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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.

 

Case 1: Dyspnea, Chest Pain, & MI

Percentage Correct

Standard

Critical Fails

Pass/Fail

69%

43%

None

Pass

 

 

Case 3: Vomiting & Nausea

Percentage Correct

Standard

Critical Fails

Pass/Fail

70%

39%

None

Pass

 

 

 

Case 4: Hypotension, Hypovolemia, & Compartment Syndrome

Percentage Correct

Standard

Critical Fails

Pass/Fail

83%

45%

None

Pass

 

 

 

Case 6: Transfusion Reaction

Percentage Correct

Standard

Critical Fails

Pass/Fail

68%

36%

None

Pass

 

 

Case 7: Fever

Percentage Correct

Standard

Critical Fails

Pass/Fail

80%

49%

None

Pass

 

 

 

Case 8: Postoperative Pain

Percentage Correct

Standard

Critical Fails

Pass/Fail

92%

46%

None

Pass

 

 

Case 10: Acute Alcohol Withdrawal

Percentage Correct

Standard

Critical Fails

Pass/Fail

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.

 

Case 11: Pulmonary Embolism

Percentage Correct

Standard

Critical Fails

Pass/Fail

56%

51%

None

Pass

 

 

Case 14: Patient Wound Infection (caller is patient)

Percentage Correct

Standard

Critical Fails

Pass/Fail

100%

42%

None

Pass

 

 

Case 15: Mental Status Changes, Hyponatremia

Percentage Correct

Standard

Critical Fails

Pass/Fail

60%

30%

None

Pass