YEAR 3 SUMMATIVE LONG CASE ASSESSMENT Format for the assessment Total durat on!

" hour and #$ m nutes 60 minutes 20 minutes 20 minutes 5 minutes 5 minutes Student interview and examine patient Student write brief notes for case presentation Case presentation and discussion with 2 examiners Examiners confer about students performance and record result Examiners provide verbal feedback to student of strengths and areas requiring improvement E%AMINERS &O NOT 'ROVI&E STU&ENTS (IT) T)EIR OVERALL RESULT *S+NS,

Standard of Performance ! the end of the "ntegrated Clinical #ttachments students are required to integrate a histor!$ ph!sical examination and basic investigations into an appropriate clinical summar!$ including diagnosis$ differential diagnoses and problem list$ to present to a senior colleague% Students should be able to formulate a safe and practical diagnostic and therapeutic approach to the patient% &he requirements for satisfactor! performance in each categor! are' Case Presentation A- (istor! of the presenting illness )btained a comprehensive histor! of the patient*s current problem+s$ including important s!mptoms$ duration and chronological sequence% .- ,elevant past histor! -ocused on ongoing problems and identified significant serious medical and surgical conditions% C- #ppropriate social$ functional and famil! histor! .rovided information about occupation$ living arrangements$ activities of dail! living and other relevant lifest!le issues$ social supports$ medications /dosages not essential0 and relevant famil! histor!% &- .h!sical examination 1 relevant bod! s!stem ,eported on abnormal and relevant normal findings from the s!stem+s pertaining to the patient*s current problem+s% E- 2eneral ph!sical examination ,eported relevant examination findings from s!stems affected b! concurrent and+or past problems% Frief summar! .rovided brief summar! of ke! features of the case$ with appropriate interpretation of s!mptoms 3 signs%

G- -ormulated a reasonable provisional diagnosis$ 44 and prioritised problem list% Case Discussion )- 4emonstrated understanding of the pathoph!siolog! 4escribed how the patient*s s!mptoms+signs could be explained b! basic mechanisms% I- 4emonstrated abilit! to test diagnostic h!potheses 5as able to 6ustif! basic investigations relevant to the patient*s problem+s% /- 4emonstrated understanding of the patient*s problem in ps!chosocial context 5as able to discuss the wa!s in which the patient*s illness ma! be affected b! social circumstances% 0- 4emonstrated an understanding of the principles of management for the ma6or problem+s% 5as able to outline an appropriate plan of management% Interpretation of the Criteria "n order to obtain a satisfactor! result$ it is recommended that the student satisf! at least 6 of the 7 criteria /#120 for case presentation and 8 of the 9 criteria /(1:0 for case discussion% &his is intended as a guide onl!% Each categor! ma! be weighted differentl! b! examiners according to the focus of the case and examiners should use their professional 6udgement when making an overall decision% "f this results in a 6udgement that differs from that obtained b! strict adherence to the guidelines$ please explain the reasons for !our decision in the comments section on page 2 of the marking form%

YEAR 3 SUMMATIVE LONG CASE ASSESSMENT

E1am ner Name! 'at ent d a2noses! Student Name! Cl n 3al S3hool! Student I&! &ate!

Students should sat sf4 the follo5 n2 o6erall 3r ter a! Case 'resentat on! #n accurate presentation of patient histor! and ph!sical examination findings and reasonable diagnostic problem formulation% Case & s3uss on! # case discussion with a senior colleague that demonstrates logical thinking and the abilit! to formulate a safe and practical diagnostic and therapeutic approach to a patient with a common medical and+or surgical problem% .lease mark each item as satisfactor! *S, or not satisfactor! *NS,

CASE 'RESENTATION #% (istor! of the presenting illness % ,elevant past histor! C% #ppropriate social$ functional and famil! histor! 4% .h!sical examination 1 report on relevant bod! s!stem pertaining to patient*s current problem E% 2eneral ph!sical examination findings -% rief summar! S S S S S S S ;S ;S ;S ;S ;S ;S ;S

2% .rovisional and differential diagnoses and problem list

CASE &ISCUSSION (% #bilit! to identif! underl!ing pathoph!siolog! and how this ma! explain the clinical findings "% #bilit! to test diagnostic h!potheses b! ph!sical examination and the use of appropriate investigations <% 4iscussion of patient*s problem in ps!chosocial context /eg% #4=s$ impact of illness on the individual$ their work and famil!$ use of communit! resources0 :% #bilit! to outline a management plan S S ;S ;S

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RESULTS Student Name! .oth 3ase 7resentat on and 3ase d s3uss on must 8e 9ud2ed sat sfa3tor4 for students to a3h e6e an o6erall sat sfa3tor4 result- If a student s 9ud2ed not sat sfa3tor4 7lease 7ro6 de deta led 3omments n the se3t on 8elo5Case 'resentat on Result #ccurate histor! and ph!sical examination findings clearl! and concisel! presented with reasonable diagnostic problem formulation% &he decision about satisfactor! performance should take into account the nature and difficult! of the clinical problem and the identified performance criteria% Case & s3uss on Result 4emonstrated logical thinking and the abilit! to formulate a safe and practical diagnostic and therapeutic approach to the patient% &he decision about satisfactor! performance should take into account the nature and difficult! of the clinical problem and the identified performance criteria% O6erall Result

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Comments! /"f there is insufficient space$ please use the blank area on the next page0 (hat d d the student do 5ell:

(hat areas of the student;s 7erforman3e 3an 8e m7ro6ed: /.lease comment specificall! on an! categor! #1: in which the student was 6udged ;S0

S 2nature of E1am ner!

COM.INE& E%AMINER RESULT FOLLO(ING &ISCUSSION /.lease do not amend original marking0 Case 'resentat on Result Case & s3uss on Result O6erall Result S S S NS NS NS

CLINICAL SC)OOL &EAN *Conf rmat on of O6erall Result,

S 2nature!