Mental Status Exam:
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| No instruction on MSE, no observation of interviews by attending. |
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Early instruction on MSE; observed interviews by attending. |
Differential Diagnosis & Diagnostic Criteria:
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| No instruction on differential diagnosis & criteria (DDx), attending didn't explain diagnoses. |
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Frequent instruction on DDx & DSM-IV through discussion & by example. |
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Pharmacotherapy & Side Effects of Psychotropic:
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| No instruction on principles of drug treatment; no discussion of Tx rationale. |
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Regular clinical discussions of drug treatment. Medication decisions explained. |
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Non-pharmacologic Treatments:
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| No instruction or discussion of psychosocial Tx. |
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Regular discussion and explanation of psychosocial Tx given to patients. |
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Interviewing Skills:
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| No instruction or observation. Poor modeling of interview techniques. |
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Interview instruction by example and feedback. Attending observed interviews. |
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Charting H&P, Progress Notes, Etc:
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| No initial instruction. No ongoing review & feedback. |
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Instruction on patient presentations. Opportunity to present patients in Tx team or rounds. |
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Oral Presentation:
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| No instructions or opportunity to present patients. |
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Instruction on patient presentations. Opportunity to present patients in Tx team or rounds. |
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Evaluation of Teaching:
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| Teaching was a low priority. Poor or non-existent instruction. |
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Available to answer questions, made time for teaching; clear, organized and helpful. |
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Feedback Amount:
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| No timely feedback throughout clerkship. |
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Feedback provided throughout , sit-down review mid-clerkship, exit interview. |
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Feedback Quality:
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| Abrupt, disrespectful, unhelpful; no positive reinforcement. |
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Constructive criticism and positive reinforcement. Offers supportive directions for improvement. |
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Role Modeling:
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| Negative attitude, bad habits, poor model of a physician. |
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Excellent rapport with patients and staff. Competent, excellent physician. |