Direct Observation Learner Expectations

Psychiatry Direct Observation of Physical Examination Skills Learner Expectations

Scenario: You will be asked to interview a patient who was accompanied to the psychiatry clinic by a family member, caregiver or friend.

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 their role in the patient's care

• Student actively verifies the patient's name and date of birth

• Initiating information gathering

  • Student asks the presenting problem or reason for the patient to present to the care site with an open-ended statement

  • Student asks patient to elaborate further regarding the presenting problem

  • Student asks about current mood state

  • Student assesses orientation to time. location, and person

  • Student asks at least one question that assesses attention/concentration

  • Student asks at least one question that assesses short term memory

  • Student assesses abstraction

• Exploring biomedical perspective of disease including relevant background and content

  • Student asks at least one question that explores possible delusions

  • Student asks about delusions of reference

  • Student asks about delusions of grandeur

  • Student asks about persecutory delusions

  • Student asks about visual hallucinations

  • Student explores visual hallucinations

  • Student asks about current visual hallucinations

  • Student asks about auditory hallucinations

  • Student explores auditory hallucinations

  • Student asks about current auditory hallucinations

  • Student asks specifically about command hallucinations

  • Student asks about consequences of command hallucinations

  • Student asks about any recent thoughts of committing suicide

  • Student asks about ideas of harming others

  • Student asks about any recent action plan to harm others