Form 5/Sem10/UOC

SEMESTER 10 CONTINUOS ASSESSMENT FORM:

PATIENT MANAGEMENT ROUND

Student’s name : Matrix no. :

Group : Discipline :
Date of assessment : Diagnosis :

Note:
The student is responsible to ensure completion of this assessment form after each PMR session
Marking guide:
Excellent: 8.0 to 10.0 marks Good: 6.0 to 7.9 marks
Average: 5.0 to 5.9 Fail: 4.9 & below

Component Allocated Given Remark

mark mark
Ability to provide sufficient summary of
the patient’s information on relevant
history, physical examination and 10
diagnosis.
Demonstrate rapport with patient
Ability to provide information current
progress; including general condition/well- 10
being, vital signs monitoring, input/output
charting

Ability to provide current management

plan including: 10
- Wound observation & post-
operative drainage (if applicable)

- Investigations

- Drug descriptions

- Referral, discharge & other

management plan (follow-up and
ambulatory care – if applicable)

Total 30

Global impression
(please tick):
□ Satisfactory
□ Not satisfactory
General comments/remarks on ability as houseman / junior doctor

________________________________ ___________________
Lecturer/Examiner’s name Lecturer/Examiner’s signature
Date: