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Mini Clinical Evaluation

This document is an assessment form for an in-service training evaluation of a trainee in pediatric medicine. It collects information about the trainee such as their name, date of assessment, training center, year of training, and clinical setting. It also documents the clinical problem addressed, focus of the clinical encounter, and provides a section for a brief clinical summary of the case. The form then rates the trainee's performance in areas such as history taking, communication skills, examination, clinical judgment, and professionalism. An overall performance grade is required, and there are sections to note strengths, suggestions for development, and any agreed upon actions. The assessor and trainee must both sign upon completion.

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dileepa Rathnayaka
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26 views2 pages

Mini Clinical Evaluation

This document is an assessment form for an in-service training evaluation of a trainee in pediatric medicine. It collects information about the trainee such as their name, date of assessment, training center, year of training, and clinical setting. It also documents the clinical problem addressed, focus of the clinical encounter, and provides a section for a brief clinical summary of the case. The form then rates the trainee's performance in areas such as history taking, communication skills, examination, clinical judgment, and professionalism. An overall performance grade is required, and there are sections to note strengths, suggestions for development, and any agreed upon actions. The assessor and trainee must both sign upon completion.

Uploaded by

dileepa Rathnayaka
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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POST GRADUATE INSTITUTE OF MEDICINE

UNIVERSITYOF COLOMBO, SRI LANKA

IN SERVICE TRAINING ASSESSMENT

MD Paediatrics

MINI CLINICAL EVALUATION (MCE)

Trainee’s name:

Date of assessment (dd/mm/yyyy):

Training Center:
1 2 3 4
Year of training:

Clinical setting: OPD/Clinic In-patient Acute Admission Neonates

Clinical problem: Respiratory CVS GI CNS Neonates Development Emergency

Focus of Clinical Encounter: History Examination Diagnosis Management Discussion

Other (Please specify):

__________________________________________________________________________________________
Please insert a brief clinical summary of the case below (e.g. 3 year old with prolonged febrile seizure and developmental delay):

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Please grade the below areas using the given scale:

Unsafe Below Border- Meets Above Well Unable to


Expectations line Expectations Expectations above comment
Expecta
tions
F E D C B A
History Taking
Communication
Skills
Examination
Clinical Judgment
Initial
Management
Professionalism
Organization/
Efficiency

**Overall Unsafe Below Borderline Meets Above Well above


performance Expectation Expectation Expectation Expectation
** Mandatory : Please grade the overall performance of the trainee on MCE

Areas of strength Suggestion for development

Agreed action

Assessor‟s position: Consultant Senior Registrar

Assessor‟s signature:-------------------------------- Assessor‟s Name:-------------------------------------------

Trainee‟s comments:

Trainee‟s signature: ------------------------------------------------

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