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Clinical Performance Criteria

The bulk of your final grade (80%) will rest on your clinical performance. The skills that the faculty will be assessing your abilities in relating with other, collect clinical data and use this information to define and solve the patient’s problem. They will also assess each procedure that you perform. 

The behaviors and skills we are looking for include:

Interpersonal & Communication Skills

Acceptance of care responsibilities

  • Behavior: accepts responsibility for emergency department management including history, examination, gathering of lab and x-ray data, collating all diagnostic information, following patient’s progress, answering patient questions and arranging for appropriate disposition and follow-up

    • Professional demeanor

  • Behavior: respectful, polite, professional
  • , ethically sound

    • Use of listening skills in dealing with patients and their families

  • Behavior: asks open-ended questions, empathizes with patients
  • , involves family in gathering data and helping family assist patient in appropriate medical and therapeutic decisions

    • Attitudes toward patients, staff and peers

  • Behavior: respectful, polite, professional, works within a team framework

    • Recognize the need for self-improvement

  • Behavior: continuous endeavor to improve knowledge base

    • Data Collection Abilities

    Obtain an appropriate history and it’s quality

  • Criteria: takes a thorough, complete and careful history (example, includes all seven components of a pain history)

    • Perform an accurate examination

  • Criteria: performs a thorough, accurate examination, identifying pertinent positive findings, demonstrating competency in regional examination.

    • Skill in obtaining added history (from family, EMS records, chart review, information services)

  • Criteria: attentive to patient’s hospital record, searched for past medical history and data to support the present complaint, obtaining additional information from family members and adds EMS information to each HPI

    • Quality of presentation.

  • Criteria: reliable, concise, thorough reporting

    • Medical Knowledge

    Investigational and analytic thought

  • Criteria: able to competently discuss evaluation of plain x-rays, EKGs and laboratory information as it pertains to the patient’s case

    • Knowledge and application of basic sciences

  • Criteria: able to competently discuss the pathophysiology as it pertains to the patient’s case

    • Data Synthesis (Problem Solving) Abilities

    Formulate a working impression

  • Criteria: formulates a pertinent priority based differential diagnosis; always has ideas regarding the patient’s clinical condition

    • Follow patient progress

  • Criteria: performs serial examinations; identifies any change in the patient’s condition and promptly alters management plans

    • Formulate a treatment plan

  • Criteria: identify achievable and reasonable ways to manage a patient’s illness given the constraints of ED resources

    • Ability to determine a disposition

  • Criteria: provides a thoughtful approach to patient care after ED discharge

    • Procedural Aptitude

    Ability to state the appropriate therapeutic treatment or procedure

  • Criteria: accurately outline any therapeutic test or procedure that should be performed.

    • State how it will be done and do it

  • Criteria: excellence in performing such procedures as suturing, insertion of IVs, catheters, obtaining blood gases, etc
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