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Mini-Clinical Evaluation Exercise

Examination
Student’s name: ......................................................... Date of assessment: _ /__/_____
Patient problem/ Diagnosis: .........................................................................................................................
Patient gender: Male / Female Patient age: .........

Done Not
0.25 0
Communication - Introduces one's self and confirm patient name

- Explains the purpose of examination and


Obtains patient's consent
Hand washing - Washes hands in proper technique
Correct position - Of the student and the patient (according to
the case)
Perfect Imperfect None

0.5 0.25 0

Ordered Examination by a proper technique


examination
(Full task given by the
examiner general or
local examination)
Elicits the normal / abnormal findings
Knows the clinical reasoning /DD of the
clinical signs

Feedback (by Clinical Tutor) Learning agenda derived from case discussion that
What went well: ………………………………………………………….. will help student to improve his theoretical
…………………………………………………………………………………….. background:
…………………………………………………………………………………….. 1. ……………………………………………………
What can be done in different way: ……………………………………………………
……………………………………………………………………………………. 2. ……………………………………………………
……………………………………………………………………………………. ……………………………………………………
……………………………………………………………………………………. 3. ……………………………………………………
……………………………………………………………………………………. ……………………………………………………

Assessor signature:

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