Performance Assessment

What types of skills are evaluated?

CPX evaluates both clinical and interpersonal skills. The three categories of assessment are:

  • Clinical Reasoning
  • History and Physical Examination
  • Counseling and Interpersonal Skills

How will I be expected to demonstrate these skills?

The standardized patients used in CPX have been specially trained to portray a case in a standardized way for all students and will present with a unique history and chief complaint or other medical need. They simulate real symptoms and authentic situations; in some instances, the patient may also have real-world experience with the case they are portraying. Please treat them as you would any patient in a clinical environment.

The information you receive at the patient's door (see a sample case) will include the patient's name, some demographic data, presenting complaint, setting for the encounter (i.e. clinic, ER, hospital), and the goals for the student during and after the encounter. This information should be used to inform how you structure the encounter and complete the post-encounter activity.

How will I be evaluated?

Students will be assessed by the standardized patient and the post-encounter note. Each encounter will be recorded in order to monitor both patient and student performance, verify the accuracy of the patient checklist and student post-encounter note, and to evaluate consistency in patient presentation of each case.

Each of the three categories of assessment carry equal weight across the exam though may vary between cases. All graders are blinded to the point value of each question. Post-encounter notes are blinded during grading. The patients are trained in proper interview and physical exam techniques and use this as the basis for the scores that they award. These scores are frequently evaluated for inter-rater reliability.