Test Ordering and Understanding 5 4 3 2 1 Excellent Very Good Good Fair Poor NA Recommended tests Recommended Tests and procedures that tests and recommended were clearly indicated procedures that were not sufficient by the findings; were generally or appropriate for avoided over-ordering appropriate, though this patient. of tests; gave some were Resident had poor appropriate and clear marginally useful. concept of test instructions (e.g., Little awareness of utility or fasting instructions) to cost/benefits cost/benefit for patient to assure this patient proper test administration and interpretation Diagnostic Acumen 5 4 3 2 1 Excellent Very Good Good Fair Poor NA Recognizes symptom Recognizes Fails to recognize patterns; includes obvious symptom clinically obvious appropriate alternatives patterns; conditions; in differential; efficient reasonably grossly inefficient in pulling together efficient in pulling in pulling together information to confirm together information to the diagnosis; takes information to confirm the appropriate steps to confirm the diagnosis; confirm the diagnosis diagnosis; misses misjudges some less severity of patient obvious signs condition and symptoms History Taking 5 4 3 2 1 Excellent Very Good Good Fair Poor NA Precise, logical, Missing some Missing purposeful and efficient; minor facts but important skillful at checking relatively precise, information, understanding of the logical, purposeful inefficient, findings and efficient disorganized; failed to check understanding of results
Test Ordering and Understanding 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor NA Recommended tests and procedures that were clearly indicated by the findings; avoided over-ordering of tests; gave appropriate and clear instructions (e.g., fasting instructions) to patient to assure proper test administration and interpretation Recommended tests and procedures that were generally appropriate, though some were marginally useful. Little awareness of cost/benefits Tests recommended were not sufficient or appropriate for this patient. Resident had poor concept of test utility or cost/benefit for this patient Diagnostic Acumen 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor NA Recognizes symptom patterns; includes appropriate alternatives in differential; efficient in pulling together information to confirm the diagnosis; takes appropriate steps to confirm the diagnosis Recognizes obvious symptom patterns; reasonably efficient in pulling together information to confirm the diagnosis; misses some less obvious signs and symptoms Fails to recognize clinically obvious conditions; grossly inefficient in pulling together information to confirm the diagnosis; misjudges severity of patient condition History Taking 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor NA Precise, logical, purposeful and efficient; skillful at checking understanding of the findings Missing some minor facts but relatively precise, logical, purposeful and efficient Missing important information, inefficient, disorganized; failed to check understanding of results