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Summative assessment of consulting skills by Video

 NEW - 2004 MRCGP assessment of consulting skills performance criteria

CONSULTING COMPONENT – preparing the video

Questions to ask yourself after each consultation:

1. Do I know significantly more about this person as a human being than before they came through the door?
2. Was I curious?
3. Did I listen?
4. Did I explore their beliefs?
5. Did I make an acceptable working diagnosis?
6. Did I use their beliefs when I started explaining?
7. Did I share options for investigations or treatment?
8. Did I share in decision-making?
9. Did I make some attempt to see that my patient understood? • Did I develop the relationship?                

From Peter Tate Passing the MRCGP: preparing the video The Practitioner Oct 2000 vol 244 904-906              

PERFORMANCE CRITERAI FOR THE MRCGP VIDEO: 

1. the doctor is seen to encourage the patient’s contribution at appropriate points 
2. the doctor is seen to respond to cues
3. the doctor elicits sufficient details to place the complaints in a social and psychological context 
4. the doctor takes the patient’s health understanding into account * 
5. the doctor obtains sufficient information for no serious condition to be missed 
6. the physical examination chosen is likely to confirm or disprove the doctor’s hypothesis, or is designed to address the patient’s concern 
7. the doctor appears to make a clinically appropriate working diagnosis 
8. the doctor explains the diagnosis, management and effects of treatment 
9. the content of what the doctor says and the language used is appropriate to the patient’s needs 
10. the doctor explains using some, or all of the patient’s beliefs * 
11. the doctor is seen to make an effort to confirm the patient’s understanding * 
12. the management plan is appropriate for the working diagnosis, reflecting a good understanding of modern, accepted medical practice 
13. the doctor share management options with the patient
14. the doctor prescribes appropriately
15. the doctor establishes an effective rapport with the patient

RATING SCALE                             OVERALL ASSESSMENT

1       Refer

2       Probably Refer                      R+     Clear Refer

3       Bare Pass                             R       Refer

4       Competent                            P       Pass

5       Good                                      P+     Clear Pass

6       Excellent