| Category | Highly Competent | Competent | Competent But Needs Practice | Unsatisfactory | Not 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. | | * | | | |
| Category | Highly Competent | Competent | Competent But Needs Practice | Unsatisfactory | Not 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. | | * | | | |