Saint Louis University Saint Louis University

School of Medicine School of Medicine

Evaluation of Decury Evaluation of Decury
Pediatrics 2 Pediatrics 2
Second Semester SY 2019-2020 Second Semester SY 2019-2020

Name: ___________________________________________________ Score:_______ Name: ___________________________________________________ Score:_______

Group No.:______ Group No.:______

POINTS SCORE POINTS SCORE

General Data/Informant/Chief Complaint 5 General Data/Informant/Chief Complaint 5
History of Present Illness History of Present Illness
 Chronological sequence  Chronological sequence
 Pertinent negative/positive information 10  Pertinent negative/positive information 10
 Clear, concise, complete descriptions of s/sx  Clear, concise, complete descriptions of s/sx

Past Personal History, etc. 10 Past Personal History, etc. 10

Review of System 5 Review of System 5
Physical Examination 10 Physical Examination 10
Pertinent Satisfaction/Evaluation 5 Pertinent Satisfaction/Evaluation 5
Group participation/complete instrument 5 Group participation/complete instrument 5
TOTAL 50 points TOTAL 50 points

PROBLEM-ORIENTED MEDICAL RECORD PROBLEM-ORIENTED MEDICAL RECORD

POINTS SCORE POINTS SCORE
Problem list 5 Problem list 5
Assessment/Diagnosis 5 Assessment/Diagnosis 5
Basis/Salient Feature 5 Basis/Salient Feature 5
Pathophysiology of Diagnosis 5 Pathophysiology of Diagnosis 5
Differential Diagnosis (at least 2) 5 Differential Diagnosis (at least 2) 5
Lab Diagnostic tests 5 Lab Diagnostic tests 5
Therapeutics Therapeutics
5 5
 Specific  Specific
5 5
 Supportive/Gen. measures  Supportive/Gen. measures
5 5
 Patient education/preventive measures  Patient education/preventive measures
Group Discussion 5 Group Discussion 5
TOTAL 50 points TOTAL 50 points

Preceptor:____________________________________________ Total Score:_________ Preceptor:____________________________________________ Total Score:_________