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Developmental-Behavioural Clinical Evaluation Exercise (DB-CEX)

For more information, please review the DB-CEX Assessment Guide.

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Name:Chales Tester
MIN:500032
Supervisor:Zoe Tester
Created on:Tuesday, 31 May 2016, 08:30 AM
Last modified on:Tuesday, 31 May 2016, 08:30 AM
Current status:Not submitted

Required fieldCase detailsHelp with case details (new window)

Name: Chales Tester Date of assessment:
Advanced Training year: Case number for this year:
Calendar year this requirement is assigned to:
Assessor's name: Assessor's position:
Assessor's email: Hospital / location:
Setting:
Patient problem / Dx(s):
Specialty: Patient age:
Patient gender: Complexity:
In the spaces provided below, list any Strengths and Suggestions for development as indicated on your DB-CEX rating form.

Required fieldFeedback

StrengthsHelp with filling out strengths (new window)
Suggestions for developmentHelp with filling out suggestions (new window)
 
Please refer to the performance descriptors in the DB-CEX Assessment Guide to assist your ratings. Help with the rating form (new window)

Required fieldRating

Unsatisfactory Satisfactory Superior Not observed
  123456789  
1. Medical interviewing skills
  • Biological domain
  • Developmental/ Psychological Domain
  • Social environment domain
2. Examination skills
  • Physical examination skills
  • Developmental and behavioural observation skills
3. Professional qualities / communication
4. Counselling skills
5. Clinical Judgement
6. Organisation / efficiency
Overall judgement and clinical care  

SummaryHelp with the summary details section (new window)

Data from formative assessments is collated for the purpose of evaluation. Individual, identifiable data will not be presented in any published reporting.

Time taken for observation (min):
Time taken for feedback (min):
Assessor's satisfaction using DB-CEX: Low       High
Trainee's satisfaction using DB-CEX: Low       High