American International Medical University

BRINGS HEALTH CARE INNOVATION TO SERVE HUMANITY

CLINICAL EXAM

Student’s Name: ________________ Clinical Site: _____________ Department:_______________

Year _____ 3rd _____ 4th Rotation Dates: From __________ To ___________

CRTERION POOR/DEFICIENT (<60%) SATISFACTORY (60- GOOD (70- EXCELLENT (80- GRADE
70%) 80%) 100%)
Interviewing Disorganized, incomplete Organized, obtains basic Organized, Excellent skills,
skills and lacks focus history but points often usually thorough yet
missed including complete succinct and
pertinent (+) & (-) ROS including focused history
pertinent
(+) & (-)
ROS; but
often with
extraneous
information
Physical Exam Omits critical parts Generally complete but Complete, Thorough and
Skill and/or deficient exam often misses significant usually accurate; focused
skills abnormal findings recognizes relative to the
abnormal history
findings
Presentation skill Disorganized/ Generally complete; Presentatio Organized, logical,
of history and incomplete; listeners may lack n is complete and
physical uncertain of primary organization/fail to organized, does not require
examination clinical problem/recent highlight abnormal logical; assistance
findings events. findings; needs much highlights
assistance abnormal
findings;
minimal
assistance
needed.
Diagnosis Fails to derive at Able to formulate Able to Able to formulate
appropriate differential differential diagnosis formulate and prioritize
diagnosis but needs much and differential
assistance and unable prioritize diagnosis without
to prioritize differential assistance
diagnosis
with some
assistance
Investigations Inappropriate and Generally appropriate Appropriate Organized, logical,
random. Inability to and interprets data and ordering of ordering of tests
interpret tests images with assistance investigatio and prioritizes
ns relevant accordingly.
to the case Interprets data
and needs without assistance
some
assistance
in
prioritizing
 American International Medical University
BRINGS HEALTH CARE INNOVATION TO SERVE HUMANITY

Assessment, Unable to formulate an Generally able to Formulates Formulate

formulation and assessment of basic formulate an and assessment of
Clinical medical problems assessment; may not integrates basic problems
Application Skills integrate all aspects of assessment and prioritize
(H&P, labs, rx) with multiple problems
assistance/
trouble
identifying/
prioritizing
multiple
problems
Formulate a Unable to formulate a Able to formulate a plan Able to Able to do so with
treatment/mana treatment/management taking into formulate a minimal assistance
gement plan plan consideration scientific cost- and modify the
evidence, economic and effective treatment as
patient factors manageme required
nt plan
using
scientific
evidence

Overall Grade: ____

Assessor comments:

Preceptor Signature: _____________________ Date: __________________________

Student Signature: _______________________ Date: _________________________