EVALUATION OF STUDENT PERFORMANCE

Your grade will be determined by the evaluations from your preceptors. They will be asked to consider and comment on your performance in the categories below. A final grade of Honors for the course means that the student performed excellently in all areas, a High Pass means the student performed excellently in most but not all areas, and a Pass means the student performed satisfactorily in all areas.

Communication Skills

  • Problem-focused interviewing
  • Interaction with patients and colleagues
  • Concise and well organized oral presentations and progress notes

Clinical Skills and Knowledge

  • Focused physical exam
  • Diagnostic and therapeutic reasoning skills
  • Knowledge of primary care problems

Personal Attributes

  • Dependability and participation
  • Curiosity and enthusiasm
  • Maturity and professional manner
  • Independent learning
  • Interest in evaluation and constructive feedback

For your information, an attending is looking for the presence or absence of each of these behaviors and skills in formulating the evaluation of the student.

Honors:

  • Will ask to participate in all aspects of attending's professional activities
  • Broad knowledge base of common problems
  • Interview skills above expected level, e.g. responds to patients' emotions, negotiates with patients, works to understand patients' experience of the illness
  • Focused physical exam, accurate in most situations
  • Little trouble sorting through complex clinical information to formulate a diagnosis and plan
  • Well-organized and prioritized case presentations and write-ups
  • Questions the use of diagnostic tests and is aware of costs
  • Reads about the case and brings helpful information back to the attending
  • Takes responsibility for follow-up care (e.g. tracks lab data, calls patients with results)

High Pass:

  • Offers to help attending but does not seem as aware of various activities of the attending's work as the superior student
  • Broad knowledge base of common problems
  • Interview skills are good; establishes rapport and collects the needed information
  • Focused examinations are strained at first but become easier by the end of the rotation
  • Sometimes misses important information in the H & P but accepts input from the attending and demonstrates improvement
  • Needs direction from time to time to work through complex clinical information
  • Written and verbal presentations become more pertinent and concise as the rotation continues
  • Question diagnostic tests but not as critically as the superior student
  • Independent learner but relies on direction from the attending for learning assignments

Pass:

  • Close supervision is often needed
  • Participates in expected work but does not offer to help, is quiet about accepting responsibility
  • Attending may have occasional concerns about the student's knowledge
  • Interview skills focus only on establishing rapport and collecting information without thorough investigation and understanding of the patient's concerns
  • Physical exam is adequate but may not always be accurate or applied to the appropriate clinical situation
  • Needs direction with each complex case sorting through priorities
  • Presentations and progress notes often disorganized or incomplete, but with time they improve
  • Usually looks to the attending for a diagnostic and therapeutic plan rather than asserting his/her own
  • Independently reads, but only with attending's prompting