OSCE Exam Candidate Assessment Checklist Form
Evaluate the performance of the OSCE exam candidate using the checklist below. Complete all sections based on observation.
Communication Skills
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
History Taking
*
Incomplete
1
2
3
4
Comprehensive
5
1 is Incomplete, 5 is Comprehensive
Physical Examination Technique
*
Unsatisfactory
1
2
3
4
Outstanding
5
1 is Unsatisfactory, 5 is Outstanding
Clinical Reasoning and Decision Making
*
Weak
1
2
3
4
Strong
5
1 is Weak, 5 is Strong
Professionalism (demeanor, respect, ethics)
*
Unprofessional
1
2
3
4
Highly Professional
5
1 is Unprofessional, 5 is Highly Professional
Checklist of Key Procedural Steps
*
Rows
Completed
Introduced self to patient
1
Explained procedure clearly
2
Obtained informed consent
3
Used appropriate infection control
4
Performed examination systematically
5
Time Management
*
Inefficient
1
2
3
4
Efficient
5
1 is Inefficient, 5 is Efficient
Response to Examiner Questions
*
Inadequate
1
2
3
4
Thorough
5
1 is Inadequate, 5 is Thorough
Overall Performance
*
Below Expectations
Meets Expectations
Exceeds Expectations
Examiner Comments
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