CONSULTATION SKILLS WORK BASED ASSESSMENT – OBSERVED CONSULTATIONS
Competence task
GP teacher to complete and discuss after with student / E - ExcellentG - Good
S - Satisfactory
I - Inadequate
M - Missed out
N - Not relevant /
Feedback and suggestions for improvement
/Student reflection on this and planned further learning
Initiating the session:Student introduces themselves and gains initial rapport
Identifies reason for the consultation
Gathering information:
Student obtains biomedical perspective of presenting problem and relevant medical history including red flags.
Student elicits patients perspective: ideas concerns and expectations
Student elicits background information e.g. work, social background.
Physical examination:
Student examines patient (where relevant) and explains findings
Explanation and planning:
Student offers explanation to patient and provides correct amount and type of information and aids understanding and recall.
Student achieves shared understanding of problems taking into account the patient’s illness framework
Student formulates appropriate management plan with patient.
Closing and housekeeping:
Student closes the consultation at appropriate point
Arranges appropriate follow up
Safety nets
Building relationship: (may ask for patient feedback for this)Non-verbal behaviour, rapport, involves patient
Providing structure: also please comment on the following
- Overall fluency of the consultation.
- Structure of the consultation: may include summarising, chunking and checking, opportunity for patient questions
Case summary -Student to add afterwards
GP teacher comments and feedbackRelevant history
Examination findings where appropriate
Diagnosis or differential diagnosis
Plan: investigations and initial treatment, follow up etc.
For any medication prescribed/discussed:
- Name and group
- usual indications
- contraindications
- common side effects
Main learning points
Further learning needs highlighted by this case
Part 2 - CONSULTATION SKILLS WORK BASED ASSESSMENT –CONSULTATIONS DONE BY STUDENT ALONE - each student to complete 3 of these
Student write up after consultation (table/format TBC)
- presenting complaint
- relevant history
- Any relevant information in PMH / DH / FH / SH
- examination findings where appropriate
- diagnosis or differential diagnosis
- Plan: the investigations and initial treatment, follow up etc.
- For any medication prescribed/discussed:
- Name and group
- usual indications
- important contraindications and interactions
- common side effects
Student reflections
- Main learning points
- Consultation skills used
- Further learning needs highlighted by this case
Review of case with GP, discussion of relevant issues, plan for future learning etc.
For each case GP to assess and?grade – assess criteria above and give verbal and written feedback
E - Excellent
G - Good
S - Satisfactory
I - Inadequate
M - Missed out
N - Not relevant