Case Presentation and Discussion

Evaluation Form


Presentor:

Evaluator:

Key:

A

Adequate, Acceptable

I

Inadequate, Insufficient, Improvement Needed

NA

Not applicable, Not assessed


 1. Clinical Diagnostic Process

AINA

1.1

Rational Process Using Pattern Recognition and Prevalence

AINA

1.2

Specific Diagnosis

AINA

2. Paraclinical Diagnostic Process

AINA

2.1

Indication Using Degree of Certainty and Whether Management Will Change if the Real Diagnosis Turns Out to be the Secondary Diagnosis

AINA

2.2

Cost-effective Selection

AINA

2.3

Rational Interpretation

AINA

3. Nonsurgical Treatment - Rational

AINA

4. Surgical Treatment (Preop)

AINA

4.1

Psychosocial Preparations

AINA

4.2

Screening for Medical Problems

AINA

4.3

Optimizing Physical Conditions

AINA

4.4

Preparing for Operating Needs

AINA

5. Surgical Treatment (Intraop)

AINA

5.1

Rational Intraop Evaluation

AINA

5.2

Rational Operative Maneuvers

AINA

5.3

Adequate Operative Maneuvers

AINA

6. Surgical Treatment (Postop)

AINA

6.1

Adequate Postop Care

AINA

6.2

Rational Postop Diagnosis

AINA

6.3

Rational and Adequate Follow-up

AINA

7. Health Promotion and Maintenance

AINA

8. Medical Recording

AINA

7.1

Adequate and Relevant

AINA

7.2

Clear

AINA

7.3

Systematic and Organized

AINA

9. Discussion in General

AINA

8.1

Adequate

AINA

8.2

Clear

AINA

8.3

Systematic and Organized

AINA

Comments:

 


BCCM