Evaluation	Proficient (100%)	Developing (85%)	Minimum Performance (70%)	Unsatisfactory (0%)
Content & Focus (25%)	Clearly understands content, focused upon most relevant information.  And uses best sources of evidence	Familiar with content, may not be appropriately focused or does not use best sources of evidence	Has some familiarity with content, but lacks focus on most important elements. Sources are tangentially relevant, but not on target	Unfamiliar with content required for participation.
Logic & Flow (25%)	Able to present an argument or topic in a logical and organized fashion.	Presents an argument or topic in a thorough way, but needs better logic or organization	Presents some aspects of topic well, but lacks logic or organization in other aspects	Disorganized presentation, not supporting point of view.
Analysis (40%)	Identifies relationships and components to clearly state opinions or ideas.	Identifies relationships and components, but lacks clarity in supporting opinions or ideas	Identifies some relationships and components but lacks some important connections.	Does not identify components or relationships.
Communication/ Collaboration (10%)	Demonstrates good listening and reflecting skills and contributes appropriately	Listening or reflecting skills are good and contributes appropriately	Listening or reflecting skills are minimal and contributes only minimally	Does not contribute appropriately or lacks listening and reflecting skills

Comment on your development in this course since the beginning of Clinical Correlations I in the Summer.  Please discuss what was new, what skills you’ve developed, what was surprising or challenging, and where you feel you still need more work during the clinical year. Here are some additional questions to consider when writing your reflection.  You don’t need to answer them all, but include at least one or two:

• What problems did you encounter while you were completing the work for this class?
• What resources did you find most helpful – which ones will you use going forward in the clinical year?
• What have you learned about yourself through this class?
• Do you think your approach has been different from others’ – if so, is that desirable/undesirable?  Why?
• Have you changed your opinions/beliefs about any aspects of practice as a result of this course?
• What have you seen in your classmates’ performance that you want to adopt in your own practice?
• What changes might you suggest for this class going forward?
• What would you advise the students in the class behind you about this course?

Although my experience for this last rotation is difficult to assess because the scheduling didn’t allow us as much time to do more cases, I was more confident when working through the cases we were presented with. I was able to hear the history and consider more differentials and have a better idea of what labs and imaging to order. I enjoyed the last rotation with Dr. Stephens because she did things differently and it was organized in a way where everyone participated equally and got to contribute to the case. I liked the fact that she asks you questions throughout the case to understand why you are ordering certain things or why you are considering a specific differential. One of the skills I developed throughout the development of the course was being able to use evidence-based medicine and knowing what resources to look at for answers. The ones that I found most helpful and plan to use through clinical year and when practicing is UpToDate and Access Medicine when looking for management and background information, respectively. I would also use PubMed when looking for new studies. There are definitely many areas that I feel like I still need to work on and this includes forming a good differential list when presented with a case and knowing what questions/labs/imaging is pertinent to rule them in or out. I think taking a good history is what I really want to improve on the most for now and hopefully ordering labs/imaging will come to me easier when I go through clinical year and actually see patients.

Two changes I would want to suggest for this class going forward is to have more labs and imaging or EKGs because interpreting all of those is something we all struggled with and would want more exposure to before rotations. The second thing I would want the class to focus more on is handling complex patients such as those with multiple co-morbidities that may affect each other or patients taking multiple medications so that we can apply what we learned in pharmacology to cases and know when to not combine certain drugs or to adjust dosing, etc.  One thing I would advise the class behind us is to have fun with the class but to also take it seriously and try to get the most out of it by asking questions when they don’t understand something like why a certain lab is being ordered or what symptom to focus on, etc.