Mandatory physical examination categories Five different systematic physical examinations conducted within the context of a consultation are required, each from a different system across the nine cases How to rate a candidate Unsatisfactory: The candidate has not managed this case presentation appropriately at the level of a safe practitioner. Borderline: The candidate is not performing at a level expected at this stage of training. Satisfactory: the candidate is performing at a level expected at this stage of training. The candidate is performing at a level above Excellent: expected at this stage of training. Patient consent forms Please ensure patient consent forms are collected and stored as per the protocol of the venue where the miniCEX is being conducted. Definitions of case complexity Low: this may include presentations where there is a single problem, requiring limited history, physical examination and straight forward management. Medium: this may include presentations where there are one or more problems, requiring a detailed history and examination of multiple systems, the diagnosis is not straight forward and patient review following a period of management will be required. Definition of Terms: Specific Areas of High: This may include difficult problems where the Assessment: diagnosis is elusive and highly complex, requiring consideration of several possible differential diagnoses, and the making of decisions about the most appropriate investigations and the order of which they should be performed. Overall clinical competence History taking Characteristics of a candidate in this area Characteristics of a candidate in this area ‘satisfactory’ ‘satisfactory’ may include: overall the candidate demonstrates a may include: the candidate effectively uses appropriate systematic approach; is consistently competent across questions to obtain an accurate, adequate history with the marking categories; and has made clear efforts to necessary information, and response appropriately to ensure patient comfort and safety and to reduce risks verbal and non verbal cues. where appropriate in the clinical situation. Clinical management Communication skills Characteristics of a candidate in this area Characteristics of a candidate in this area ‘satisfactory’ ‘satisfactory’ may include: the candidate makes an appropriate may include: the candidate explores the patient’s diagnosis; formulates a suitable management plan; problem using plain English; is open; honest and selectively orders or performs appropriate diagnostic empathetic; negotiates a suitable management studies; and considers the risks and benefits to the plan/therapy with the patient; shoes respect;
Mandatory physical examination categories Five different systematic physical examinations conducted within the context of a consultation are required, each from a different system across the nine cases Patient consent forms Please ensure patient consent forms are collected and stored as per the protocol of the venue where the miniCEX is being conducted. Definitions of case complexity Low: this may include presentations where there is a single problem, requiring limited history, physical examination and straight forward management. Medium: this may include presentations where there are one or more problems, requiring a detailed history and examination of multiple systems, the diagnosis is not straight forward and patient review following a period of management will be required. High: This may include difficult problems where the diagnosis is elusive and highly complex, requiring consideration of several possible differential diagnoses, and the making of decisions about the most appropriate investigations and the order of which they should be performed. How to rate a candidate Unsatisfactory: The candidate has not managed this case presentation appropriately at the level of a safe practitioner. Borderline: The candidate is not performing at a level expected at this stage of training. Satisfactory: the candidate is performing at a level expected at this stage of training. Excellent: The candidate is performing at a level above expected at this stage of training. Definition of Terms: Specific Areas of Assessment: Overall clinical competence Characteristics of a ‘satisfactory’ candidate in this area may include: overall the candidate demonstrates a systematic approach; is consistently competent across the marking categories; and has made clear efforts to ensure patient comfort and safety and to reduce risks where appropriate in the clinical situation. History taking Characteristics of a ‘satisfactory’ candidate in this area may include: the candidate effectively uses appropriate questions to obtain an accurate, adequate history with necessary information, and response appropriately to verbal and non verbal cues. Clinical management Characteristics of a ‘satisfactory’ candidate in this area may include: the candidate makes an appropriate diagnosis; formulates a suitable management plan; selectively orders or performs appropriate diagnostic studies; and considers the risks and benefits to the Communication skills Characteristics of a ‘satisfactory’ candidate in this area may include: the candidate explores the patient’s problem using plain English; is open; honest and empathetic; negotiates a suitable management plan/therapy with the patient; shoes respect;
formative-minicex-scoring-form-Nov2015-ACRRM.docx