Standardized Patient Checklist

Open SP Checklist

Russian Patient Dina Sokolova (Pavel Sokolov) 52 y.o.

Language and Cultural Literacy
 


 

Your Name ______________________ Resident Name _____________________


Part 1: Skills in working with the interpreter and a limited English proficient patient

  1. The resident introduced himself/herself to me and the interpreter (interpreter is already in the exam room).

DONE CORRECTLY        DONE INCORRECTLY        NOT DONE

DONE CORRECTLY: The resident introduced self to patient AND interpreter.

DONE INCORRECTLY: The resident failed to introduce self to patient OR interpreter.

NOT DONE: The resident failed to introduce self to patient AND interpreter.

  1. The resident defined the role of the interpreter.

DONE        NOT DONE

DONE: The resident told me that the interpreter would repeat everything I said.

NOT DONE: The resident does not define the role of the interpreter.

  1. The resident reassured me that information shared is confidential.

DONE NOT DONE

DONE: The resident used language to assure me that the conversation is confidential.

NOT DONE: The resident did not use any language to assure me about confidentiality.

  1. The resident positioned the interpreter next to me (interpreter can be slightly behind).

DONE CORRECTLY        DONE INCORRECTLY        NOT DONE

DONE CORRECTLY: The resident placed the interpreter immediately next to me or slightly behind.

DONE INCORRECTLY: The resident placed the interpreter between him/herself and me, resulting in an open angle triangle that required me to look away from the learner.

NOT DONE: The resident failed to direct the interpreter in any way with regard to position within the room.

  1. The resident spoke in short phrases/1-2 short sentences, allowing interpreter time to interpret.

DONE CORRECTLY        DONE INCORRECTLY        NOT DONE

DONE CORRECTLY: The resident spoke in short phrases/1-2 short sentences AND allowed time to interpret.

DONE INCORRECTLY: The resident used lengthy phrases/sentences OR did not pause long enough to allow for interpretation.

NOT DONE: The resident repeatedly interrupted the interpreter OR spoke at the same time as the interpreter.

  1. The resident maintained eye contact with me.

DONE CORRECTLY        DONE INCORRECTLY        NOT DONE

DONE CORRECTLY: The resident maintained adequate eye contact to convey interest throughout the visit.

DONE INCORRECTLY: The resident only made occasional eye contact.

NOT DONE: The resident did not make eye contact with me, e.g. only looked at notes.

  1. The resident spoke to me in a normal tone of voice.

DONE        NOT DONE

DONE: The resident spoke in a conversational volume and speed.

NOT DONE: The resident spoke loudly OR excessively slowly OR excessively fast.

  1. The resident spoke directly to me (not to the interpreter) for most of the interview.

DONE CORRECTLY        DONE INCORRECTLY        NOT DONE

DONE CORRECTLY: The resident spoke to me >75% of the interview.

DONE INCORRECTLY: The resident spoke to me 25-75% of the interview.

NOT DONE: The resident directed <25% of the interview to me.

Part 2: Skills in using the LEARN model and eliciting the patient’s explanatory model/health beliefs

  1. The resident elicited my understanding of what hypertension is and what causes it (my understanding is incorrect and knowledge of the condition is limited).

DONE        NOT DONE

DONE: The resident asked questions about my understanding of hypertension and its causes.

NOT DONE: The resident ONLY discussed hypertension based on his/her frame of reference.

  1. The resident elicited my medication adherence history and the reasons why I am not taking medications properly.

DONE CORRECTLY        DONE INCORRECTLY        NOT DONE

DONE CORRECTLY: The resident asked if and how I am taking medications and why I am not taking them properly. The resident may have used direct or indirect questions to elicit this information.

DONE INCORRECTLY: The resident inquired about medication adherence but did NOT use any language to inquire about why this is happening, i.e., my perspective.

NOT DONE: The resident did not inquire about medication usage.

  1. The resident elicited my use of green tea as a home remedy for hypertension.

DONE        NOT DONE        UNSURE

DONE: The resident asked what I think is the best treatment for hypertension or if I am using any home/traditional remedies.

NOT DONE: The resident did not inquire regarding non-prescription remedies.

UNSURE

  1. The resident acknowledged that he/she and I have different views about hypertension and tried to find common ground.

DONE CORRECTLY        DONE INCORRECTLY        NOT DONE

DONE CORRECTLY: The resident explained what hypertension is, why it is necessary to treat even if I feel fine, i.e., not having a headache, while ALSO acknowledging that my belief is common and understandable.

DONE INCORRECTLY: The resident explained about hypertension but did NOT acknowledge my belief system.

NOT DONE: The resident did not discuss hypertension AND did not acknowledge my belief system.

  1. The resident negotiated agreement on treatment, taking into account my wishes and perceptions.

DONE CORRECTLY        DONE INCORRECTLY        NOT DONE

DONE CORRECTLY: The resident acknowledged that my use of green tea is fine, while getting my agreement to take medication daily; the resident may have decided to request that I use only one medication since I am reluctant to use too much and was not taking it properly before.

DONE INCORRECTLY: The resident identified a treatment plan, but did not negotiate the plan with me.

NOT DONE: The resident did not identify a treatment plan.

  1. As a patient, I would want to continue seeing this resident for my future care.

STRONGLY AGREE      NEUTRAL      DISAGREE      STRONGLY DISAGREE

  1. Comments (if needed):