Reyes Review R5
- 1. Idaho State University Physician Assistant Evaluator: Jon Reyes - Preceptor Subject: John Scully - CY student Activity: Internal Medicine - Poc Site: Washington State Department of Correction Evaluation Type: Preceptor Evaluation of Student - Final Completion Date: 03/14/2016 Request Date: 03/09/2016 Period: R5: 2/15 - 3/18/2016 Dates of Activity: 02/15/2016 To 03/18/2016 Subject Participation Dates: 02/15/2016 To 03/18/2016 Please make the appropriate selection under each heading: ATTENDANCE AND PUNCTUALITY (Question 1 of 22 - Mandatory ) Not Observed Rarely present/punctual Often absent/tardy Sometimes absent/tardy Rarely absent/tardy Always present/punctual 0 1 2 3 4 >> 5 << PROFESSIONAL APPEARANCE (Question 2 of 22 - Mandatory ) Not Observed Not appropriate for the setting Generally appropriate; unresponsive to suggestions Generally appropriately, with a few obvious exceptions; responds to suggestions Usually appropriately, with a few minor exceptions Always appropriate 0 1 2 3 4 >> 5 << INITIATIVE (Question 3 of 22 - Mandatory ) Not Observed Not well motivated; avoids doing whenever possible Just getting by; accepts requests but often fails to follow through Accepts requests, generally follows through & some-times volunteers Accepts requests; always follows through & frequently volunteers Exceptional motivation; exceeds expectations 0 1 2 3 4 >> 5 << CHARTS (Question 4 of 22 - Mandatory ) Not Observed Disorganized; inaccurate; material irrelevant Incomplete, poorly organized; reflects less than adequate understanding of patients’ problems Generally accurate, complete & well organized; requires minor refinement & clarity Accurate, complete & well organized; reflecting good understanding of patients’ problems Concise, relevant & well organized; includes subtleties reflecting a clear understanding of the case 0 1 2 3 4 >> 5 << KNOWLEDGE (Question 5 of 22 - Mandatory )
- 2. Not Observed Unable to discuss common pathological processes with accuracy Fair knowledge of diseases; has many gaps in fundamental concepts Discusses pathophysiology for most common diseases; limitations in breadth of knowledge Can accurately discuss most common diseases; knowledge extends to include a few uncommon disease entities Extensive knowledge of pathophysiology common diseases and other less common disease states 0 1 2 3 4 >> 5 << CLINICAL JUDGMENT (Question 6 of 22 - Mandatory ) Not Observed Decisions and recommendations often wrong & ineffective Sound judgment in less than half the cases; doesn’t seem to learn from mistakes Errs often but usually learns from mistakes Usually shows good judgment resulting from sound evaluation of factors Sound logical thinker; considers all factors to reach accurate decisions; contributes in complex cases 0 1 2 3 4 >> 5 << CLINICAL MANAGEMENT (Question 7 of 22 - Mandatory ) Not Observed Contributes little to patient management plan Suggests only routine care most of the time; usually fails to follow the patient closely Sound ideas, but needs general assistance with clinical management Good judgment; less than extensive knowledge base in clinical management Sound judgment & extensive know-ledge in clinical management; seldom requires assistance 0 1 2 3 4 >> 5 << TEAM PARTICIPATION (Question 8 of 22 - Mandatory ) Not Observed Behavior undermines team effort Very often insensitive to others Often sensitive to others; minor problems with team members Almost always sensitive to others Always considerate others; promotes relations among team members 0 1 2 3 4 >> 5 << PROFESSIONAL RELATIONSHIPS (Question 9 of 22 - Mandatory ) Not Observed Behavior is unacceptable; does not cooperate; makes poor impression Behavior is usually acceptable; cooperates when necessary; makes little impression Maintains acceptable & workable relationships Establishes atmosphere of mutual respect & dignity with others Commands admiration & respect of others; conducts him/herself as a true professional 0 1 2 3 4 >> 5 << RELATIONSHIP WITH PATIENTS (Question 10 of 22 - Mandatory )
- 3. Not Observed Unable to establish appropriate rapport Fair rapport; often a lack of communication Generally good rapport; occasional difficulty communicating Good rapport; listens & communicates his/her concern for the patients’ problems Excellent rapport with even the most difficult patients; instills confidence in his/her ability 0 1 2 3 4 >> 5 << HISTORY TAKING (Question 11 of 22 - Mandatory ) 1 Not Observed Unable to elicit an accurate history; cannot elicit the pertinent facts surrounding a patient’s symptoms Able to elicit some pertinent facts relating to patient’s symptoms; lacks insight into symptoms/course of diseases Generally elicits an accurate history, but some problems eliciting all the pertinent facts Good history taking skills; elicits an accurate history; rarely has a problem eliciting all the pertinent facts Excellent history taking skills even with the most complex patients; elicits all pertinent facts; exceptional insight into symptoms of diseases 0 1 2 3 4 >> 5 << PERFORMING PHYSICAL EXAMINATIONS (Question 12 of 22 - Mandatory ) Not Observed Does not perform pertinent or PE techniques; findings are not reproducible; unable to recognize signs of disease Performs some appropriate PEs relating to patient’s symptoms; lacks insight into signs/course of diseases Generally performs an accurate, reproducible PE, occasional problems eliciting or recognizing all the pertinent physical findings Good PE skills; usually performs an accurate, reproducible PE; rarely has a problem eliciting or recognizing all the pertinent findings Excellent PE skills even with the most complex patients; elicits all pertinent findings; exceptional insight into signs of diseases 0 1 2 3 4 >> 5 << UTILIZING DIAGNOSTIC STUDIES (Question 13 of 22 - Mandatory ) Not Observed Lacks basic understanding of indications/ contraindications, performance, and interpretation of common diagnostic studies Appropriately performs, utilizes and/or interprets some diagnostic studies Appropriately performs, utilizes and interprets most diagnostic studies Good understanding of indications, contraindications/ performance, and interpretation of most diagnostic studies Excellent understanding of indications, contraindications, performance, and interpretation of most diagnostic studies 0 1 2 3 4 >> 5 << FORMULATING DIFFERENTIAL DIAGNOSES (Question 14 of 22 - Mandatory )
- 4. Not Observed Lacks ability to form appropriate differential diagnosis Able to form partial differential diagnosis, but misses some essential conditions Able to articulate a differential diagnosis with most essential conditions, but not quite complete Good complete differential with all essential conditions Excellent complete differential diagnosis with all essential conditions and some less common diseases; exceptional insight 0 1 2 3 4 >> 5 << EMERGENCY MEDICAL KNOWLEDGE, SKILLS, AND ABILITIES (Question 15 of 22 - Mandatory ) Not Observed Lacks the knowledge, skills, or abilities to respond appropriately to common situations encountered Able to respond to some common conditions, but knowledge, skills, or abilities are weak In general, responds appropriately to at least 50% of emergent conditions encountered Good level of knowledge, skills, & abilities; responds appropriately to at least 75% of common conditions encountered Performs above level of expectation; exceptional insights and abilities; responds appropriately to 90% of common conditions 0 1 2 3 4 >> 5 << PATIENT EDUCATION, HEALTH PROMOTION, AND DISEASE PREVENTION (PEHPDP) (Question 16 of 22 - Mandatory ) Not Observed Failed to demonstrate an understanding of basic PEHPDP knowledge, skills, or abilities Able to provide some PEHPDP information; knowledge, skills, or abilities are weak Usually able to provide pertinent and appropriate PEHPDP information to patients Good knowledge, skills, and abilities in presenting PEHPDP information in the most cases Excellent knowledge, skills, and abilities in presenting PEHPDP information; exceptional insights 0 1 2 3 4 >> 5 << EVIDENCE-BASED PRACTICE (EBM) (Question 17 of 22 - Mandatory ) Not Observed Failed to demonstrate any understanding or utilization of evidence-based medicine (EBM); did not seem to utilize medical literature Demonstrates some understanding and utilization of EBM in patient care; rarely utilized current medical literature In general, demonstrates a fair understanding and utilization of EBM in patient care; some utilization of current literature demonstrated Good understanding and utilization of EBM in patient care; demonstrated the ability to utilize current literature Excellent understanding and utilization of EBM; exceptional ability to utilize the current medical literature; exceptional insight 0 1 2 3 4 >> 5 << CULTURAL COMPETENCY (Question 18 of 22 - Mandatory ) Insensitive to the various cultural, racial, or Shows some sensitivity to the various cultural, racial, or other minority patients seen in this practice; In general demonstrates sensitivity to the various cultural, racial, or other minority Good demonstration of sensitivity Excellent sensitivity to the various cultural, racial, or other
- 5. Not Observed racial, or other minority patients seen in this practice practice; minimal inflexibility or insensitivity dealing with others other minority patients seen in this practice; no inflexibility or insensitivity noted of sensitivity to the various cultural, racial, or other minority patients seen in this practice other minority patients seen in this practice; exceptional insights 0 1 2 3 4 >> 5 << ETHICS (Question 19 of 22 - Mandatory ) Not Observed I have grave concerns about students’ ethics Some concerns about students’ ethics No concerns about students’ ethics 0 1 2 3 4 >> 5 << Overall Evaluation (Question 20 of 22 - Mandatory ) Considering all of the above factors, I feel the student's performance was satisfactory: Strongly Disagree Disagree Neutral Agree Strongly Agree 1 2 3 4 >> 5 << GENERAL COMMENTS (Question 21 of 22 ) Mr. Scully was a pleasure to have in our hospital. He showed an exceptional drive to learn and employed a very strong knowledge base. We discussed multiple disease processes with a diverse and complex patient population; Mr. Skully showed proficiency in all subjects. His written notes were some of the best that I have seen from prior students. His ability to work with our staff and manage multiple patients at one time in our very busy in-patient unit was impressive. I am confident that Mr. Scully is well on his way to becoming a great PA! Was this evaluation discussed with the student? (Question 22 of 22 - Mandatory ) Selection Option X Yes No