Direct Observation Learner Expectations
Pediatrics Direct Observation
Learner Expectations
Scenario: You will be asked to perform a telephone interview with the parent/caretaker of a patient.
The student is expected to demonstrate the following behaviors:
Setting the stage/preparation
Student reviews the presenting scenario and the patient information prior to the encounter.
Greeting the patient/Establishing initial rapport
Student introduces self, using first and last name.
Student states their current level of training as a medical student.
Student states the primary purpose of the encounter.
Student actively verifies the patient’s name and date of birth.
Student establishes the relationship between interviewee and patient.
Initiating information gathering
Student asks the presenting problem or reason for the call.
Students asks the onset of the presenting problem.
Exploring biomedical perspective of disease including relevant background and content
Student asks at least 7 relevant symptoms related to the presenting problem.
Student asks at least 2 relevant questions about changes in the child’s normal behaviors that are relevant to the presenting problem.
Student asks about sick contacts and/or day care attendance.
Student asks about social history.
Student asks about developmental history.
Student asks about relevant past medical history, family history, birth history, surgical history, and immunizations.
Student asks about medications and allergies.
Exploring family member's perspective of illness
Student acknowledges feelings, concerns and anxieties of caregiver by verbally recognizing and legitimizing them.
Closing the encounter
Student directly asks for any additional questions or concerns the caregiver may have.
Student discusses initial diagnostic impressions.
Student discusses initial treatment plan.
Student discusses at least 2 items for caregiver to monitor.
Student discusses call back or return precautions.
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