HISTORY TAKING MODULE

Penang Students clinical assessment: based on long case presentation to senior

team member (registrar or consultant)

NB: AT TIME OF EXAM, STUDENT WILL HAVE, AT MOST, TWO WEEKS CLINICAL
EXPERIENCE

STUDENT NAME............................................ STUDENT

NO:........................................

HISTORY 0-2 3-4 5-7 8-10 Mark out of

10
History No idea of Incomplete, Reasonably Generally
how to disorganise well complete,
structure or d, does not organised, misses
present a focus on fairly logical minor
history reason for points only
presentatio
n
Presentation Misses all Unable to Better Can give a
and key provide a organisatio reasonably
Differential elements of minimal n can give a broad
diagnosis the history, differential bare differential
no diagnosis minimal diagnosis
differential differential
offered diagnosis
Knowledge No Unable to Satisfactory Satisfactory
knowledge provide answers to answers to
of medicine acceptable some basic basic and
or coherent clinical some more
answers to questions searching
simple clinical
questions questions
Total out
of 30

/30

EXAMINER

SIGNED (DATE) PRINT NAME

............................... .........................................
......

Return form to Sinead Dunwoody (Mater), Barbara Cantwell or Maria Hay (St
Vincents)