Knee Arthrocentesis Hybrid Simulation Procedural Skills Measure
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Knee Arthrocentesis Hybrid Simulation Procedural Skills Measure
Assessor: ______Participant: ______
A. Clerk-PGY 1 Novice Experienced Consultant level Unable to PGY 2 PGY2-3 comment
1 Introduction/establish rapport 1 2 3 4 5 6 7
2 Explanation of intervention including 1 2 3 4 5 6 7 patient’s consent to proceed (written consent obtained) 3 Assessment of patient’s needs 1 2 3 4 5 6 7 before procedure 4 Preparation for procedure 1 2 3 4 5 6 7
5 Technical performance of procedure 1 2 3 4 5 6 7
6 Maintenance of asepsis (prepping) 1 2 3 4 5 6 7
7 Landmarks appropriately (lateral 1 2 3 4 5 6 7 approach) 8 Checks that area is frozen (no 1 2 3 4 5 6 7 actual freezing done) 9 Needle insertion (90 deg, negative 1 2 3 4 5 6 7 pressure) 10 Collection of sample 1 2 3 4 5 6 7
11 Awareness of patient’s needs 1 2 3 4 5 6 7 during procedure 12 Closure of the procedure including 1 2 3 4 5 6 7 explanation of follow-up care 13 Clinical safety 1 2 3 4 5 6 7
14 Professionalism 1 2 3 4 5 6 7
15 Overall ability to perform the 1 2 3 4 5 6 7 procedure (including technical and professional skills)
B. How would you rate the candidate’s performance (circle one)
Incompetent Borderline Competent
C. Demonstrated strengths Areas for development
Knee Arthrocentesis Hybrid Simulation Communication Skills Measure RESPONSE TO PATIENT’S FEELINGS AND NEEDS (EMPATHY)
Does not respond to obvious patient cues and/or Responds to patient’s needs and cues, but Responds consistently in a perceptive and genuine manner to responds inappropriately. not always effectively the patient’s needs and cues. 1 2 3 4 5
DEGREE OF COHERENCE IN THE INTERVIEW
No recognizable plan to the interaction, the plan does Organizational approach is formulaic and Superior organization with command of cohesive devises, not demonstrate cohesion, or the patient must minimally flexible and/or control of the flexibility, and consistent control of the interview. determine direction of the interview. interview is inconsistent. 1 2 3 4 5
VERBAL EXPRESSION
Communicates in manner that interferes with and/or Exhibits sufficient control of expression to Exhibits command of expression (fluently, grammar, prevents understanding by patient. be understood by an active listener (patient). vocabulary, tone, modulation/ rate of speech, pronunciation 1 2 3 4 5
NON-VERBAL EXPRESSION
Fails to engage, frustrates and/or antagonizes the Exhibits enough control of non-verbal Exhibits finesse and command of non-verbal expression (eye patient. expression to engage a patient willing to contact, gesture, posture, use of silence, etc.) overlook deficiencies such as passivity, self- consciousness, or inappropriate aggressiveness. 1 2 3 4 5
KNOWLEDGE / UNDERSTANDING OF THE CONTENT/ISSUES IN THIS CASE Fails to recognize the major issues involved. Recognizes deals with the issues but Recognizes and deals with the issues and its nuances and is somewhat superficially. able to convey them to the SP in an effective and compassionate manor. 1 2 3 4 5
OVERALL ASSESSMENT OF THE KNOWLEDGE AND SKILLS DEMONSTRATED IN THE INTERVIEW
Responds effectively to some components of Responds inappropriately and ineffectively to the the task indicating an adequate knowledge Responds precisely and perceptively to the task consistently task indicating a lack of knowledge and/or base and some development of integrating all components. undeveloped interpersonal and interviewing skills. interpersonal and interviewing skills. 1 2 3 4 5