Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

MWU Chicago College of Pharmacy IPPE Case Presentation Evaluation Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

MWU Chicago College of Pharmacy

IPPE Case Presentation Evaluation Form

Student Name: ___________________________________ Date: ________________________

Preceptor Name: _________________________________ Site Name: ________________________

USE THE FOLLOWING 4-POINT SCALE TO ASSESS THE FOLLOWING AREAS.


**ONLY WHOLE NUMBERS MAY BE USED; NO FRACTIONS OR DECIMALS.

4 = EXCELLENT 3 = VERY GOOD 2 = SATISFACTORY 1 = UNSATISFACTORY


Student was outstanding in Student was above average in Student was usually effective Student was ineffective and
effectiveness and consistency effectiveness and consistency and consistent leading to inconsistent leading to extensive
leading only to rare leading to occasional consistent intervention. Student intervention. Student exhibits
interventions. Student exhibits intervention. Student exhibits exhibits knowledge and/or skills knowledge and/or skills below
knowledge and/or skills well knowledge and/or skills above at minimum competency. minimum competency.
above minimum competency. minimum competency.

Please Note: A final score of 1 in any item numbered 1 – 3 will result in failure of the rotation

1. Patient Presentation 4 3 2 1
 Accurately states the patient’s problem list (CC, HPI, ROS, PE), reports relevant lab/tests as
available.
 Details chronological course effectively.
 Provides data needed for accurate assessment.

2. Knowledge 4 3 2 1
 Discusses pathophysiology including signs and symptoms and pertinent sequelae for the disease or
clinical issue.
 Discusses appropriate drug therapy for the disease state based on current practice guidelines or
standards of care.
 Effectively summarizes and applies information from the primary literature as it relates to the patient
case.
 Discusses the patient’s current drug therapy, including appropriateness, potential ADRs, and dosing
and pharmacokinetic parameters.
 Uses appropriate parameters to assess endpoints of therapy including drug efficacy and/or toxicity.
 Provides important counseling points for the patient (purpose, dosing, adverse effects, monitoring).

3. Handout and/or Presentation Quality 4 3 2 1


 Delivers the presentation in a logical, organized sequence speaking clearly and making eye contact
with audience.
 Includes at least 2 primary references and meets minimum criteria for presentation.
 Handout is properly referenced, professionally prepared, and free of errors.
 Responds to questions accurately and completely.

Grading = Total points for all sections (maximum points = 12) Final Score: _________

**Transfer the student’s final score to the Final Evaluation Form Section III: Required Assignments when completing
the final evaluation online via RMS

Comments: (use the back as needed)

Preceptor Signature ___________________________________________________ Date ______________

You might also like