DE LA SALLE MEDICAL AND HEALTH SCIENCES INSTITUTE

DE LA SALLE UNIVERSITY MEDICAL CENTER

OFFICE OF THE MEDICAL DIRECTOR
Academic Year 2019-2020

CHECKLIST FOR PORTFOLIO OF LEARNING FOR POSTGRADUATE INTERNS

(as adapted from the College of Medicine-Clinical Clerks Mentoring Program)

Name of Mentee: _____________________________________________

Name and Signature of Mentor: _____________________________________________

Date Accomplished: _____________________________________________

RUBRIC:

Full points (100%) - ALL artifacts and work samples are clearly and directly related to the learning outcomes; ALL
reflections clearly describe growth and achievements, including goals and plans for improvement; use of a variety of artifacts
in documentation

90% of total points - MOST artifacts and work samples are related to the learning outcomes; MOST of the reflections
describe growth, including goals and plans for improvement

80% of total points - SOME artifacts and work samples are directly related to the learning outcomes; A FEW reflections
describe growth and some plans for improvement

70% of total points – the artifacts and work samples DO NOT reflect the learning outcomes; the reflections are either
missing or do not reflect growth or include goals/plans for improvement

1
 LEARNING OUTCOMES Content Source documents Max Actual Remarks
that Points Points and/or
may be used for given comments
evaluation
1. Competently manage For case management reports - Case management 30
clinical conditions of • Record accurate and complete reports with
clients in various settings history comprehensive
• Document a thoroughly discussion
performed physical
examination At least 1 for every
• Formulate an appropriate clinical rotation
diagnostic plan including a list
of differential diagnosis and (written, powerpoint
establish clinical presentations)
diagnosis
• Develop a client-centered
management plan

For the list of patients handled List of patients handled 10

(10 points)

For the list of procedures performed List of procedures 10

(10 points) performed

2
2. Convey information in • Convey messages effectively Written reports – 10
written and oral formats using various forms of clinical histories,
communication progress notes,
• Utilize information abstracts and/or
technology efficiently discharge summaries
of patients handled

Oral presentations–
grades or evaluation

Reflection papers
3. Initiate planning,  Initiate planning, Community immersion 5
organizing, organizing, implementation and
implementation and and evaluation of program diagnosis projects
evaluation of programs and health facilities
and health facilities
4. Utilize current research  Critically appraise relevant EBM reports – critical 5
evidence in decision literature appraisal of journals
making as practitioner,  Apply research findings into
educator or researcher practice (CPGs, clinical Research
and participate in research pathways) paper/projects/
activities  Formulate sound, relevant abstracts
and viable research
questions, consider an Case management
appropriate research reports with
design, gather data research application
systematically, apply
appropriate statistical
analysis, write a cohesive
research paper

3
5. Collaborate with inter- • Collaborate appropriately Case management 5
professional teams with other healthcare reports involving
providers and other health multidisciplinary
professional groups approach

Peer evaluation for

group projects
6. Utilize systems-based • Utilize each component of Case management 5
approach to health care health system for optimum reports involving
care multidisciplinary
 Network with relevant approach/referral to
partners in solving health relevant agencies e.g.
problems TB DOTS, HIV treatment
hubs
7. Engage in continuing • Update one’s self through a List of conferences
and professional variety of avenues for attended with 5
development personal and professional summary of learning
growth
Attendance to formal or
informal trainings,
e.g. BLS, ACLS

8. Adhere to ethical,  Demonstrate Case management 5

professional and legal professionalism reports discussing
standards  Comply with ethical and compliance to ethical
legal standards or legal standards
 Adhere to the Hippocratic
Oath Reflection paper –
Hippocratic Oath

4
 9. Demonstrate love for  Demonstrate responsible Medical missions 5
one’s national heritage, citizenship
respect for other cultures  Exhibit cultural competence Community
and commitment to service  Serve with dedication immersion and
diagnosis projects
10. Adhere to the Address the health needs of Case management 5

principles of relevance, the patients, family and reports with
equity, quality and cost community providing health discussion using
effectiveness in the promotion, disease CPGs
delivery of healthcare prevention, cure and
to patients, families and rehabilitation Community projects
communities Utilize clinical practice

guidelines, quality Medical missions
assurance methods to
provide high quality care
Deliver quality care to all
 patients regardless of
socioeconomic status,
political affiliations,
religious belief, ethnicity
and gender Utilize
 appropriate resources in
the application of evidence-
based data
TOTAL 100

5
Comments:
Your message as a mentor to your mentee (general comments on the portfolio of learning and specific
comments on the mentoring relationship)

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Prepared by: Cherry T. Abu, MD, FPCP, FPSMID (Chair, Mentoring Committee); May 2019