Evaluation Of Focused History And Physical Examination Encounter Form Page 2

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Unsatisfactory
Satisfactory
Superior
NO
ABILITY TO IDENTIFY THE
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MAIN ISSUES:
Unsatisfactory:
Unable to identify the main problems.
Satisfactory:
Identifies the main problems.
Superior:
Identifies all problems and prioritizes well
Comments:
Unsatisfactory
Satisfactory
Superior
NO
DECISION MAKING:
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9
Unsatisfactory:
Unable to make management decisions on won.
Satisfactory:
Makes some decisions on own.
Superior:
Able to make decisions on own.
Comments:
Unsatisfactory
Satisfactory
Superior
NO
KNOWLEDGE:
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Unsatisfactory:
Does not demonstrate basic pediatric knowledge.
Satisfactory:
Demonstrates basic pediatric knowledge.
Superior:
Able to demonstrate a deep understanding of both facts and concepts.
Comments:
Unsatisfactory
Satisfactory
Superior
NO
PATIENT RAPPORT /
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ATTITUDE:
Unsatisfactory:
Unable to connect to patient/does not follow through on patient's concerns.
Satisfactory:
Able to identify patients' family's major concerns, addresses them.
Superior:
Able to uncover the hidden agenda; develops "trust" with the patient/family, alleviates
stress in the child/family.
Comments:
Unsatisfactory
Satisfactory
Superior
NO
OVERALL ENCOUNTER:
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Comments:

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