consultation and counselling skills

greeting and introducing yourself

call patient by title and name, ask about name of the patient if not mentioned
showing empathy that looks true, honest, neutral, formal and addressing patient
suffering, offering urgent help to ease symptoms if needed
eye contact and body language showing attention
asking open question at the beginning
ask closed question that are clear and specific
idea of the patient is picked up and acknowledged

concern of the patient is picked up and acknowledged

expectation of the patinet is picked up and acknowledged

Assess the impact of the condition on the patient

picking up the non verbal cue and discuss it (the patient in pain )
appropriate sequence (complaint analysis then the rest of history, then examiantion
then management)
summary
ending the consultation appropriatley
thank the patient
opportunistic health promotion advice after finishing the case (screening for smoking
or alcohol or pap smear or cancers…etc or healthy lifestyle advice
Reflecting back patient own words in discussion
unclear voice (or too loud) or language with using non english terms or Jargons
offering options that are irrelevant to the patient condition (non contextual)
judgemental attitude (assume reasons for patient problem the patient did not
mention it)
Making ironie of the patient words or appearance or actions
saying "you must",or "you should", or "you have to" , with a doctor centered
approach
talking to the examiner for illegal reason
Consultation and Counselling Domain Result

data gathering skills

analyse the main complaint properly and sufficiently
ask about relevant Past Medical history with necessary details
ask about relevant Family history with necessary details
ask about drug history with necessary details
ask about psychosocial related to patient complaint
asking about sexual history without prior permission
 asking about many irrelevant history (more than 3 irrelevant questions)
asking about more than one item in the quesiton (do you smoke or drink alcohol?)
repeat asking about data given before written or verbal
Data Gathering Domain Result

examiantion skills
ask permission and say every step before doing
gently take permission to expose and expose part to examine
focused examination (all VIP steps are done)
thank the patient
hand sanitization before and after examination
gentle and taking care of patient welfare
look at patinet eye when looking for tenderness
inadequate examination techniques (not done properly)
Examination skills Domain Result

Management and investigation skills

mention correct diagnosis: Acute Myocardial Infarction
explain it correctly and simply without Jargon
proper non pharmacological advice based on best evidence, mainly for smoking and
diabetes (quit smoking, control of diabetes can give appointment to discuss after
discharge)

proper advice concerning psychosocial impact related to condition to explain

consequences of not going to the hospital and acknowledge concern about his shop

address idea and correct any false belief that pain is not due to cold from AC and
explain why
address concern and correct any false belief
address expectation with proper explanation (wanting a strong gell)
advice for investigations and correct interpretetion and explanation if any
investigations given (ECG should be requested)

proper pharmacological advice based on best evidence (aspirin with or without

morphine and nitroglycerin) (generic name, dose, frequency , duration , side effects)

referral to hospital now

justifying management by simple language and checking patient agreement and
understanding after each step of the management

referring to a source of information without mentioning what it contains (e.g leaflet)

any advice given not on best updated evidence
requesting irrelevant investigation or giving irrelevant advice pharamaological or non
pharmacological
signposting (main points you will take about in management)
answering questions of the patient in unsafe way
Management and Investigations domain result
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 and counselling skills
Done properly and completely Positive action
Done properly and completely Positive action
Done properly and completely Positive action
Done properly and completely Positive action
Done properly and completely Positive action
Done properly and completely Positive action
patient said it but not picked up and has been
Positive action
asked properly
patient didn't say it but has been asked
Positive action
properly
patient didn't say it but has been asked
Positive action
properly
patient didn't say it but has been asked
Positive action
properly
Done properly and completely Positive action
Done properly and completely Positive action
not done or done improperly Positive action
Done properly and completely Positive action
Not Done Positive action
Not done Positive action
Not Done Positive action
Not done Negative Action
Not done Negative Action
Not done Negative Action
Not done Negative Action
Not done Negative Action
Not done Negative Action
omain Result 92%

gathering skills
Done properly and completely Positive action
Done properly and completely Positive action
Done properly and completely Positive action
Done properly and completely Positive action
Done properly and completely Positive action
Not Done negative action
 Not Done negative action
Not Done negative action
Not Done negative action
Result 100%

miantion skills
Done but incomplete, fulfilling most of it Positive action
not done or done improperly Positive action
Done properly and completely Positive action
Done Positive action
Done Positive action
Done Positive action
Done Positive action
Not Done negative action
n Result 88%

and investigation skills

Done Positive action
Done properly and completely Positive action

Done but incomplete, fulfilling most of it Positive action

Done properly and completely Positive action

not done or done improperly Positive action

Done properly and completely Positive action
Done properly and completely Positive action
Done properly and completely Positive action

Done properly and completely Positive action

Done properly and completely Positive action

Done properly and completely Positive action

Not Done negative action

Not Done negative action
Not Done negative action
Not Done Positive action
Not Done negative action
domain result 89%
 overall Score 92%

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Clear Pass for Consultation and Counselling
domain. Excellent!
Clear Pass in Data Gathering domain, excellent!

Clear Pass for Examination domain.

Excellent!

Clear Pass in Management and

investigations domain. Excellent!
Clear Pass as overall for This case.
Excellent!
Done properly and completely
Done but incompletely
Not done or done improperly

Not Done
Done

Done properly and completely

Done but incomplete, fulfilling most of it
Done but incomplete, fulfilling few of it
not done or done improperly

Picked up properly from patient words and reflected back properly 12

patient said it but not picked up and has been asked properly 10
patient said it but not picked up and has been asked improperly 8
patient didn't say it but has been asked properly 12
patient didn't say it and has been asked improperly 6
Not done 0