University of Nevada School of Medicine
Department of Psychiatry and Behavioral Sciences
CASE WRITE-UP EVALUATION / FACULTY TUTOR
Student Name_________________________________________________________ Write-up#: 1
2
3 (circle)
Faculty Tutor__________________________________________________________ Date_________________
3=Highly Skilled
2=Satisfactory
1=Omitted/unsatisfactory
Case write-up turned in on-time
3
2
1
Used appropriate grammar, spelling & complete sentences;
did not make excessive use of abbreviations
3
2 1
Included all relevant sections in write-up; each section
adequately developed and complete
3
2 1
Demonstrated appropriate use of the five DSM IV axes,
including a supported differential diagnosis
3
2
1
Included a formulation which included the following domains
discussed at an appropriate depth and breadth:
Biological
Psychological
Social
Spiritual
3
3
3
3
2
2
2
2
1
1
1
1
Appropriate psychotherapies
(including environmental/lifestyle prescriptions and patient education)
3
2
1
Appropriate use of medications
and their risks, benefits and reasons for use
3
2
1
Other biological diagnostic and
treatment modalities that may be useful
3
2
1
Specific community resources that may be useful
(i.e. social services, self help groups,
religious/spiritual resources)
3
2
1
Provided a comprehensive treatment plan including:
Outstanding performance characteristics:
Areas of concern:
s:\clerkship\case write-up eval-faculty tutor 2-09.docx