Creating physicians of the 21st century: assessment of the clinical years

Figures & data

Table 1 Patient care – clinical reasoning

Not observed/not applicable	Below expected competency	Near expected competency	At expected competency	Above expected competency	Significantly above expected competency
	Does not recognize all relevant findings and lab/study data when solving clinical problems. Unable to develop an assessment and plan.	Limited ability to integrate findings and lab/study data into clinical assessments. Assessments may be accurate but do not include a differential diagnosis or reflect relevant information.	Integrates findings and lab/study data into clinical assessments. Assessments are accurate and reflect relevant information.	Integrates relevant findings and lab/study data into clinical assessments. Assessments are comprehensive, and include a well thought out differential diagnosis.	Integrates and prioritizes findings and lab/study data into clinical assessments. Assessments are comprehensive. Able to develop and defend an extensive differential diagnosis.
	1	2	3	4	5