Associated Assessment Criteria for Exit Level Outcome 1:

Patient’s needs and problems are identified by effective listening.
A relevant history is taken.
An accurate and relevant physical examination is performed.
Diagnostic tools are used effectively.
Continuity of care is ensured by making arrangements for follow up and review.

Associated Assessment Criteria for Exit Level Outcome 2:

High-risk situations and conditions in patients are timeously identified.
Hypotheses are made from information obtained.
Collaboration with the patient occurs in all aspects of the consultation.
Assessment based on information (history, physical examination, side room investigations) is made.
Assessment is contextualised within the bio-psycho-social model including preventive, promotive, curative and rehabilitative aspects.
Management plan is based on the assessment and includes assistance with appropriate referrals e.g. rehabilitation.
Assessment and management plan is reviewed in an ongoing basis and adjusted accordingly, in collaboration with the health team.
Assessment and management decisions take cost effectiveness into consideration.
Interpret the results of relevant side room investigations in common conditions.
The assessment and management plan is presented to the supervising doctor and justified on the basis of information obtained.

Associated Assessment Criteria for Exit Level Outcome 3:

Explain/describe the procedure in lay and medical terms.
List indications and contra-indications for a specific procedure.
Demonstrate ability to prepare for a procedure, including patient preparation.
Demonstrate the procedure competently.
Explain possible complications for the procedure.
Explain follow-up and safety-netting following the procedure.

Associated Assessment Criteria for Exit Level Outcome 4:

Demonstrate knowledge in basic pharmacology.
Prescription is authenticated, interpreted, validated, dispensed and advice given to the patient as per legislative requirements.
The prescription is dispensed taking into account socio-economic, ethical, equity and professional practice.
Prescriptions are prepared as per good dispensing practice and techniques.
The prescription is explained to a patient (drug literacy, adherence).
A history of over the counter, traditional, complementary and alternative drug use is taken into consideration.
Knowledge of non-pharmacological therapies is demonstrated.
Knowledge and skills to administer and dispense medication is demonstrated.

Associated Assessment Criteria for Exit Level Outcome 5:

Potentially life-threatening conditions in patients are timeously identified and evaluated.
Emergency conditions are managed and referred appropriately.

Associated Assessment Criteria for Exit Level Outcome 6:

Patient’s needs and problems are identified by effective listening.
Health information is shared in appropriate cultural and language terms.
Amount and level of information given is appropriate.
A suitable environment is fostered to communicate with the patient and/or family.
Patient feedback and questions are facilitated.
Confidentiality is ensured.
Basic counselling skills are demonstrated addressing the patient’s needs.
Appropriate solutions are explored.
Mutual decision-making is facilitated.
Continual support and follow-up is provided.

Associated Assessment Criteria for Exit Level Outcome 7:

Demonstrate understanding of the roles, functions and relationships of all the members of the district hospital team.
Enhance team functioning through appropriate attitude and behaviour as team member or substitute team leader.
Clinical information from patients is clearly and concisely communicated to the other team members (doctor in particular).
Patients are handed over to colleagues appropriately.

Associated Assessment Criteria for Exit Level Outcome 8:

Patient records and medico-legal forms reflect all relevant information accurately and legibly.
Patient statistics are complete and accurate.

Associated Assessment Criteria for Exit Level Outcome 9:

Explain to the patient the role and function of a medical assistant.
The basic ethical principles are applied.
The Batho Pele principles are applied to work situation.
Recognise ethical problems and manage them appropriately, and refer when necessary.
Statutory and professional obligations are complied with.
Demonstrate appropriate and sensitive attitude to patient, family, communities and colleagues.
Demonstrate reliability in work situations.

Associated Assessment Criteria for Exit Level Outcome 10:

Professional strengths and weaknesses are identified by reflecting on clinical practice.
Clinical practice is continually improved based on identified needs through appropriate self-directed learning.

Associated Assessment Criteria for Exit Level Outcome 11:

Each patient is assessed and managed within the context of his or her family and community/social/work environment.
An ecomap and genogram for a family is done when appropriate.
Knowledge of the local district health system informs practice in terms of referrals, follow-up and interaction with other team members and resource persons (e.g. pastor, traditional healer) and organisations (NGOs, hospice, crisis care).
Awareness of and appropriate involvement in local community oriented primary care.
Understand quality improvement cycle or process and participate in quality improvement activities.
The principles and practice of comprehensive primary health care (e.g. water, sanitation, nutrition, housing, pollution, personal health care, health programmes etc.) as it affects individuals, families and communities are understood and appropriately dealt with.

Integrated Assessment:

A range of formative and summative assessment methods are used that permits the learner to demonstrate applied competence. Integrated assessment methods include theory and practical skills evaluation.

The following assessment strategies are used to ensure that Exit Level, critical and developmental outcomes are achieved:

Written assignments, tests and/or examinations.
Practical examinations e.g. OSCEs.
Oral examinations e.g. patient presentations.
Portfolio review.