Kuliyyah of Medicine and Health sciences

ELECTIVE ASSESSMENT
CLINICAL YEAR 4

Students Name: ____________________________ Students Number: ______________

COMPONENT OF CONTINOUS ASSESSMENT MARK

Attendance and punctuality /10

Logbook /10

Case Presentation /25

Professionalism /10

Ward or department work/activity /10

Elective Report /25

Elective presentation /10

TOTAL /100

Overall Comments:

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Name of the Examiner: ________________________________________________________

Signature of the Examiner: _____________________ Date :_____________

 CRITERIA OF ASSESSMENT IN ELECTIVE POSTING

1. Leadership : 5. Able to organize group activity well and able

and organizational skill to distribute tasks fairly.
4. Gets the job well done but not able to
distribute the work evenly to members of the
group.
3. Gets the job done satisfactory with tasks not
evenly distributed.
2. The task not well done and not well
organized.t
1. Done in poor outcome

2. Group participation : 5. Volunteers to perform group duties without

persuasion.
4. Readily accepts when given a task to perform.
3. Accepts a task allotted with minimal
reluctance.
2. Had to be persuaded to take up a task given
to him / her by the group.
1. Hardly participate despite strong
encouragement

3. Task Performance : 5. Takes great effort in preparing and performs

the task given well.
4. Takes sufficient effort in preparing and
performs the task given satisfactory.
3. Takes sufficient effort in preparing but
performs the task given poorly.
2. Does not make sufficient effort in preparing
and performs the task poorly.
1. Does perform the task in very poor manner

4. Communication skills : 5. Able to get ideas and concepts across with

ease the first time and being understood.
4. Had to rephrase his / her ideas to be clearly
understood.
3. Able to make out ideas put forward but with
poor choice of words.
2. Difficulty in conveying his / her ideas, not able
to understand what is conveyed without
prompting or putting words in his / her mouth
to get the ideas across.
1. Poorly understood by group members
5. Attitude : 5. Very good attendance, very cooperative,
attentive and shares his / her knowledge
readily with others.
4. Good attendance, cooperative, attentive and
showing interest.
3. Fair attendance, cooperative and attentive in
group discussion.
2. Fair attendance, uncooperative, not attentive.
1. Poor attitude towards others and not respect
the lecturer/coordinator
Marking guideline for clinical case presentation for Elective Posting

History taking

Assessment and weightage should be made in relation to relevant symptomatology, sequence of the
disease process and associated problems rather than to routine questions. There must also be a due
emphasis on relevant history including the family and social background of the patient.

Physical examination

Assessment should be made in relation to correct technique of examination and the ability to elicit
physical signs. Emphasis is given on the thoroughness of examination of the system involved.

Formulation of Diagnosis

Emphasis should be on the ability to arrive at differential diagnoses in relation to the problems
identified on the history and physical examination. Look for the ability to logically deduce the most
likely diagnosis.

Investigation

Look for the ability to request and justify the investigations relevant to the problems identified.
Emphasis should be on simple investigations rather than sophisticated ones and the ability to
request investigations in a logical sequence. Candidate should be able to interpret common
investigations e.g. X-ray, ECG, etc.

Patient Management

Look for ability to recommend and justify appropriate treatment based on the diagnosis. Emphasis
should be on the priorities of management rather than detailed management protocols e.g.
operative procedure.
CRITERIA FOR OUTSTANDING PERFORMANCE

History: Elicit problems, relates data, stresses important points, well-organized approach.

Physical Examination: Elicits and interprets correctly all signs, good techniques, good organizational
approach.

Formulation of Diagnosis: Makes reasonable conclusions from available data, able to give correct
provisional and differential diagnoses.

Investigations: Plans/requests and interpret investigations appropriate to the problem with

attention to specificity, reliability, patient safety, comfort and cost. Able to justify the request for
investigation.

Patient Management: Suggests appropriate comprehensive management. Exhibits awareness of the

role and possible complications of the proposed intervention (adverse drug reactions, morbidity)

CRITERIA FOR SATISFACTORY

As in outstanding but misses few relevant information in history, omits or examines less
satisfactorily for some relevant physical signs, able to give correct provisional diagnosis but not all
differential diagnoses, misses some relevant investigations or some investigations are not
appropriate or misses few relevant points in management.

CRITERIA FOR INADEQUATE

History: Concentrates on data not relevant to the problem, misses important information, not well
organized.

Physical examination: Misses some important physical signs, poor examination technique, poor
organization, invents signs.

Formulation of Diagnosis: Makes improper and irrelevant conclusions from available data, wrong
provisional diagnosis, poor in differential diagnoses.

Investigations: Misses relevant investigations, asks for investigations not appropriate to the
problem, misinterpret data.

Patient management: Misses many important points on principles of management, suggests

inappropriate management, shows lack of awareness on role of proposed interventions and their
possible complications.
 MARKING SHEET FOR ELECTIVE CLINICAL CASE PRESENTATION

Students Name: ____________________________ Students Number: ______________

Assessment Inadequate Satisfactory Outstanding Comments

Components
Manner, attitude,
Communication

History taking

Physical Examination

Discussion;
Differential Diagnosis

Investigations;
Management

Presentation skills