This form should be completed to document directly observed behaviors from a clinical encounter.  Focus on behaviors and do not adjust the assessment based on the student's level of training. Importantly, you do not need to fill out the entire form!  Simply check the domains that you observed and rate those.  You will not be shown the other domains.  We are not asking you to provide an overall assessment or grade.   The average time for completion is under 5 minutes.

The behavioral anchors on the form are taken from the AAMC Core Entrustable Professional Activities for Entering Residency.  They are developmental in nature and derived to help track clinical skills development longitudinally.  The behaviors are categorized into:

Those requiring correction (RC)
Early developing (ED)
Late developing (LD)
Those expected of an entrustable learner (EL

None of the behaviors should be interpreted as "good" or "bad", but rather should capture the student's performance and areas for growth.

The purpose of this form is to provide "just-in-time" feedback to the student so that they continue their growth towards becoming a competent provider.  Forms are not as helpful if filled out in retrospect at the end of the week!  

Your narrative comments are very useful to the students.  To speed the process, simply click on the microphone on your phone or tablet and record your verbal comments to the student!

Thank You for the important role you play in our student's growth and development!