Student Profile Sample
The results in this profile provide an overall assessment of all cases provided during the “Mock Page” exercise. The standards set for each case were initially determined by a panel of surgeons from five representative institutions and then refined through analysis of student performance from over 200 students from 12 institutions. The standards were set with the goal that a learner who passes a particular case would be allowed to assess the condition and initiate care with indirect supervision as an intern. This includes identification of specific clinical decision-making points for each case that were considered to be “critical fails” if not done or done inappropriately. If all “critical fail” items are avoided in addition there is a minimum percentage passing score set for each case.
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Case 1: Dyspnea, Chest Pain, & MI |
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Percentage Correct |
Standard |
Critical Fails |
Pass/Fail |
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69% |
43% |
None |
Pass |
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Case 3: Vomiting & Nausea |
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Percentage Correct |
Standard |
Critical Fails |
Pass/Fail |
|
70% |
39% |
None |
Pass |
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Case 4: Hypotension, Hypovolemia, & Compartment Syndrome |
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Percentage Correct |
Standard |
Critical Fails |
Pass/Fail |
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83% |
45% |
None |
Pass |
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Case 6: Transfusion Reaction |
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Percentage Correct |
Standard |
Critical Fails |
Pass/Fail |
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68% |
36% |
None |
Pass |
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Case 7: Fever |
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Percentage Correct |
Standard |
Critical Fails |
Pass/Fail |
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80% |
49% |
None |
Pass |
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Case 8: Postoperative Pain |
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Percentage Correct |
Standard |
Critical Fails |
Pass/Fail |
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92% |
46% |
None |
Pass |
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Case 10: Acute Alcohol Withdrawal |
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Percentage Correct |
Standard |
Critical Fails |
Pass/Fail |
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30% |
45% |
None |
Fail |
Closed the differential too quickly and missed the alcohol withdrawal. Did not recognize the patient needed to be seen immediately not in 15 minutes.
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Case 11: Pulmonary Embolism |
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Percentage Correct |
Standard |
Critical Fails |
Pass/Fail |
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56% |
51% |
None |
Pass |
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Case 14: Patient Wound Infection (caller is patient) |
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Percentage Correct |
Standard |
Critical Fails |
Pass/Fail |
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100% |
42% |
None |
Pass |
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Case 15: Mental Status Changes, Hyponatremia |
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Percentage Correct |
Standard |
Critical Fails |
Pass/Fail |
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60% |
30% |
None |
Pass |