Resident:*

Date:*

Rotation*

Able to extract a thorough and accurate history and P.E.; able to identify the salient features of the case; able to organize all available data (in history and P.E.)*

A. Appropriateness of diagnostic work-ups - Able to prioritize diagnostic work-ups; able to give rationale for each procedures done; rationale and practical use of diagnostic procedures*

B. Interpretation of laboratory results - Able to utilize the laboratory results to arrive at the diagnosis; able to utilize the laboratory results for appropriate treatment approach*

C. Complete and accurate diagnosis- able to arrive at the correct and complete diagnosis; able to discuss the differential diagnosis; able to give the basis for diagnosis and the differential diagnosis; able to revise diagnosis if needed, based on available data*

D. Methodological and practical approach to therapeutic management- Able to give rationale for the therapeutic management; Able to discuss the pharmacology of the drugs used; able to discuss the indications and contraindications, as well as adverse effects of procedures done and/or drugs used*

A. Basic knowledge- Adequate grasp of basic knowledge (anatomy, physiology...); Able to analyze the clinical situation in relation to the basic pathophysiology of the disease*

B. Learning initiatives- makes extra readings and uses literature updates in analysis and approach to management; works beyond what is expected; makes extra effort on ensuring that all procedures and treatment plans are carried out efficiently; discusses his cases with the consultant.*

TOTAL:

Comments:

Evaluator*

Resident's Evaluation Form

Data Gathering Skills

Assessment of Clinical Reasoning

Basic knowledge and learning initiatives