# MS eval snippets As someone who used to recieve and now has to give med student evals I created this for my own reference but also as a shareable resource. After asking me to identify clinical setting, specialty, and degree of involvement I'm asked to comment on **at least 4** task/domains of your education. ## Domain snippets ### History ### Physical Exam ### Differential Diagnosis :::success Reporter ::: - associated a patients symptom(s) with several (2 or 3) can't miss or most common DDx when pressed :::warning Interpreter ::: - Can give a thorough differential and rationally identify what they think is the most likely cause, for example... :::info Manager ::: - Took a medically complex patient presenting w/ undifferentiated ______ and proposed an appropriate *diagnostic* and *therapeutic plan* ... ### Diagnostic Testing :::success Reporter ::: - *** would consistently report labs, new diagnostic imaging, and culture data every day on rounds **Trends** - Identifies importance of lab value trends such as an uptrending WBC in a patient with worsening infection or downtrending Hgb in a patient we had with a GI bleed. **CXR** - would read CXRs in a systematic way (ABCDE method) consistently **LFT** - could identify their LFTs as consistent with hepatocellular, cholestatic, or mixed pathology :::warning Interpreter ::: ### Management Plan Reiterates yesterdays plan on an old patient ### Oral presentation :::success Reporter ::: **subjective** - O|U|AA gathers subjective information such as overnight events, nursing concerns, new patient symptoms **vitals** - O|U|AA Reports vital signs accurately, sometimes commenting on trends or editatorializing ("slightly tachycardic today w/ HR 120..."). **physical exam** - reports accurate and thorough physical exams presenting them in an organized fashion. S/he can recognize important findings which I can tell by how they would emphasize them in the presentation but also includes all other exam findings :::warning Interpreter ::: **Systems based presentations** **Problem list reordering** - Continue to refine your assessments and plans, reordering the patients list of problems based on the most active/new/urgent. In a patient presenting with fatigue and weakness who later develops shortness of breath you should reorder your plan presenting SOB first, then weakness, etc :::info Manager ::: **Checklist** - For each patient included checklist items like DVT prophylaxis and indications, diet, tubes/lines/drains and code status ![](https://i.imgur.com/10GQf8G.png) ### Technical skills ### Interprofessional collaboration - would call each patients' overnight nurse asking for overnight events for the patients he cared for. This helped us a catch events sometimes missed on signout like ______ . He was always warm and professional and this really helped the team!