scoring for clinincals

[nibs 0]

does anyone know how clinicals are scored and marked?

whats the pass criteria?

is it structures like OSCE, meaning if we cover so and so in PMP we get boxes ticked?

[Guest JG]

The individual Patient Assesment is marked under following heading

1. Assesment

2. Observed interview

3. Physical Assesment

4. Management and Prognosis

5. Clarification of case

6. Style of presentation and delivery

I think each componenet is marked out of 10 and final score is out of 20

Perfect passmark is 10/20 - 10/20 ( Long case / PMP )

one could pass if 8/20 - 14/20 ( you need to score 14 if you scored 8 in other)

if you score less than 8/20 in any of the component its a fail immaterial of the score in the other component

[nibs 0]

thanx Peter

is stuff like this true, that if you fail observed i/v you fail the whole thing? If you did not present physical exam, you dont score then?

[wombat 0]

This is how the clinical is scored.

For the long case:

You are marked in 6 areas of 'clinical skills'

1.Assessment

2.Observed interview

3.Physical assessment

4.Management and Prognosis

5.Clarification of case

6.Style of presentation and delivery

Grades are: Excellent, Pass, Borderline Pass, Borderline Fail, Fail or Very Poor.

You are then given an overall individual mark : 0-1 v.poor, 2-3 fail, 4 borderline fail, 5 borderline pass, 6-7 pass, 8-10 excellent.

To get a borderline pass overall, you must have reached at least borderline pass standard in observed interview AND clarification of case AND management.

To get a clear pass, you must have reached pass standard in the same 3 sections.

If you get a borderline fail in ANY of those 3 sections, and you didn't stun the examiners with your brilliance elsewhere, then you will get a borderline fail overall.

If you miss out any sections, eg. if you don't do a physical exam (or if you do a physical but don't tell the examiners about it) then you are likely to fail that section and risk failing the long case overall.

If your presentation is affected by eg. anxiety or slow delivery, you will probably get no better than a borderline pass for 'style of presentation and delivery'

Hope this helps.

[Guest JG]

The marks are equally spread.

if you miss a component then I dont think one will pass

Physical examination has equal mark as any other component

Even though its funny but its the way it works ........

[RosyWood 1]

What is Clarification of Case?

[petros 1]

well here we go...

clarification of case

differential diagnosis

aetiology

physical aspects of the case

further info required

patient's attitude to illness and its implications....

hope this helps...

as every little helps...!