Case based discussion template 2026

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The document is a CBD (Case-Based Discussion) form used for assessing a student's clinical performance. It includes sections for the assessor's and student's details, patient diagnosis, case complexity, and various evaluation criteria related to clinical assessment, investigation, treatment, professionalism, and overall care. The form allows for ratings in each area and includes space for comments from both the student and assessor, as well as agreed actions.

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Click ‘Get Form’ to open the case based discussion template in the editor.
Begin by entering the Assessor’s Name and signature in the designated field, followed by the date of assessment.
Fill in the Student’s Name and signature along with their Registration Number to identify the participant.
In the Patient problem/diagnosis section, provide a brief description of the patient's condition.
Select the Case Complexity level by circling either Low, Moderate, or High based on your assessment.
For each area of evaluation (Clinical Assessment, Investigation and referral, Treatment, Follow-up and future planning, Professionalism), circle a score from 1 to 3. Justify any score of 1 in the comments box provided.
Use the comments sections for both Students and Assessors to provide detailed feedback on performance and agreed actions.

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