ESPS SP Checklists

Extended Standardized Patient Scenario

ELAINE STUART
Standardized Patient Checklist - Visit #3 1/24/98
(Post Colonoscopy & Biopsy)

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.We reviewed what was discussed during my last visit.
1.a I was asked if I assigned an agent for proxy.
1.b I was asked if the agent was willing to act in my capacity.
1.c I was asked if my agent was aware of my preferences..
2. I was asked if I knew the results of the diagnostic tests which were performed.
3.I was told I had a mass in my colon.
4.I was told that the mass was cancerous.
5. I was told that I need surgery.
6.I was told why surgery was necessary.
7. The goals of my treatment were discussed.
8. I was referred to a surgeon.
9. I was given a summary of what needed to be done next.
9.a Summary: surgeon.
9.b Summary: return to office in 2 weeks (post op).
10. I was asked if I had any more questions.
11. I was offered reassurance.
12. An appropriate, polite closure ended the visit.