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Stanford Interview Checklist

This document contains a checklist for evaluating medical student interviews at Stanford University School of Medicine. The checklist contains ratings for opening the interview, building rapport, gathering information, patient education, and closing. It rates skills like allowing the patient to speak without interruption, explaining the interview agenda, introducing oneself, establishing comfort, asking open-ended questions, summarizing, and ensuring understanding of next steps. The checklist is used to assess interviews and provide feedback to students on their performance.

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2K views1 page

Stanford Interview Checklist

This document contains a checklist for evaluating medical student interviews at Stanford University School of Medicine. The checklist contains ratings for opening the interview, building rapport, gathering information, patient education, and closing. It rates skills like allowing the patient to speak without interruption, explaining the interview agenda, introducing oneself, establishing comfort, asking open-ended questions, summarizing, and ensuring understanding of next steps. The checklist is used to assess interviews and provide feedback to students on their performance.

Uploaded by

Flower
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Stanford University School of Medicine

Practice of Medicine
Stanford University Interview Check List

STANFORD INTERVIEW CHECKLIST


Student Name: Case Name:
ASSESSMENT

Unsatisfactory
Satisfactory
Excellent

Marginal
ITEM

N/A
Opening
O1: Allows pt to complete opening statement w/o interruption
O2: Asks to elicit full set of concerns
O3: Explains or negotiates an agenda for the visit
Relationship Skills
R1: Greets and shows interest in patient as a person; uses pt's name
R2: Introduces him/herself, shakes hand
R3: Aware of personal space. If pt not comfortable, don't force it
R4:Explains his/her role and the purpose of the interview
R5: Establishes initial rapport and patient comfort
R6: Uses words that show care and concern
R7:Uses tone, pace, eye contact and posture showing care/concern
Information Gathering
I1: Begins with the pt narrative using open ended questions
I2: Clarifies details as necessary using closed or yes/no questions
I3: Summarizes and checks accuracy with patient
I4: Transitions effectively to additional areas
Understands the patient's perspective:
I5a: Asks re. events, circumstances, other people that might affect health
I5b: Elicits pt's beliefs, concerns, expectations re. illness and treatment
I5c: Responds explicitly to patient statements re. ideas, feelings, values
Patient Education
P1: Assesses pt's understanding of the problem & desire for more info
P2: Explains using words patients understands
P3: Checks for mutual understanding of plan
P4: Asks if patient has any questions
Closing
C1: Asks if the pt has questions, or concerns for next time
C2: Summarizes (or asks pt to summarize) plans until next visit
C3: Clarifies follow-up or contact arrangements
Flow
F1: Interview moves smoothly from one component to another, with key
points summarized and ending with a smooth closure.

Professional Appearance & YES NO


History Data Base Conduct
Completed Satisfactory √ Satisfactory? √

Major Strengths Observed:

Areas for Improvement:

Date:
Interviewer: Evaluator:

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