We thank Dr Rockney for his thoughtful reply to our article. We too are awash in medical student narrative comments with no structure to their reporting. P.R.I.M.E.+ provides a framework for individual narratives but can also be used to synthesize many student observations into succinct narratives that can fit character limits.
For example, a clerkship director or associate dean can look at many student observations and write the following: “We have had the opportunity to see medical student Lopreiato in several contexts during his time in medical school. Reports from supervisors and peers consistently show that Mr Lopreiato is always professional in appearance and demeanor and works well with our staff and patients. He is a reliable and honest reporter of medical information and his oral and written work reflect well on his ability to organize the data into meaningful units. He is able to interpret medical data well and uses his fund of knowledge to formulate credible diagnoses based on the data he has obtained. He can construct good management plans appropriate for his level of training. He is a self-directed learner with an aspiration to be a medical educator.” Word count = 735 characters, with room left for specific examples if desired.
P.R.I.M.E.+ can also be used to write letters of recommendation for residents seeking fellowship, for the same characteristics that make medical students good residents can be used for fellowship applicants as well.
- Copyright © 2014 by the American Academy of Pediatrics