Emergency Stabilization

0

1

2

3

Not quite intern level

(At Intern level)

Recognizes abnormal vital

Above intern level

(Solid 2^nd yr) Recognizes the unstable patient who needs immediate intervention.

^*Prioritizes initial stabilization actions in a resuscitation

^*Performs a primary assessment on a critical patient

Performance of Focused History & Physical Exam

0

1

2

3

Not quite intern level

(At intern level) Performs and communicates a reliable, comprehensive H&P

Above intern level

(Solid 2^nd yr) Performs and communicates a focused H&P reliably addressing the chief complaint and urgent issues

Diagnostic Studies and Performance of Required Procedures

0

1

2

3

Not quite intern level

(At intern level) Determines necessity and Urgency of diagnostic studies

Above intern level

(Solid 2^nd yr) Prioritizes essential testing & orders appropriate tests using decision rules

^*Performs appropriate bedside diagnostics

Diagnosis

0

1

2

3

Not quite intern level

(At intern level) Constructs ddx based on cc & initial assessment

Above intern level

(Solid 2^nd yr) Constructs ddx based on the greatest likelihood of

occurrence and greatest potential for harm.

^*Correctly identifies “sick versus not sick”