CategoryHighly CompetentCompetentCompetent But Needs PracticeUnsatisfactoryNot Observed
Interviewing Skills
For a complete data base, obtains a history which includes: 1) History of Present illness 2) Past health history (including medication and allergies) 3) Family history (hereditary/ contagious) 4) Personal/social (lifestyle) 5) Review of systems*
For a mini data base, takes a history appropriate to the complaint and reviews appropriate systems.*
Uses broad, open-ended questions initially before focusing on specifics.*
CategoryHighly CompetentCompetentCompetent But Needs PracticeUnsatisfactoryNot Observed
Physical Examination:
Performs a complete physical, including rectal/pelvic, if appropriate.*
For a brief visit, does exam of systems appropriate to the complaint.*
Utilizes observation, palpation, percussion, auscultation and special maneuvers as indicated.*
Recognizes range of normal and manifestations of abnormal findings in PE's.*
Comments:
Reasoning:
Demonstrates ability to differentiate clinical data for problem-oriented or health maintenance objectives.*
Interprets and logically organizes all clinical data (Hx, PE, lab tests).*
Correctly identifies differential diagnosis, most likely hypothesis and supporting data.*