| Student name: | Date | Scenario #: | ||||
| Items | 2 = Excellent | 1 = Satisfactory | 0 = Need practice | Score | ||
| Introduction and patient identification Self-introduction Identify the patient | Very appropriate wording Identify the patient correctly | Appropriate wording Identify the patient correctly | Not do |
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| Symptom assessment Assess symptoms (including position, severity, quality, duration and timing) Assess the provoking and relieving factors | Very appropriate wording Assess all relevant and important data correctly | Appropriate wording Assess about 80% of important data correctly | Inappropriate wording Assess less than 80% of important data or irrelevant data Not do |
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| Physical examination Check blood pressure, pulse, heart and respiratory rate Auscultate the lung, heart and bowel sounds Inspect abdomen Observe skin color, range of motion of joints, eyes and mouths Recognize the abnormal signs Verbalize the causes for abnormal signs | Correct and comprehensive physical examination Concern the patient’s response and provide the appropriate management timely Recognize all abnormal signs and verbalize the potential causes correctly | Correct physical examination, but partly complete (about 80%) Concern the patient’s response, but management is not appropriate Recognize the abnormal signs, but explanation of causes is 80% correct | less than 80% of correct physical examination Appear not to know which data is important No response to the patient’s concerns or provide the incorrect intervention Not do |
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| Patient education Explain patient condition | Very appropriate and understandable wording Concern all important data | Appropriate and understandable wording Concern about 80% of important data | Concern few important data (<80%) Incorrect explanation Not do |
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| History inquire History taking (including disease, medicine, allergy, operation, family health, special dietary, religion) | Complete history taking Clear and structured wording | About 80% history taking Clear and appropriate wording | Incomplete history taking (<80%) Unclear/ inappropriate wording Not do |
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| Communication Communication with the patient Communication in the team | Communicate effectively Check for understanding Successful and clear direction to team More open-ended questions used | Generally communicate well, but partly successful (about 80%) Clear direction to team Few open-ended questions used | Ineffective commutation (<80% understandable) Unclear direction to team No open-ended question |
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| Total score |
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