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
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