8/2/2019 #Marking Descriptors _Clinicals and Orals_ to Be Used From March 2006

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Intercollegiate Specialty Boards

Marking Descriptors

ISB/Marking/Marking Descriptors/JCIE Approved March 2006 [Q: questions A: answers P: prompting]

Rating

Scale

Overall ProfessionalCapability / Patient Care

Knowledge and Judgment Quality of Response Bedside Manner

Perso

na

l

quali

ties

Pro

fessio

na

lism

an

det

hics

Surg

ica

l

experience

Adap

tab

ility

to

stress

Abilityt

odea

l

withgreyareas

Knowl

edge

Abilityto

just

ify

Clini

ca

l

reason

ing

Commun

ica

tion

skills

Organisa

tion

an

dlog

ica

l

thoug

htp

rocess

App

lica

bleto

Clin

icalsw

ith

pa

tien

ts

4 The candidate demonstratedincompetence in the

diagnosis and clinical

management of patients to a

level which caused serious

concerns to the examiner

Did not get beyond defaultquestions

Failed in most/allcompetencies

Poor basic knowledge/judgment/understanding to

a level of concern

Serious lack of knowledge

Q: Does not get beyonddefault questions

A: Disorganised/confused/inconsistent answers, lacking

insight

P: Un-persuadable promptsdo not work

Abrupt/brusquemanner

Arrogant Inappropriate

attitude/behaviour

No empathy Rough handling of

patients

Totally inappropriateexamination ofopposite sex

5 The candidate failed todemonstrate competence in

the diagnosis and clinical

management of patients

Demonstrated a lack ofunderstanding

Difficulty in prioritising Gaps in knowledge Poor deductive skills Poor higher order thinking Significant errors Struggled to apply

knowledge/judgment/

management

Variable performance

Q: Frequent use of defaultquestions

A: Confused/disorganisedanswers; hesitant and

indecisive

P: Required frequentprompting

Does not listen-patronising

No introduction Unsympathetic Unobservant of body

language

6 The candidate demonstratedcompetence in the diagnosis

and clinical management of

patients

Good knowledge and judgmentof common problems

Important points mentioned Instills confidence No major errors

Q: Copes with competencequestions

A: Methodical approach toanswers; has insight

P: Requires minimalprompting

Appropriate exam ofopposite sex

Considerate handling Observes patient

expression

Respects all Responds to patient Treats all patients

appropriately7 The candidate demonstrated

confidence and competence

in the diagnosis and clinical

management of patients

Ability to prioritise Coped with difficult topics/

problems

Good decision making/provided supporting evidence

Reached a good level of higherorder thinking

Strong interpretation/judgmentbut didnt quote the literature

Q: Goes beyond thecompetence questions

A: Logical answers andprovided good supporting

reasons for answers P: Fluent responses without

prompting, but some

prompting on literature

Gains patientconfidence quickly

Good awareness ofpatients reaction

Puts patient at easequickly

8 The candidate demonstratedconfidence and competence

in the diagnosis and clinical

management of patients to a

level which would inspire

confidence in the patient

At ease with higher orderthinking

Flawless knowledge plusinsight and judgment

Good understanding/knowledge/management/

prioritisation of complex issues

Had an understanding of thebreadth and depth of the topic,and quoted from literature

High flyer Strong interpretation/judgment

Q: Stretches examiners answers questions atadvanced level

A: Confident, clear, logicaland focused answers

P: No prompting necessary

Acts/talks at patientslevel

Instills confidencepatient/rapport very

good