MCSO/OSU-CHS

Family Medicine Evaluation for Critical Care/ICU

Name of Resident 
Rotation Dates
Name of Evaluator

Lichert Scale 1=poor 3=average 5=excellent

Did the Intern/Resident demonstrate Osteopathic skills during this rotation?
 *
Did the Intern/Resident demonstrate adequate knowledge during this rotation?
 *
Did the Intern/Resident demonstrate professionalism during this rotation?
 *
Did the Intern/Resident demonstrate adequate interpersonal and communication skills during this rotation
 *
Did the Intern/Resident demonstrate adequate patient care skills for their level of training?
 *
Did the Intern/Resident demonstrate adequate use of resource materials during this rotation?
 *
Did the Intern/Resident demonstrate punctuality?
 *

Demonstrates and adequate understanding of CV physiology?

 *

Demonstrates an understanding of pulmonary physiology?

 *

Recognizes the criteria for admission to the critical care unit?

 *

Recognizes multiple organ failure

 *
Understands hemodynamic monitoring?  *
Understands the use and settings of a ventilator? *
Is able to interpret data of noninvasive monitors? *
Understands the nutritional requirements of the critically ill patient *
Demonstrates an awareness of the psychological aspects of intensive care? *

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