Observer-Reporter-Interpreter-Manager-Educator (ORIME) Framework to Guide Formative Assessment of Medical Students.

The Observer-Reporter-Interpreter-Manager-Educator (ORIME) is adapted from RIME, an intuitive, self-explanatory and "synthetic" framework that assesses formatively, a student's ability to synthesise knowledge, skills and attitude during a clinical encounter with a patient. The "O" refers to a student's ability to pay attention and perceive with open-mindedness, people and events around him or her. The framework is suitable for definition of interim outcomes in a 5-year undergraduate programme. To align students' and clinical teachers' expectations further, selection of case complexity that is commensurate with student's seniority and competence should be guided and an adapted version of the Minnesota Complexity Assessment Tool is proposed.