What constitutes a pass or fail? 5 (marginal pass) Deficiencies or errors in history or exam, but enough information is obtained to formulate the case. 4 (marginal fail) Deficiencies or errors in history or exam, which result in the resident not being able to successfully formulate the case.
Critical Care Scenario: (PRE) A 55 year old woman with known myasthenia gravis is admitted to the intensive care unit with a chief complaint of shortness of breath and generalized weakness. Omission: The resident does not check neck flexion strength. 1.Pass 2.Fail Historical Pass Rate: 76.2% (n=101) Talking points: Pass: Helpful, but not crucial. Respiratory parameters are crucial. Fail: Might help me determine whether or not to intubate.