From: Reflective and feedback performances on Thai medical students’ patient history-taking skills
Stage | Elaboration | Verbatim quotes |
---|---|---|
Description | Participant described what transpired within the room without any meaningful interpretation. | “ He [the interviewer] dressed well and used simple language with the patient.” Student 2/session 1 |
Feeling | Participant described what he/she felt or his/her thought processes. | “ Nerve-wracking. ” Interviewer 1/session 1 |
Evaluation | Participant reflected on the good parts or parts that could be improved without any tangible details. | “I did well on the past history part. But the present illness was not clear.” Interviewer 2/session 2 |
Analysis | Participant reflected on the good parts or parts that could be improved with details. | “The review of system part was non-sequential, not head-to-toe.” Student 3/session 3 |
Conclusion | Participant reflected on the good parts or parts that could be improved and suggested areas for the next session without concrete examples. | “I will probe more about the fever pattern next time.” Interviewer 2/session 4 |
Action plan | Full description of the good parts and parts that could be improved with concrete suggestions for the next session. | “ Next time, I will ask more details about the volume status caused by diarrhoea by asking about how much volume has been lost. I may compare the volume with a glass of water to make it more objective.” Interviewer 1/ session 10 |