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ONCOLOGY WARD TEACHING ASSESSED CLINICAL CLERKING

How the session works 9.30 Meet your tutor outside the Oncology Seminar Room and you will each be given the name and a few basic facts about a patient. Then, without the aid of the medical notes, you have 60 minutes to take a history and perform a full examination of the patient.

10.30 Meet back at the seminar room and each of you will formally present your case to the tutor 11.30 The group will go with the tutor, to each of the patients, and the student who clerked that patient will perform a system examination with abnormal findings e.g. respiratory, cardiovascular, gastrointestinal, musculo-skeletal or neurological.

12.15 Return to seminar room for feedback.

This session will be assessed by the tutor and by yourself to try and allow you to identify areas of your clinical clerking, which require further practice . The marking scheme is an adaptation of the Structured Clinical Examination Exercise form and a marking proforma, which is now used in Finals. This is a formative assessment, not summative and does not count towards your examination mark. In order to investigate the best methods of tutor and student assessment we will be collecting in the forms at the end of this session. So we can match the two assessments, we would like you to write your matriculation number on the forms. The information will solely be used for this purpose, and of course kept confidential. If you would like to keep a hard copy of the form please ask your tutor to arrange a photocopy.

Matric. No. ______________________ Tutor marking scheme Presentation of case


CRITERIA Must improve (comment) Satisfactory

History of presenting complaint Current symptoms / problems Past medical history

Comprehensive Clearly presented in logical order Clearly presented with exacerbating/ relieving factors

Comprehensive Important negatives noted All drugs noted including indications and potential problems Home situation Social services Potential problems Comprehensive

Medications

Social history

Elicits patients ideas, concerns & expectations Systemic enquiry

All systems covered and important negatives noted

Examination findings Summary of case

Presented clearly and in logical sequence Delivered in clear concise manner, with all relevant facts

Matric. No. ______________________

CLINICAL JUDGEMENT DECISION MAKING


Diagnostic summary safe, logical differential diagnosis gives good reasons for differential diagnosis and provisional diagnosis chooses appropriate specific Ix and defends choice

Must improve (comment)

Satisfactory

CLINICAL EXAMINATION based on clinical findings


Introduction Management

Investigations

Must improve (comment)

Satisfactory

Information gathering:

greets patient, describes comprehensive plan introduces self and role, emphasis on safe practice obtains takes all consent findings and other given information into consideration examines in logical sequence seeks all appropriate signs uses standard techniques can list further relevant clinical examination shows genuine interest and concern responds sensitively to patients feelings and situation Gives clear logical summary of clinical findings

Rapport and empathy Reporting

Matric. No. ______________________ What was strongest element of the casepresentation / examination?

What was the weakest element?

How could presentation / examination be improved?

What mark would you give the student? Poor Pass Good Very Good Excellent

Overall comment _______________________________________________________________ _______________________________________________________________ Do you have any feedback on this session you would like to give to the organisers? _________________________________________________________________ ________________________________________________________________

STUDENT SELF-APPRAISAL FORM FOR ONCOLOGY ASSESSED CLERKING Matric. No. ______________________ This is for you to complete at the end of the session before you have seen the tutors comments. We would like to collect these at the end of the session so that we can analyse staff versus student appraisal to try and improve our procedures so that they are most informative to both parties. Obviously this information will be kept confidential. If you are concerns please discuss with Dr Erridge. If you would like to retain a copy of this feedback please ask you tutor who will arrange a photocopy for you. How do you think you did today? Poor Pass Good Very good Excellent

What was your strongest element of the casepresentation / examination?

What was the weakest element?

How could your performance be improved?

Overall comment

______________________________________________________________ Do you have any feedback youd like to give to the organisers of this session? _____________________________________________________________ _____________________________________________________________

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