DEPARTMENT OF PSYCHIATRY AND MENTAL HEALTH

4TH YEAR CASE REPORT ASSESSMENT

Student Name

_____________________________________________

Patient Name ____________________________________

Consultant ___________________________________

DID THE STUDENT

POOR

GOOD

ADEQUATE

1.

Clearly identify the patients presenting complaint and history

in a competent and thorough manner

9 10

2.

Detail relevant aspects of the family, social, medical,

personal (developmental, educational, occupational etc), past
psychiatric, forensic etc history and include a genogram

9 10

3.

Physically examine the patient, where appropriate and give an

adequate MSE that displayed an understanding of basic
psychopathology

9 10

4.

Make a diagnosis, including differential and identify clinical

findings that support these

9 10

5.

Identify psychiatric (including medical and / or neurological),

social or psychological investigations (including collateral)
required to confirm the diagnosis and assist in management

9 10

6.

Detail a treatment plan - bio-psycho-social justifying

reasons and commenting on accessibility

9 10

7.

Comment on the relevant personal, family, cultural, economic

and social aspects or dynamics of the case

9 10

8.

Comment on key basic clinical concepts relevant to the

patients presentation and management

9 10

CONSULTANT SIGNATURE
DATE

MARK

Comment

DEPARTMENT OF PSYCHIATRY AND MENTAL HEALTH

4TH YEAR CASE REPORT ASSESSMENT
Student Name

_____________________________________________

Patient Name ____________________________________

Consultant ___________________________________

9.

Provide a one page summary of the case that will be used in

your end of year multidisciplinary portfolio exam. Focus on
parameters 1-8 detailed above

9 10

10.

Show evidence of additional reading or research (providing

references) and present a document that was well laid out,
sensible and easy to follow

9 10

General Comments

TOTAL

CONSULTANT SIGNATURE
DATE