at intake. Good attendance at intake. Excellent attendance at intake. Inadequate number of cases seen. Good number (5/week) and spread of cases clerked. Exceptional number of cases seen. Inadequate number of procedures witnessed and documented. Good number of presentations (>1/week). Exceptional number of procedures witnessed and documented. Witnessed all basic procedures. Poor participation in PBLs. PBL satisfactory. Excellent participation in PBLs. Student to complete section below: I have read this evaluation and discussed it with block / ward co-ordinator / supervisor. No. of days missed Student’s Signature: Date: Co-ordinator to complete section below: I am satisfied that the above student has / has not completed the requirements for the block in medicine. Block Co-ordinator’s Signature: Date: