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TUSM Medical Student Acting Intern Evaluation
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- Student Name*
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- Patient Care - History: Takes history in a logical, organized, thorough but focused manner; shows sensitivity to privacy and modesty during H&P.*
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- Patient Care – Physical Exam: Demonstrates appropriate physical exam skills (taking age and presentation into account); shows sensitivity to privacy and modesty during H&P.*
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- Interpersonal & Communication Skills- Patient: Demonstrates respect and empathy; is non-judgmental in communication with patients/families. Demonstrates cultural sensitivity and awareness of social situations. Uses lay language. Demonstrates effective patient education in acute and chronic illness*
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- Interpersonal & Communication Skills - Verbal Presentations: Demonstrates effective oral communication with health care team. Verbal patient presentations are concise and well organized. Maintains confidentiality at all times*
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- Interpersonal & Communication Skills – Colleagues: Works collaboratively with healthcare team (including office staff); is dependable, reliable and punctual. Respects patients, families and members of healthcare team. Demonstrates academic curiosity necessary for life-long learning.*
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- Professionalism - Professional Conduct: Demonstrates an appropriate professional manner (including but not limited to physical appearance, dress, attendance, punctuality, patient confidentiality, and responsible use of technology and social media). Demonstrates accountability, honesty and integrity with patients, patients 19 families, colleagues. Demonstrates personal commitment to provide excellent care for patients. Maintains appropriate documentation of patient care activities.*
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- Professionalism - Humanism: Demonstrates sensitivity, respect and advocacy for diverse communities, including the vulnerable and underserved. Demonstrates compassion for patients, and respect for their privacy and dignity.*
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- Department Specific Question:*
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- Department Specific Question:*
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- Evaluator's Formative Comments on Student Performance: Provide the student with at least two specific comments and directions for further learning and development.*
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- Evaluator's Summary Comments on Student Performance: Summative comments for use in the MSPE (Dean's Letter). Should represent an accurate characterization of the student's overall performance.*
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- Clinical Grade:
HONORS: Outstanding overall performance, well beyond expectations: comprehensive knowledge base, utilizes evidence effectively with regard to clinical decision-making; outstanding patient care/clinical skills; outstanding communication/ interpersonal skills; demonstrates a zeal for learning and self-improvement; consistently meets highest standards of professional conduct and behavior.
In addition, a Clinical Honors grade requires: Exceeds Expectations or Far Exceeds in all domains. No Meets Expectations. And must Far Exceed in 8 of the 14 competencies with Far Exceeds required in: Q. 1. Knowledge for Practice, Q. 7. Patient Care - Clinical Reasoning, Q. 15. Interpersonal & Communication Skills - Colleagues, Q. 17. Professionalism - Professional Conduct, Q. 21. Practice-Based Learning & Improvement
HIGH PASS: Excellent overall performance, meets and often exceeds expectations: strong knowledge base, very good to excellent patient care/clinical skills; very good to excellent communication/ interpersonal skills, eager to learn, sound clinical reasoning, meets high standards of professional conduct and behavior.
PASS: Adequate overall performance, meets all expectations: Adequate fund of knowledge and reasonable clinical decision skills; good patient care/clinical skills, adequate interpersonal skills; able to respond to feedback and shows self-improvement; meets standards of medical professionalism.
LOW PASS: Marginal performance; does not consistently meet expectations in all domains: May demonstrate limitations in any of the following areas: knowledgebase, clinical decision-making; organizational skills; communication/interpersonal skills; level of interest/initiative; response to feedback/self-improvement. Does not consistently meet standards of medical professionalism. For promotion and graduation, conditions outlined by Promotions Committee must be satisfied.
FAIL: Exceptionally poor performance, does not meet expectations: Serious unacceptable deficiencies in one or more domains: does not accept responsibilities; insufficient fund of knowledge; inadequate clinical skills; ineffective communication skills; not always sensitive to patient's needs, disorganized; unprofessional behavior. For promotion and graduation, conditions outlined by Promotions Committee must be satisfied.*
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