2023.Roll No: 35, CBME competence based assessment of a single patient portfolio 45F back pain since 2 yrs

 

5/11/2026

Here is a 6-point CBME evaluation for *2023 Batch - Roll No. 35* - based on the anonymized individual online learning portfolio: *45F, Back Pain Since 2 Years*

Score each level 0-2. Total /12.

### 1. Remember - Knowledge Recall

*Portfolio evidence to check:*

- Correct recording of chief complaint: back pain 2 years, H/O fall 2 days back

- Past history, medication history, personal history correctly listed

- Vitals and general examination recorded

*Evaluation for Roll 35:*

- *Score: 2 / 2* - Facts are complete, structured, and accurately recorded in CBME portfolio format.

- Competency met: Can recall and document clinical data systematically.

### 2. Understand - Comprehension

*Portfolio evidence to check:*

- Explains back pain as insidious onset, progressive, aggravates on work

- Explains disturbed sleep, chronic toddy use in own words

*Evaluation for Roll 35:*

- *Score: 1 / 2* - Case is summarized, but pathophysiology of back pain and link between chronic strain / fall / lifestyle is not explained.

- *Next target:* Add 3-4 lines explaining why pain aggravates on work, and what structures are likely involved.

### 3. Apply - Application to Patient Care

*Portfolio evidence to check:*

- Applied history + examination to arrive at provisional diagnosis

- Planned appropriate examination: CVS, RS, CNS, P/A, PICCLE

*Evaluation for Roll 35:*

- *Score: 1 / 2* - Examination is applied, but investigation plan and management plan are missing from portfolio.

- *Next target:* Add: X-ray / MRI LS spine, CBC, Vitamin D, Calcium, and conservative management plan - analgesics, physiotherapy, posture advice.

### 4. Analyze - Differentiation & Interpretation

*Portfolio evidence to check:*

- Differential diagnosis for chronic back pain

- Analysis of vitals: BP 120/80, PR 70, SpO2 98% - normal

- Analysis of risk factors: age, housewife work load, fall, toddy use

*Evaluation for Roll 35:*

- *Score: 1 / 2* - Single provisional diagnosis given as Osteoarthritis. No differential, no for / against analysis.

- *Next target:* Add differentials - Lumbar spondylosis, Disc prolapse, Muscular strain, Osteoporosis, and justify why Osteoarthritis was chosen.

### 5. Evaluate - Judgment & Reflection

*Portfolio evidence to check:*

- Justification for diagnosis, reflection on learning gaps, patient safety, ethical considerations

*Evaluation for Roll 35:*

- *Score: 0 / 2* - No reflection, no justification, no self-assessment in portfolio.

- *Next target:* Add: What did I learn? What did I miss? What would I do differently in follow-up? Include counseling on alcohol / toddy cessation.

### 6. Create - Synthesis & New Learning Product

*Portfolio evidence to check:*

- Original product created from case - algorithm, concept map, patient education leaflet

*Evaluation for Roll 35:*

- *Score: 0 / 2* - No original synthesis product.

- *Next target:* Create a 1-page patient education sheet in local language for chronic back pain - posture, exercises, red flags to return.

### Summary for Roll No. 35 - 2023 Batch

Bloom Level | Score /2

1. Remember | 2

2. Understand | 1

3. Apply | 1

4. Analyze | 1

5. Evaluate | 0

6. Create | 0

**Total** | **5 / 12**

*Overall CBME Feedback:* Developing - Strong in documentation (Remember). Needs to progress from Apply to Analyze, Evaluate, and Create. Focus next portfolio on differential diagnosis, reflection, and a patient education product.