I did meet with Anthony concerning clinical issues in his current rotation.  I had been informed by Mr. Kaslavage last week about concerns regarding Anthony\'s ability to function in clinical in an organized manner.  Mr. Kaslavage did state that Anthony demonstrates knowledge and competency however this is somewhat inconsistent due to his frequent obvious anxiety and abrupt behaviors.  Mr. Kaslavage also stated that he has addressed this with Anthony.  I went to the clinical setting on Monday 10-24-11 and found Anthony and Mr. Kaslavage in discussion, clearly discussing basic assessment findings. Anthony was obviously nervous, becoming more visibly anxious even when calmly asked seemingly benign questions regarding his patient\'s vital signs which he did not appear to be able to answer although it was after 8:30 AM.  I did pull Anthony aside and we met to discuss the issue.  Anthony stated that he has been extremely anxious and unsure of himself and the current issue at hand was his inability to state what his patient\'s blood pressure was.  On further questioning he stated that he took the BP but \"didn\'t think the number was right\"  although he could not offer any clear reason why he was unsure of his findings. He was aware that I had clearly observed the interactions with his instructor and there was nothing noted to cause the level of anxiety he was exhibiting.  He did admit this to be a consistent problem.  Anthony also stated he has multiple personal issues that he believes are exacerbating his anxiety.  Anthony then spent a great deal of time voicing concern that Mr. Kaslavage had stated that he found him to be an \"enigma\" which he stated meant he was a \"puzzle\", and Anthony stated that this also upset him although he could offer no clear explanation as to why this description was concerning.  During our discussion, he did speak rapidly and changed topics frequently.  We did further discuss all of the above at length.  I did make him aware that I was concerned about his constant anxiety interfering with his clinical performance.  I offered the option for Anthony to transfer to Mrs. Nita for the remainder of the level.  As she is full-time faculty and her group is the same hospital and same level, which would allow Anthony the opportunity for re-evaluation as well as eliminating the possibility that his current clinical assignment might continue to be a trigger for his anxiety.  Anthony did state he will consider this option. He was made aware that the decision must be made by the end of this week to allow ample time for a fair evaluation of clinical performance.