Advanced Pharmacy Practice Experience:
CLINICAL PERFORMANCE CRITERIA
Student: Insert name / Evaluation: MidtermFinal / Date: 01/01/06Preceptor(s): Scott Bolesta, Pharm.D. / Site: Regional Hospital of Scranton
Part 1: KNOWLEDGE
Consider how the student performs with the following criteria and based on your assessment, mark a check for Midpoint and Final along the boxes / NI = Needs improvementEX = Exemplary
Explain the process of developing a rational research hypothesis / M
F
Explain the differences between the various types of research that can be conducted in the clinical setting and discuss the advantages and disadvantages of each / M
F
Explain the use of various statistical analyses that can be used in conducting clinical research / M
F
Explain the various aspects that can minimize research validity and methods that can be used to improve validity / M
F
Explain the ethical considerations of conducting clinical research / M
F
Discuss the background literature related to a research topic / M
F
Explain the elements important to writing a research abstract and paper / M
F
Explain the aspects important to writing a research proposal for submission to an Institutional Review Board / M
F
Midpoint Comments: Insert here
Final Comments: Insert here
Part 2: SKILLS
Consider how the student performs with the following criteria and based on your assessment, mark a check for Midpoint and Final along the boxes / NI = Needs improvementEX = Exemplary
Develop rational and reasonable research hypotheses / M
F
Conduct literature searches to identify necessary background information for conducting clinical research / M
F
Identify appropriate research designs based on proposed hypotheses and study populations / M
F
Identify appropriate inclusion and exclusion criteria given proposed hypotheses and study populations / M
F
Identify outcomes appropriate to address proposed research hypotheses / M
F
Utilize appropriate statistical methods given the patient data being gathered / M
F
Identify, obtain and organize pertinent data / M
F
Conduct statistical analysis of data collected / M
F
Compare results of new research to previously published data / M
F
Communicate effectively/professionally using written, verbal & non-verbal modes / M
F
Interpret and critique the biomedical literature / M
F
Respond to questions clearly and logically / M
F
Document activities as requested / M
F
Midpoint Comments: Insert here
Final Comments: Insert here
Part 3: ATTITUDE (Professionalism)
Consider how the student performs with the following criteria and based on your assessment, mark a check for Midpoint and Final along the boxes / NI = Needs improvementEX = Exemplary
Display confidence, empathy, enthusiasm / M
F
Justify decisions persuasively and respectfully / M
F
Respond to all questions in a timely and professional manner / M
F
Use appropriate oral, written and non-verbal language / M
F
Resolves all issues or problems as directed by preceptor / M
F
Be prepared and organized / M
F
Be on time / M
F
Manage time efficiently / M
F
Performs required activities independently / M
F
Student is discreet and maintains patient confidentiality / M
F / Yes No
Yes No
Practice ethically / M
F / Yes No
Yes No
Display independent self-learning / M
F
Identify self-limitations, solicits and accepts constructive criticism / M
F
Modify behavior and improve performance based on constructive criticism / M
F
Midpoint Comments: Insert here
Final Comments: Insert here
Midterm and Final Grade Percentages
Estimate the scores in the individual categories to the grid below and determine a percentage. Then, estimate a final percentage. The final percentage can be an average of the individual categories, or it can be chosen at the discretion of the course instructor based on the scores. The clinical performance criteria accounts for 60% of the final clerkship grade. Note that students must pass each category with at least a 70% to pass the clinical performance criteria. As stated in the manual, students who fail to pass the clinical performance criteria will fail to pass the course.
PerformanceKnowledge / Skills / Attitude / Score / Remark
Infrequent knowledge deficits and learns material completely and in a timely manner without preceptor assistance. / Independently identifies and masters skills without preceptor assistance. / Outstanding / 93-100 / Outstanding
Minimal deficits and learns material thoroughly and in a timely manner with minimal preceptor assistance / Areas needing improvement are improved with minimal preceptor assistance. / Very Good / 87-92 / Proficient
Some knowledge deficits and learns material thoroughly and in a timely manner with moderate preceptor assistance / Areas needing improvement are improved with moderate preceptor assistance. / Good / 80-86 / Competent
Some knowledge deficits and learns material thoroughly with consistent preceptor assistance. / Areas needing improvement requires frequent preceptor assistance. / Acceptable / 75-79 / Acceptable
Significant knowledge deficit. Requires constant preceptor assistance to identify areas of knowledge deficit and to learn material. / Student consistently requires preceptor assistance to improve skills. / Minimally
Acceptable / 70-74 / Minimally
Acceptable
Minimal knowledge despite repeated requests from preceptor to learn material. / Student does not demonstrate necessary skills or, skills are consistently weak, despite repeated preceptor assistance. / Unacceptable / <70 / Unacceptable
Category
/ %Worthof CPC / Midterm / Final
Knowledge / 40.0% / % / 0.00 / % / 0.00
Skills / 50.0% / % / 0.00 / % / 0.00
Attitude / 10.0% / % / 0.00 / % / 0.00
Final Percentage
/ 100.0% / 0.00% / 0.00 / 0.00% / 0.00WRITTEN SUMMARY:
Midpoint Comments:Insert here
Final Assessment Comments:
Insert here
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Scott Bolesta, Pharm.D. / 01/01/06 / Insert name / 01/01/06Clinical Performance Criteria Page 5
Advanced Pharmacy Practice Experience:
FINAL GRADE FORM
Student: Insert name / Evaluation: Midterm / Date: 01/01/06Preceptor(s): Scott Bolesta, Pharm.D. / Site: Regional Hospital of Scranton
Check One:
PHA 510 Internal Medicine
PHA 511 Ambulatory Care
PHA 512 Community Advanced Practice
PHA 599 Elective Rotation (Specify: Clinical Research)
Grading:
Activity / % of Overall Grade / Student’s Grade(out of 100 pts) / Points Earned
Clinical Performance Criteria
(includes professionalism) / 60.00% / 0.00 / 0.00
Research Paper / 20.00% / 0.00 / 0.00
IRB Proposal / 15.00% / 0.00 / 0.00
Meeting Abstract / 5.00% / 0.00 / 0.00
Other - describe / 0.00% / 0.00 / 0.00
Other - describe / 0.00% / 0.00 / 0.00
Other - describe / 0.00% / 0.00 / 0.00
Other - describe / 0.00% / 0.00 / 0.00
Total / 100% / 0.00
Final Grade Form Page 6
Advanced Pharmacy Practice Experience:
FINAL GRADE FORM
93-100 4.0
87-92 3.5
80-86 3.0
75-79 2.5
70-74 2.0
65 – 69 1.5
Final Grade Form Page 6
Advanced Pharmacy Practice Experience:
FINAL GRADE FORM
NOTE: A final grade of <65 will be recorded as 0.0 for the clerkship
______
Scott Bolesta, Pharm.D. / 01/01/06 / Insert name / 01/01/06Final Grade Form Page 6