Structured Case Discussion

Resident Physician:____________________          Evaluator ___________________

First Name         Last Name                       First Name    Last Name

Evaluation Period:  ________________

Miscellaneous Questions

Presents history information concisely, accurately and in adequate detail without significant omissions or digressions.

                    Unsatisfactory                                  Satisfactory                                  Superior

                     1        2        3                                   4        5       6                                7      8       9
No Interaction                              Marginal

Follows a selective and logical sequence of examination, emphasizing those areas of importance suggested by the interview to come to an acceptable diagnosis.

                    Unsatisfactory                                  Satisfactory                                  Superior

                     1        2        3                                   4        5       6                                7      8       9
No Interaction                              Marginal

Selectively orders or performs diagnostic studies appropriate to patient’s perspective with medical facts, costs, risks, benefits, informs patient of appropriate diagnosis possibilities. 

                    Unsatisfactory                                  Satisfactory                                  Superior

                     1        2        3                                   4        5       6                                7      8       9
No Interaction                              Marginal

 

Applies medical facts and clinical data well in the management of patients.                                                                  

                    Unsatisfactory                                  Satisfactory                                  Superior

                     1        2        3                                   4        5       6                                7      8       9
No Interaction                              Marginal

Makes appropriate management decisions.

                    Unsatisfactory                                  Satisfactory                                  Superior

                     1        2        3                                   4        5       6                                7      8       9
No Interaction                              Marginal

Able to apply medical knowledge appropriately to the case

                    Unsatisfactory                                  Satisfactory                                  Superior

                     1        2        3                                   4        5       6                                7      8       9
No Interaction                              Marginal

Comments:  (Please write about Strengths, Weaknesses and Areas for Improvement