TMCD504&526: Clinical Apprenticeship
Ward Round Student Evaluation Form (MCTM 2019)
Lecturer
*
Please Select
Prof Polrat Wilairatana
Prof Punnee Pitisuttithum
Assoc Prof Kittiyod Pooworavarn
Assoc Prof Supat Chamnanchanunt
Assoc Prof Vipa Thanachartwet
Assoc Prof Wattana Leowattana
Assoc Prof Supat Chamnanchanunt
Asst Prof Chatporn Kittitrakul
Asst Prof Chayasin Mansagnuan
Asst Prof Jittima Dhitavat
Asst Prof Prakaykaew Charunwatthana
Asst Prof Udomsak Silachamroon
Asst Prof Viravarn Luvira
Asst Prof Watcharapong Piyaphanee
Asst Prof Weerapong Phumratanaprapin
Dr Borimas Hanboonkunuprakarn
Dr Chaisith Sivakorn
Dr Sant Muangnoicharoen
Dr Supitcha Kamolratanakul
Dr Thundon Ngamprasertchai
Dr Wasin Matsee
Dr Wirongrong Chierakul
Dr Wiwat Chancharoenthana
Ward Round Date
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-
Day
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Month
Year
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Student Name
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SUTTIPORN PRAPASO
RUSLEENA TOHADAM
ABDULRAHMAN AHMED MOHAMUD
SIMON PETER BOYD
Please give assessment in every item below.
Total score
Attendance
Attend ward round late more than 15 min
Attend late 1-15 min
Attend on time
Absent without reason
Absent with reason (add extra work)
I. Practice the history taking and perform physical examination essential for patients with tropical diseases (20 marks)
*
less than 25% (3 marks)
25-50% (5 marks)
51-75% (8 marks)
>75% (10 marks)
1.1 Taking important history of patient required for differential diagnosis
1.2 Doing physical exam of patient correctly
2. Approach patient’s problems and make differential diagnosis of tropical diseases (30 marks)
*
less than 25%
25-50%
51-75%
>75%
2.1 Identify patient’s problems from history and physical exam (10 marks)
2.2 Make the differential diagnosis correctly (20 marks)
3. Planning for appropriate investigation for tropical diseases (20 marks)
*
less than 25% (3 marks)
25-50% (5 marks)
51-75% (8 marks)
>75% (10 marks)
3.1 Choosing the appropriate investigation correctly
3.2 Interpret results of all investigations correctly
4. Planning for appropriate management and prevention of common tropical diseases(20 marks)
*
less than 25%
25-50%
51-75%
>75%
4.1 Choosing the appropriate management correctly (12 marks)
4.2 Plan the appropriate prevention correctly (8 marks)
5. Develop and apply code of conduct in medical professionalism and reflect ethical consideration on patient care (10 marks)
*
less than 70% of the time
71-90% of total time
>90% of total time
5.1 Speak to the patient politely – Do physical exam gently
5.2 Send investigations with the consideration of psychosocial and economic aspects of patients
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