IVP Conference Assessment Tool

Diagnosis for case presented:

Resident name/year:

Patient present: yes/no

Please rank on a scale of 1-5 (5 = outstanding, 3 = adequate, 1= inadequate, N/A = not assessed) (competency assessed)

1.                  The resident demonstrated adequate collection of data or presentation of the patient history, physical exam and laboratory data. (1)

2.                  The resident arrived at a correct diagnosis. (2)

3.                  The resident was aware of the treatment alternatives. (2)

4.                  The resident presented the patient history treatment alternatives in a coherent fashion. (4)

5.                  The resident was aware of the risks and complications and informed the family. (2)

6.                  The resident demonstrated knowledge of the current literature. (2)

7.                  The resident demonstrated empathy for the patient’s problem. (1)

8.                  The resident demonstrated an understanding of nonmedical issues surrounding/impacting the patient’s care. (1)

9.                  The resident demonstrated professionalism in the manner in which the case was presented or reviewed. (5)

10.              The resident showed good use of system resources in the evaluation and treatment of the patient. (6)