appropriateness of patient’s needs, values. Negotiates, expressed wants and preferences, and manages, and preferences. values. clarifies differences. HEALTH ADVOCATE: Works with patient (and their family). 1 2 3 4 5 Does not inform Elicits patient/family Able to effectively patient/family of perspectives. communicate with plans. Does not elicit Respectful. patient/family. patient/family Establishes rapport. Skilled at sharing wishes. Provides decision-making. misinformation. Provides clear patient information. Confidently negotiates differences. HEALTH ADVOCATE: Balances health advocacy with stewardship of health care resources. 1 2 3 4 5 Loses perspective Recognizes the need Generates effective and does not achieve for balanced solutions to balance best solution(s). approach to competing issues, Doesn't work to find stewardship and perspectives, and solutions that balance health advocacy. priorities so parties competing issues. Seeks advice and come to a consensus input. and/or accept solutions. OVERALL PERFORMANCE IN THIS SCENARIO 1 2 3 4 5 Needs significant Below Solid, competent Exceeds Sophisticated, expert improvement expectations performance expectations performance PGY LEVEL OF PERFORMANCE – At what level of training was this performance? B 1 2 3 4 5+ Below PGY1 Mid-PGY1 Mid-PGY2 Mid-PGY3 Mid-PGY4 Mid-PGY5 or above Areas of strength Areas for improvement 1. 2.
appropriateness of expressed wants and preferences. patient’s needs, preferences, and values. values. Negotiates, manages, and clarifies differences. HEALTH ADVOCATE: Works with patient (and their family). 1 2 3 4 5 Does not inform patient/family of plans. Does not elicit patient/family wishes. Provides misinformation. Elicits patient/family perspectives. Respectful. Establishes rapport. Able to effectively communicate with patient/family. Skilled at sharing decision-making. Provides clear patient information. Confidently negotiates differences. HEALTH ADVOCATE: Balances health advocacy with stewardship of health care resources. 1 2 3 4 5 Loses perspective and does not achieve best solution(s). Doesn't work to find solutions that balance competing issues. Recognizes the need for balanced approach to stewardship and health advocacy. Seeks advice and input. Generates effective solutions to balance competing issues, perspectives, and priorities so parties come to a consensus and/or accept solutions. OVERALL PERFORMANCE IN THIS SCENARIO 1 Needs significant improvement 2 Below expectations 3 Solid, competent performance 4 Exceeds expectations 5 Sophisticated, expert performance PGY LEVEL OF PERFORMANCE – At what level of training was this performance? B Below PGY1 1 Mid-PGY1 2 Mid-PGY2 3 Mid-PGY3 4 Mid-PGY4 5+ Mid-PGY5 or above Areas of strength Areas for improvement 1. 2.
Health%20Advocate_A3%20Objective%20Structure%20Clinical%20Exam%20for%20the%20Health%20Advocate%20Role.docx