Y2 On-the-Fly Coaching Notes


      

Student Name     

Observer Name:     

Unit  

 

Please tell the story of something you observed today. In working with your student, what did you notice about his/her… (CHOOSE ONE OR MORE)

 

oral case presentations?

In working with your student, what did you notice about his/her oral case presentations?

[Were they succinct and focused on relevant details? Was your student confident and in command of the data, with minimum notes and good eye contact?]  

history taking?

In working with your student, what did you notice about his/her history taking?

[Was it accurate? Organized and efficient? Appropriately focused and symptom driven? Inclusive, without being overly general? Did the student establish rapport, use open-ended questions, listen actively, pick up non-verbal cues, and demonstrate cultural sensitivity? Did the student collect data that defined the clinical problem?]

physical examinations?

In working with your student, what did you notice about his/her physical examinations?

[Was it accurate and complete? Organized and efficient? Appropriately focused and symptom driven? Inclusive and thorough, without being overly general? Did the student use correct technique? Did the student perform the mental status exam appropriately and skillfully? Did the student collect sufficient data to minimize further diagnostic testing?]

 

clinical reasoning?

In working with your student, what did you notice about his/her clinical reasoning, including recognizing patient acuity, prioritizing patient problems, formulating differentials, and developing plans/management?

[Was the differential appropriately broad for H&P, avoiding premature closure and pursuit of “zebras?” Was the student able to interpret data/findings independently? Did the student demonstrate clinical reasoning to support the DDX? Were his/her recommendations appropriate and plans complete and prioritized correctly?]

 

procedures or skills?

In working with your student, what did you notice about his/her procedures or skills?

[Were procedures/skills conducted confidently, with forward progression and anticipation of next steps? Were movements with instruments fluid and efficient? Was the student careful in tissue handling? Did the student participate effectively in informed consent?]

 

patient notes?

In working with your student, what did you notice about his/her patient notes?

[Are the student’s notes clearly written, complete and accurate, organized and efficient? Were the notes timely, helpful, and did the student notify you of records needing attention? Were recommendations in the notes evidence based and considerate of High Value Care?]

 

communication with patients, families, and caregivers?

In working with your student, what did you notice about his/her communication with patients, families, and caregivers?

[Did the student conduct him/herself with empathy, compassion, and respect, focusing on the patient’s agenda and including him/her in shared decision making? Did he/she show patience with questions and provide clear information? Did he/she introduce him/herself appropriately as a student and defer to you and/or residents as necessary?]

 

identification of clinical questions and investigation of knowledge gaps?

In working with your student, what did you notice about his/her identification of clinical questions and investigation of knowledge gaps?

[Did the student independently recognize and address the need to read up on patient cases to fill personal knowledge gaps? Did he/she follow through on learning issues and bring useful knowledge back to the team? Did he/she ask clinical questions and treat patient cases as opportunities for problem-based learning?]

 

coachability?

In working with your student, what did you notice about his/her coachability?    

[Give an example to show how he/she effectively (or not) recognized his/her personal limitations, participated actively in setting goals and learning, sought feedback, and/or, responded to feedback to make performance improvements.]

 

teamwork with other health care professionals?    

In working with your student, what did you notice about his/her teamwork with other health care professionals, including contributing to the overarching culture of efficiency, safety, and continuous quality improvement?    

[Give an example to show how he/she effectively (or not) communicated and collaborated with ALL members of your team, demonstrating a respectful attitude, recognized team members’ information needs and worked to fill gaps, and augmented the team’s daily activities and longer-term effectiveness.]