Clinical Practice

Practice Assessment ReportOral Communication Skills Review

INSTRUCTIONS Please complete the table for each patient encounter observed.

Total number of patients observed:

Patient #1

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #2

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #3

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #4

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #5

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #6

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #7

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #8

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #9

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #10

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #11

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #12

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #13

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #14

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #15

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #16

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #17

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #18

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #19

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Patient #20

Appropriate(ly) Appropriate(ly) with Recommendations

Concerns N/A

1. The physician’s collection of relevant biomedical data was…

2. The physician’s collection of relevant psychosocial data was…

3. The physician integrates data gathered from both biomedical and psychosocial contexts…

4. The physician’s verbal/tonal responses to the patient’s feelings, needs and values are…

5. The physician’s non-verbal (e.g., use of silence, gesture, posture, eye contact) responses to the patient’s feelings, needs and values are…

6. The management and/or organization of the physician’s interview (i.e. flexible, logical, appropriate transitions) is …

7. The physician’s language proficiency is*… (*If Language Proficiency is evaluated as Appropriate with Recommendations or Concerns, please fill out the Oral Language Proficiency Assessment Form)

Section Recommendation

Appropriate Appropriate with recommendations

Concerns

Oral Communication Skills

Oral Communication Skills Review

Additional Details/Comments/Recommendations for Improvement Please provide any additional details, comments or recommendations for improvement. PLEASE ENSURE THAT YOUR COMMENTS DO NOT EXCEED THE SIZE OF THE TEXT BOX BELOW.

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Updated: July 8, 2015