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, whichwill be observed and verified by the mentor. Time: Assessment—30 minutes; presentation—10 minutesTotal possible score: 70 pointsPlease score using the point system described below and comment, noting key observations to be discussed laterwith the mentee. DemonstratedSkills/Tasks0,1=Poor3=Satisfactory5=GoodScoreCommentsInitialAssessment: History Taking (Total points possible = 20)Chief complaintsasked and recorded, including the duration of the problem.Chief complaintsincludes 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 historyis taken that is sequential, relevant to chief complaints, and isrecorded.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 Ward1I-TECH Clinical Mentoring Toolkit
DemonstratedSkills/Tasks0,1=Poor3=Satisfactory5=GoodScoreCommentsPast medical historyis 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.