Mini-Clinical Evaluation Exercise (mini-CEX) Student’s Surname Benson Students Forename Morgan Date of Assessment (DD/MM/YY) / / Student’s Year 4 Assessor’s Registration Number (e.g. GMC, NMC) Assessor’s Name Dr David Samuels Assessor’s Email [email protected] Assessor’s Position: GP Consultant ST F2 Nurse Other : __________________ Brief Summary of Case: 25 year old with dizziness who turned out to be pregnant (P2G4) at 20/40 but was unaware. Setting for Assessment (e.g. GP Surgery, Home visit, A&E, Outpatients): GP Surgery Please score the student on the scale shown. Please note that your scoring should reflect the performance of the student against that which you would reasonably expect at their stage of training and level of experience. Please mark ‘Unable to Comment’ if you feel you have not observed the behaviour. Well below Below Borderline Meets Above Well above Unable to expectation expectation for stage of expectation expectation expectation for Comment for stage of for stage of training for stage of for stage of stage of (not observed training training training training training on this encounter) Medical Interview Skills Physical Examination Skills Counselling and Communications Skills Clinical Judgement Consideration for Patient/Professionalism Organisation/Efficiency Overall Clinical Competence Based on this observation please rate the level of overall competence the student has shown: Overall Clinical Judgement Rating Description Below level expected for stage of training Performed at the level expected for stage of training Performed above the level expected for stage of training Basic consultation skills resulting in complete history and/or examination findings. Limited clinical judgement following encounter. Sound consultation skills resulting in adequate history and/or examination findings. Basic clinical judgement following encounter. Good consultation skills resulting in a sound history, and/or examination findings. Solid clinical judgement following encounter higher than expected for stage of training. Excellent and timely consultation skills resulting in a comprehensive history and /or examination findings in a complex or difficult situation. Good clinical judgement following encounter. Performed at the level expected of FY1 doctor Which aspects of the encounter were done well? Comprehensive history taking from a pregnant lady. Very caring approach; when the patient became upset you were very empathetic; used appropriate ways of counselling her; and gave her the time to understand the problem. You picked up on the communication barrier in a patient who had English as a second language then used extra explanation to ensure understanding. Suggested areas for improvement / development? If the patient seems confused consider the use of closed questions to confirm understanding. Always remember to introduce yourself to the patient in full with your position. Agreed Actions / learning plan Look at the NICE guidance on antenatal care. Reflect on how to encourage patients to access healthcare appropriately, so for example this lady should have been seen earlier in pregnancy and should not have attended A&E. Student’s reflections on patient and areas of learning I learnt about explaining pregnancy and how it can be either a situation in which you are giving good or bad news depending on how the patient feels about being pregnant. This was really tricky as I felt like I started congratulating her but then realised she was very shocked and upset. In future I will make sure I am non-judgemental about how patients may take this news. Student’s signature ___________________ Assessor’s signature ____________________