Extended Standardized Patient Scenario

ELAINE STUART
Standardized Patient Checklist - Visit #2: 1/10/98
(patient presents with rectal bleeding)

Date:

Communication Scale Responses strongly agree agree do not agree or disagree disagree strongly disagree
1. The physician spoke to me in a direct manner concerning my condition.
2. The physician demonstrated sensitivity about my fears and anxiety at hearing this news.
3. The physician behaved warmly, but professionally throughout the encounter
4. Used words I could understand when discussing my problem.
5. Treated me like I was on the same level, did not talk down to me, or treated me like a child.
6. Encouraged me to ask questions.
7. The physician utilized space well (e.g., maintained a comfortable distance, shoulders at equal level, etc.).
8. The physician was sitting down or standing, attending appropriate distance when we talked.
9. The physician appeared comfortable conducting the interview.
10. The physician maintained appropriate eye contact throughout the interview.
11. The physician seemed genuinely interested as expressed by facial expressions and body posture.
12. I was allowed to "tell my story" without interruption.
Communication Responses yes no
1. I was asked what I thought was going on.
2. I was told the bleeding could be caused by internal hemorrhoids, colitis or cancer.
3. I was told I need a colonoscopy.
4. I was told I may need a biopsy.
5. I was referred to a GI specialist.
6. I was asked if I had a health care proxy agent.
7. I was given a summary of our discussion.
8. I was asked if I had other questions or concerns.
9. I was offered reassurance.
10. Additional diagnostic tests were scheduled.
11. A return visit was scheduled to discuss test results.
Physical Examination done not done
1. The physician visually inspected my abdomen.
2. The physician palpated all four quadrants of my abdomen.
3. The physician listened to all four quadrants of my abdomen with a stethoscope.
4. The physician percussed all four quadrants of my abdomen.
5. The physician palpated my liver.
6. The physician asked to do a rectal exam.
7. The physician took my blood pressure sitting or standing.
8. The physician took my blood pressure lying down.
ESPS Home
Palliative Medicine Elective