This document outlines the instructions and grading criteria for a clinical skills examination for psychiatry students at the University of Nevada School of Medicine. The examination consists of a 45-minute patient interview followed by an oral presentation of the case. Areas that will be evaluated during the interview include developing rapport, eliciting relevant clinical data, and closing the interview. For the presentation, students will be assessed on organizing the case concisely and providing a preliminary differential diagnosis and treatment plan. The rater will check off data points addressed during the interview and presentation and provide an overall grade for the student's performance.
This document outlines the instructions and grading criteria for a clinical skills examination for psychiatry students at the University of Nevada School of Medicine. The examination consists of a 45-minute patient interview followed by an oral presentation of the case. Areas that will be evaluated during the interview include developing rapport, eliciting relevant clinical data, and closing the interview. For the presentation, students will be assessed on organizing the case concisely and providing a preliminary differential diagnosis and treatment plan. The rater will check off data points addressed during the interview and presentation and provide an overall grade for the student's performance.
This document outlines the instructions and grading criteria for a clinical skills examination for psychiatry students at the University of Nevada School of Medicine. The examination consists of a 45-minute patient interview followed by an oral presentation of the case. Areas that will be evaluated during the interview include developing rapport, eliciting relevant clinical data, and closing the interview. For the presentation, students will be assessed on organizing the case concisely and providing a preliminary differential diagnosis and treatment plan. The rater will check off data points addressed during the interview and presentation and provide an overall grade for the student's performance.
This document outlines the instructions and grading criteria for a clinical skills examination for psychiatry students at the University of Nevada School of Medicine. The examination consists of a 45-minute patient interview followed by an oral presentation of the case. Areas that will be evaluated during the interview include developing rapport, eliciting relevant clinical data, and closing the interview. For the presentation, students will be assessed on organizing the case concisely and providing a preliminary differential diagnosis and treatment plan. The rater will check off data points addressed during the interview and presentation and provide an overall grade for the student's performance.
Instructions: Please observe the student interview a patient. The student has up to forty-five minutes and may take notes on a blank sheet of paper but may not bring notes into the exam. After the interview, the patient is excused and the presentation (section II) begins. If the patient selected for interview is unsuitable, please work with staff in the clinical setting to find a more suitable patient and allow the student the full forty-five minute interview.
During the interview and presentation, please use this exam form to check off the “data points” which the student addresses and to make other notes about student performance. Please give feedback to the student after the exam. The grade, which you give to the student, should reflect the standardized grading criteria, as interpreted in the context of the specific patient.
PATIENT DIFFICULTY (Circle One)
Easy to Interview Difficult to Interview [1] [2] [3] [4] [5] Specific nature of difficulty (3 or higher):
Introduced self, purpose of the interview, and outlined
the interview process 3 2 1
Estimated a climate conducive to the interview process 3 2 1
Demonstrated empathic listening skills, responded
to the patient’s emotional state openly and accurately 3 2 1
Interview was organized and logical 3 2 1
Sustained narrative/dialogue with verbal and
non-verbal techniques 3 2 1
Used both open-ended and direct questions as well
as summaries as appropriate 3 2 1
Smooth transitions 3 2 1
Followed the patient’s lead in seeking important
information without losing control of the interview 3 2 1
Tactfully confronted the patient with apparent
Discrepancies (i.e. inconsistencies in history or verbal/non-verbal cues) 3 2 1
B. Data
Elicited relevant information (may include onset,
course and severity) regarding:
Chief Complaint 3 2 1
History of Present Illness 3 2 1
Psychiatric ROS 3 2 1
- 2- Rev. September 15
Past Psychiatric History 3 2 1
Social/Developmental History 3 2 1
Substance Use History 3 2 1
Past Medical History 3 2 1
Mental Status Examination:
Emotions
Patient reported and rated mood 3 2 1
Thought content and Perceptions
Delusions 3 2 1
Suicidal ideation 3 2 1
Violent ideation 3 2 1
Hallucinations 3 2 1
Cognition
Orientation 3 2 1
Delayed recall 3 2 1
Attention and concentration 3 2 1
Insight 3 2 1
Abstraction 3 2 1
Judgment 3 2 1
C. Closure
Summarized information to the patient 3 2 1
Provided patient with an opportunity to
- 3- Rev. September 15
correct misinformation 3 2 1
Communicated appreciation to patient for
participation and closed interview comfortably 3 2 1
2. ORAL PRESENTATION & INTERPRETATION OF DATA
Presented case in concise and organized manner; including
pertinent negatives as well as positives 3 2 1
Preliminary differential diagnosis 3 2 1
Preliminary treatment plan 3 2 1
*Students may be asked for their preliminary differential diagnosis and may be questioned about their depth of understanding of any material that arises in the course of interview and presentation.
Outstanding performance characteristics
Areas of concern
OVERALL EVALUATION OF MEDICAL STUDENT PERFORMANCE (FINAL GRADE)
