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AIMU
MID TERM CLINICAL EVALUATION
MULTISOURCE EVALUATION
(MSA)
American International Medical University
BRINGS HEALTH CARE INNOVATION TO SERVE HUMANITY
Apply clinical Knowledge and Not able to take a proper Able to take a proper medical
Skills in Patient Care medical history and perform history and perform a proper
a proper physical exam and physical exam and use the
use the information obtained information obtained to
to formulate an appropriate formulate an appropriate
differential diagnosis and an differential diagnosis and an
effective management plan effective management plan
Demonstrate high standards of Not able to apply humanistic Able to apply humanistic
professionalism values in the delivery of values in the delivery of
health care health care
Commit to life-long Learning Does not recognize the need Recognizes the need to
and self-improvement to engage in lifelong learning engage in lifelong learning to
to stay abreast of relevant stay abreast of relevant
scientific advances scientific advances
MSA
MID TERM ASSESSMENT FORM
(To be filled in by the assessor using the above overview of expectations from multiple sources)
Student: ____________________ Rotation: _____________________ Evaluator: ___________________
Date: ___________
The student’s level of achievement is based on feedback from supervisors, health care team members,
case presentations, medical report, ward rounds, clinics and on-call performance.
Assignments
Provide a summary of the student’s overall performance including strengths, where the student should
focus their efforts toward self-improvement based on the above competencies. Provide concrete steps
or guidelines the student can undertake.