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PEDIATRICS II Preceptorials
School Year 2015 2016
STUDENTS EVALUATION SHEET
Preceptor: ___________________
Final Grade:
___________________
CRITERIA
4
Attendance
Level Of
Engagement In
Case Discussion
(Participation and
Depth of
Discussion)
Student discusses an
adequate, comprehensive,
logical integration of
history, physical
examination and medical
knowledge; Sensible
assessment; Evidencebased and cost-effective
Student generally
discusses illogical and
disorganized; poor
analysis and integration
of information; does not
discuss in relation to the
patient presented; just
1ST
2ND
3RD
4TH
5TH
approach and
management
management
Listening Skills
Verbal
Communication
Skills
Behavior
Preparation for
Preceptorial Class
Student is usually
Student is rarely prepared
prepared for preceptorial for preceptorial case
case discussions
discussions
Student is never
prepared for preceptorial
case discussions
CRITERIA
4
1ST
2ND
3RD
4TH
5TH
History
(History of Present
illness and
Pediatric History
pertinent to
patients age and
problem)
Note: May not
applicable for paper
cases)
Physical
Examination
(with
Anthropometrics,
corresponding Zscore and
interpretation and
pertinent to
patients age and
problem)
Note: May not
applicable for paper
cases)
Written clinical
examination is
comprehensive and
accurate
Written clinical
Written clinical
examination is
examination shows
comprehensive but shows numerous inaccurate data
some inaccurate data
Written clinical
examination is
incomplete and
inaccurate
Minor deficiencies in
case analysis, logical
integration of
information, differential
diagnoses and/or
diagnostic approach
Unsatisfactory; generally
illogical and
disorganized; poor
analysis and integration
of information; report
copied verbatim from
textbook (Cut & Paste),
and not discussed in
relation to the patient
presented
Assessment
(Initial Impression,
Differential
Diagnosis and
Diagnostic
Approach)
Multiple deficiencies in
case analysis, logical
integration of information
inadequacies; report
copied verbatim from
textbook (Cut & Paste),
minimally discussed in
relation to the patient
presented
Management plans
Comprehensive, logical,
evidence-based and costeffective plans; both
short- and long-term plans
presented (when
applicable); adverse
outcomes resulting from
management and
risk:benefit ratio taken
into consideration
Minor deficiencies in
both short- and longterm plans (when
applicable)
Multiple deficiencies in
both short- and long-term
plans (when applicable);
report remains
satisfactory; report
copied verbatim from
textbook (Cut & Paste)
Unsatisfactory; generally
illogical and
disorganized; Minimally
discussed in relation to
the patient presented;
report copied verbatim
from textbook (Cut &
Paste)
FINAL SCORE
With my knowledge:
____________________________
Students Signature/Date
___________________________
Preceptors Signature/Date