Problem clarification | Good | Mode-Rate | Poor | Not Shown |
---|---|---|---|---|
Reason for visit | ||||
Cognition (attribution, expectations) | ||||
Emotion | ||||
Behaviour | ||||
Social | ||||
Specific history | ||||
Introduction him/herself | ||||
Somatic information | ||||
Main problem | ||||
Time start | ||||
Evolution in time | ||||
Other symptoms | ||||
Influence problem | ||||
Circumstances that worsen problem | ||||
Circumstances that alleviate problem | ||||
Effort to relieve problem | ||||
Communication skills | ||||
Follows patient (open-ended questions, exploration, affirmation) | ||||
Dealing with emotions: reflection, paraphrases, uses silence | ||||
Directs patient (closed-ended questions, multiple choice questions) | ||||
Tests own ideas (closed-ended questions, multiple choice questions) | ||||
Asks concretizing questions | ||||
Responds adequate: non-suggestive, rhetoric, multiple, yes-buts, medical jargon | ||||
Integration skills | ||||
Gives summary at end | ||||
Integrates problem clarification with specific history | ||||
Finishes system review main problem | ||||
Treatment patient | MODERATE | POOR | ||
Judgement on treatment patient | ||||
ONLY FILL OUT WHEN TREATMENT NEEDS ATTENTION | ||||
External presentation conform behavioural code | ||||
Facial expression | ||||
Paraverbal features* | ||||
Spatial proximity/distance, touch | ||||
Looks at patient | ||||
Body position | ||||
Body movement and gestures | ||||
Final Grade (1--10) |