Quick Reference Guide
‘How to complete ‘Clinic Cards*’
for the Phase 4/Clerkship rotation in
Surgery
* ‘Clinic Cards’ are formally known as:
Student Clinical Assessment Cards
Version 1.0: August 2015
Elements of Clinic Cards
• Specific to Surgery
• 2-sided
• Requires written narrative feedback
• Requires comment on at least one,
but not more than four Entrustable
Professional Activities (EPAs)*
• Requires acknowledgement of direct
observation of Hx/Px
• Requires preceptor/supervisor
completion and signature
More on EPAs can be found at:
www.med.mun.ca/epa
Completion of Clinic Cards
Students are encouraged to complete the
information outlined by the red oval.
• Each student, at a minimum will have one
Clinic Card completed per week (e.g., a
student assigned to wards).
• Each student, requires a Clinic Card for each
separate clinic to which he/she is assigned.
St. Clares
X
Jill Student
Jean Resident
15/09/24
• For a given Clinic Card, a
supervisor/preceptor is required to
comment on at least one EPA, but no more
than 4 EPAs.
• Clinic Cards covering a week long period
would likely cover more EPAs than a Clinic
Card reporting on a half-day clinic.
Adding to the Card
St. Clares
X
Jill Student
Jean Resident
15/09/24
Step 1:
• Select 1, 2, 3 or 4 EPAs for which
meaningful narrative coachingstyle comments will be provided
on the other side of the card
Note:
X
X
• A student may request/suggest
that the supervisor provide
assessment on a particular EPA.
The student will be monitoring
his/her assessments to ensure that
all required EPAs are being
assessed adequately.
Step 2:
EPA-1: Appropriately requested
and used an interpreter for non-English
speaking pt. Used pt centred approach.
EPA-5: Critical
information missing from notes, such that
clinical reasoning not apparent. Suggest
team-mate review notes with student.
X
X
Arterial blood gas, Casting
X
Dr. J. Resident
St. Clares
X
Jill Student
Jean Resident
15/09/24
• Include coaching-style comments
to cover areas of strength and
areas for improvement.
• For a given Clinic Card, a
supervisor/preceptor is required to
comment on at least one EPA, but
no more than 4 EPAs.
• Complete other information
regarding witnessed Hx/Px
X
X
• If applicable, acknowledge
procedures (including casting) that
were directly observed by the
supervisor.
• Sign card acknowledging whether
supervisor is a resident or faculty
member.
Available Resources
• For more detailed information on
EPAs, go to: www.med.mun.ca/epa
• Use the QR code with your enabled
mobile device to connect directly to
a pdf describing Surgery specific
EPAs.
• Contact the UGME office:
[email protected]
QR code
[email protected]
When completed, the student is to submit the Clinic Card to the
Academic Program Assistant (APA) for Surgery.