Psychiatry 2007-2008
PSYCHIATRY
3RD YEAR CLERKSHIP STUDENT EVALUATION
Student
Clerkship Period
Clerkship Site
Attending
_________________
_________________
_________________
_________________
Note: Comment section is on the last page.
A. CORE SKILLS/BEHAVIORS
1.Demonstrates knowledge of psychopathology
Inadequate knowledge
base to care for patient
Knowledge base has
deficits that require
attention
Incorporates knowledge to
appropriately care for patients
Knows more than expected for
students at this level of training
Knowledge base is extraordinary and
dramatically exceeds expectations
Insufficient
observation/ data
Knowledge base is extraordinary and
dramatically exceeds expectations
Insufficient
observation/ data
2. Demonstrates knowledge of the appropriate biological and psychological therapies
Inadequate knowledge
base to care for patient
Knowledge base has
deficits that require
attention
Incorporates knowledge of
therapies to appropriately care
for patients
Knows more than expected for
students at this level of training
3. Defines problems accurately and develops an appropriate differential
Fails to identify major
problems. Clinical
reasoning skills markedly
deficient
Differential diagnosis often
incomplete or reflects incorrect
or illogical reasoning
Assesses most
problems with a
generally wellreasoned differential
Differential reflects
understanding of both
pathophysiology and psychosocial issues
Very mature differential and
sophisticated reasoning, including
impact of illness on patient and family
Insufficient
observation/ data
4. Elicits accurate and appropriate histories
Misses essential information;
is disorganized or
inconsiderate of patient’s
needs
Frequently asks too much or too little
history. Identifies most problems but
doesn’t fully characterize them.
Gets a complete and accurate
history; able to identify
scope of history to be taken.
Skillfully interviews
patients and characterizes
problems in depth
History-taking is
consistently precise,
perceptive and organized
Insufficient
observation/ data
Psychiatry 2007-2008
5. Performs complete and appropriate physical and mental status examinations
Consistently uses faulty technique,
performs inappropriate examinations,
misses major findings
Frequently misses findings, and
performs inappropriate or faulty
exam
Performs exams of
appropriate scope and
accuracy within a reasonable
time
Exam thorough, and
efficient; uncovers
important findings
Exam superb, uncovering
subtle and important
findings
Insufficient
observation/ data
6. Orders appropriate diagnostic tests and procedures
Doesn’t understand indications for
most procedures or lab tests
Knows indications of
some procedures and tests
Understands indications for
tests and procedures
Appropriately applies
tests and procedures
Exceptionally well-reasoned and
individualized use of tests and
procedures
Insufficient
observation/ data
Superb plans reflecting
comprehensive appreciation of
patient’s experience of illness.
Insufficient
observation/ data
7. Develops and executes appropriate management plans and follow-up
Treatment plans inadequate. Fails to
recognize when urgent treatment
indicated
Plans often neglect
important component.
Plans are appropriate, complete
and timely.
Plans always
better than
average.
8. Exhibits behaviors that demonstrate integrity ( e.g., reliable, admits error, provides credible explanations)
Unreliable and shirks
Responsibility,
uninterested.
Sometimes late, does
not always complete
responsibilities
Usually punctual,
dependable, accepts
responsibilities
Punctual and seeks new
responsibilities, always ahead
of time
Reliable, dependable and initiates action to
improve own performance and patient care:
works independently
Insufficient
observation/ data
9. Exhibits behaviors that demonstrate compassion ( e.g., feelings for other person's loss, pain, suffering, stress, and death)
Unable to comprehend the
point of view and
emotional state
of other people,
judgmental of others
Rarely considerate of
others feelings and
emotional needs in
relationships. Sometimes
judgmental.
Appropriately shows
concern for others feelings
and interacts accordingly.
Often has genuine concern for
patients emotional needs,
spends some time listening
empathetically, motivated by
kindness.
Relationships characterized by genuine
kindness and consideration, able to create a
relaxed environment where others can share
feelings, listens empathetically and nonjudgmentally, tries to feel and understand the
suffering of others.
Insufficient
observation/ data
Psychiatry 2007-2008
10. Exhibits responsible and skillful care of patients
Dramatic absence of
patient-doctor
communication skills
Establishes rapport with
patients, but is often
inept or inefficient
Good rapport. Respected by patients
and puts them at ease. Supportive
Quickly and easily earns trust and respect
of patients, good listening skills,
engenders confidence
Superior rapport, very
sensitive to patients’
unstated needs; is patient
advocate
Insufficient
observation/ data.
11. Establishes good relationships with members of the health care team
Disrespectful, rude, and insensitive
in office or hospital
Often fails to act collegially; communication
unclear, incomplete or disorganized
Communicates well,
respectful, cooperative,
and collegial
Strong communication skills
and professional demeanor
Mature and
collegial;
communicates
expertly
Insufficient
observation/
data
12. Exhibits characteristics of a self-directed learner
Fails or refuses to
read, study or
investigate
Misses important clinical or reference
information; reads only when asked;
uses inappropriate resources
Looks up clinical data appropriately; reads up
on patients’ problems daily
Reads more broadly than
patients’
problems; actively seeks
ancillary clinical data
Reads extensively;
communicates
findings and actively
teaches
Insufficient
observation/
data
13. Incorporates health promotion and disease prevention into patient management
Ignores all
opportunity for
prevention
Rarely includes preventive services,
underestimates effects of patients’ behaviors
on risk
Appropriately considers age
specific preventive services
Often includes prevention;
identifies patients’ high risk
behaviors and offers counseling
Consistently includes prevention;
identifies risk and readiness to
change; skillful in counseling
Insufficient
observation/
data
14. Uses community resources and evidence-based medicine in patient management
Unable to distinguish
population from individual;
unaware of community
resources
Tends to
underestimate or
disregard populationbased approaches
Appropriately considers
community resources and
population based
approaches
Uses community resources well; consistently
applies population-based approaches
Fully and consistently
integrates community and
population issues into all
aspects of patient care
Insufficient
observation/
data
Psychiatry 2007-2008
COMMENTS (TO BE COMMUNICATED TO THE STUDENT AS GUIDANCE FOR PROFESSIONAL DEVELOPMENT):
DEAN'S LETTER COMMENTS (SUMMARY OF STUDENT'S PERFORMANCE ON ROTATION; TO BE USED IN DEAN'S LETTER):
I have read this evaluation.
___________________
Medical Student Signature
Please return this form to:
_____
Date
Attending Signature
MYRA E. DANIEL, CLERKSHIP COORDINATOR
DEPARTMENT OF PSYCHIATRY
CB 7160, 10625 NEUROSCIENCES HOSPITAL
CHAPEL HILL, NC 27599-7160
Date