Shoulder Exam Rubric

Student Name: ________________________________________ Preceptor Name: ________________________________________

(Print) (Print)

Physical Exam Things to Note Check One Comments

1. Inspect Symmetry, deformity, scars, skin  Proficient
 Needs Improvement
2. Palpation Muscle tenderness, joint stability, spasm,  Proficient
dislocation  Needs Improvement
3. Range of Motion Abduction, adduction, internal rotation, external  Proficient
rotation  Needs Improvement
4. Neurology Motor - Strength (1- 5/5)  Proficient
 Needs Improvement
5. Other Specific joint exams as appropriate; e.g. AC Shear,  Proficient
Empty Can, Hornblower's, etc.  Needs Improvement

Preceptor: Was this a helpful teaching tool? Comments:

 Yes  No
Student: Was this a helpful learning tool? Comments:
 Yes  No

Preceptor Signature: ______________________________ Student Signature: ______________________________

Date: ______________________________ Date: ______________________________

Return to coordinator at FM NBME testing site.