COMMUNICATION Check List 2023 V2

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DAVAO MEDICAL SCHOOL FOUNDATION

College of Medicine

RATING SCALE FOR MEDICAL STUDENTS

OUTCOME 6 : COMMUNICATION SKILLS

To the Evaluator:
Please note the students’ behavior during the activity in clinical simulation. Evaluate him/her by putting a check on the appropriate column.

POOR: All major elements and tasks were not demonstrated (0)
FAIR: Several major elements not demonstrated (2)
ACCEPTABLE: Able to cover major tasks with minimal areas needing improvement (3)
GOOD: Able to cover all tasks, demonstrates the basic principles of communication (4)
EXCELLENT: All elements were observed. Able to perform the different elements of communication with confidence (5).

POOR FAIR ACCEPTABLE GOOD EXCELLENT


(0) (2) (3) (4) (5)

1. INITIATION
Greets the patient

Opened the interview by introducing him or


herself

Confirms that patient’s identity

Explains the nature of the tasks and seeks


consent

Voice is clear, courteous and with an assuring


tone.

2. GATHERING INFORMATION
Allows patient to express reason for seeking
medical consultation/admission
Asks a combination of open ended and closed
ended questions appropriately

Allows the patient to talk and use silence


appropriately.

Students listens attentively to patient’s


response and ask follow-up questions
appropriately.

Questions are concise, understandable, no


medical jargons and organized (thought
process)
3. PATIENT EDUCATION

Allowed patient to asks questions

Addresses patients concerns and expectations

Explains the clinical course of the patient’s


condition.

Discuss the management as well as the long-


term or follow-up plans using layman terms.

Communicates with interest and empathy.


1. NON VERBAL BEHAVIOR
Establishes rapport with a pleasant and
appropriate facial expression

Shows attentiveness and active listening with


good eye contact

Sustains a comfortable and appropriate


distance during the interview with an open
stance
Use nonverbal actions to affirm the patient’s
response (eg. nodding, waiving of hand).

Identify and acknowledges patient’s discomfort


or reactions appropriately.
4. PATIENT SATISFACTION
Respectful both in action and tone of voice

Did not give false assurances or unnecessarily


alarm

Shows empathy and concern.

Made the patient comfortable and able to


freely express himself/herself

Patient felt she was given the proper attention


2. CLOSING
Summarizes the information gathered with
good organization.

Check patient’s understanding (examination


findings, plan, diagnostic possibilities)

Asks patient if he/she has any


questions/concerns or need clarifications.

Give straightforward response/ information,


when asked using terms that you can
understand while recognizing the limitation as
a medical student.

Thanks the patient and remind her of your


availability for any problems.

Comments:
__________________________________________________________________________________________
__________________________________________________________________________________________

Name and Signature of Examiner:________________________________________


Date:___________________________________________

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