Physical Medicine and Rehabilitation

Mini CEX Behavioral Anchors

Proposed Behavioral Anchors for Ratings Items – PM&R Mini-CEX

As with any ratings format, a key issue is consistency in defining what each ratings item means (thus helping to increase inter-rater reliability). In completing the PM&R Mini-CEX form, the behavioral anchors listed below for each item on the form will serve as a guide for the rater.

Overall Clinical Competence – demonstrates caring, effective and efficient overall patient care.

History Taking Skills – establishes a broad base of information about the patient in a precise yet thorough manner; effectively uses questions to obtain adequate information.

Physical Examination Skills – performs exams that are problem focused, complete, accurate, and properly sequenced; sensitive to the patient’s comfort.

Clinical Diagnostic Skills – wise use of diagnostic and therapeutic procedures; considers risks, benefits and costs; communicates results effectively to patient.

Clinical Judgment & Synthesis – integrates medical facts with clinical data; weighs alternatives carefully; understands limitations.

Patient Management Skills – appropriately develops clinical goals and rehabilitation management plan; solves clinical problems; makes timely decisions.

Communication Skills – presents material clearly; communicates effectively with patient; responds appropriately to affect and non-verbal cues; writes legible chart notes.

Humanistic Qualities & Professionalism – demonstrates respect, compassion and empathy for patients; pays attention to patient confidentiality; establishes trust; reliable, punctual and cooperative; promotes teamwork; accepts responsibility.