the learner does not discover
all the issues or problems the patient wishes to discuss
the learner does not listen,
often not asking open ended questions initially or interrupting with closed
the learner does not elicit the
patient’s ideas, concerns, expectations and feelings; or establish a
collaborative relationship, and instead takes a doctor-centred position
throughout the interview
the learner develops little
rapport or is not responsive to the
the learner misses important
cues from the patient
the learner obtains an
inaccurate or incomplete clinical history because of failure to get
the balance right between open and closed questions, summarising, checking, or
sharing his thinking process
the learner forgets to find out
what the patient already knows before giving an explanation
the learner gives too much
information at once and uses jargon
the learner does not negotiate
with the patient and check that the patient is agreeable to the plan
the learner makes inadequate
follow up arrangements or none at all
can you recognise any patterns
have you seen this problem
how might the learner who
performed the consultation be feeling?
how might the “patient” be
what does the learner/group
how could you “generalise
when would the best time be to
what area or what research and
theory would be relevant to teach on?
do you have the knowledge?
do any of the learner(s) have the knowledge?
is the overall balance of
experiential work with didactic material from the literature right for the
have you got an aide-memoire /
handout for the learner/group?