Phys_Tri_Ann_Asses_ART.doc - Physician Triannual Clinical...

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Physician Triannual Clinical Assessment Checklist: HIV/ART Ward Mentee: ____________________ Site: ______________ Mentor: _____________________ Date: _________ The mentee is expected to do a detailed history taking and complete clinical examination of the given case, which will be observed and verified by the mentor. Time: Assessment—30 minutes; presentation—10 minutes Total possible score: 70 points Please score using the point system described below and comment, noting key observations to be discussed later with the mentee. Demonstrated Skills/Tasks 0,1=Poor 3=Satisfactory 5=Good Score Comments Initial Assessment: History Taking (Total points possible = 20) Chief complaints asked and recorded, including the duration of the problem. Chief complaints includes problems that are of immediate concern to the patient. 0— No questions asked. 3— Questions asked, but only related to HIV- positive symptoms. 5— Questions asked relating to both positive and negative symptomatology. Present medical history is taken that is sequential, relevant to chief complaints, and is recorded. 0— Elaboration of chief complaints only. 3— Sequential, chronological elicitation of symptoms using open-ended questions. 5— Symptom analysis covering positive and negative symptoms and all major systems (CVS, RS, abdomen, CNS); all symptoms analyzed in chronological order. Physician Triannual Clinical Assessmnet Checklist: HIV/ART Ward 1 I-TECH Clinical Mentoring Toolkit
Demonstrated Skills/Tasks 0,1=Poor 3=Satisfactory 5=Good Score Comments Past medical history is taken relevant to chief complaints; comorbid medical conditions, previous surgical procedures, blood transfusions and drug allergies recorded. 0— Limited to chief complaints only, not dealing with co morbid medical complaints. 1— Comorbid medical conditions (diabetes, asthma, epilepsy, tuberculosis) inquired about; past symptoms related to relevant symptoms . 2— Comorbid medical conditions, along with previous surgical conditions, blood transfusions, and drug allergies (including previous ART), recorded .

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