Examinee knocked on the door before entering.
_7475
threshold:
Rating Description
3.0 pts51_5569
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Examinee introduced self by name.
_1099
threshold:
Rating Description
3.0 pts51_5934
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Examinee identified his/her role or position.
_6838
threshold:
Rating Description
3.0 pts51_9965
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Examinee correctly used patient’s name.
_54
threshold:
Rating Description
3.0 pts51_1863
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Examinee made eye contact with the SP.
_3773
threshold:
Rating Description
3.0 pts51_9605
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Examinee asked an open-ended question and actively listened to the response.
_7248
threshold:
Rating Description
3.0 pts51_4969
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Examinee asked the SP to list his/her concerns and listened to the response without interrupting.
_5724
threshold:
Rating Description
3.0 pts51_707
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Examinee summarized the SP’s concerns, often using the SP’s own words.
_6512
threshold:
Rating Description
3.0 pts51_5723
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Chief complaint
_49
threshold:
Rating Description
3.0 pts51_75
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Onset
_5179
threshold:
Rating Description
3.0 pts51_9513
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Precipitating events
_7561
threshold:
Rating Description
3.0 pts51_9813
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Progression
_5976
threshold:
Rating Description
3.0 pts51_6074
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Severity on a scale
_3675
threshold:
Rating Description
3.0 pts51_2269
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Location
_396
threshold:
Rating Description
3.0 pts51_4378
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Radiation
_6079
threshold:
Rating Description
3.0 pts51_4340
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Quality
_104
threshold:
Rating Description
3.0 pts51_4166
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Alleviating/exacerbating factors
_7831
threshold:
Rating Description
3.0 pts51_9865
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Shortness of breath
_3752
threshold:
Rating Description
3.0 pts51_4764
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Nausea/vomiting
_995
threshold:
Rating Description
3.0 pts51_6919
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Sweating
_3622
threshold:
Rating Description
3.0 pts51_262
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Associated symptoms (cough, wheez- ing, abdominal pain, diarrhea/constipa- tion)
_146
threshold:
Rating Description
3.0 pts51_7509
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Previous episodes of similar pain
_573
threshold:
Rating Description
3.0 pts51_2051
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Onset
_3312
threshold:
Rating Description
3.0 pts51_754
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Severity
_8301
threshold:
Rating Description
3.0 pts51_1108
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Frequency
_9227
threshold:
Rating Description
3.0 pts51_1647
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Precipitating events
_2965
threshold:
Rating Description
3.0 pts51_8637
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Alleviating factors
_9058
threshold:
Rating Description
3.0 pts51_2729
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Associated symptoms
_5856
threshold:
Rating Description
3.0 pts51_4315
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Current medications
_4333
threshold:
Rating Description
3.0 pts51_7510
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Past medical history
_4246
threshold:
Rating Description
3.0 pts51_9021
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Past surgical history
_5026
threshold:
Rating Description
3.0 pts51_4256
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Family history
_6059
threshold:
Rating Description
3.0 pts51_6743
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Occupation
_9121
threshold:
Rating Description
3.0 pts51_5514
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Alcohol use
_2968
threshold:
Rating Description
3.0 pts51_8507
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Illicit drug use
_9438
threshold:
Rating Description
3.0 pts51_6794
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Duration of cocaine use
_9318
threshold:
Rating Description
3.0 pts51_9949
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Last time of cocaine use
_328
threshold:
Rating Description
3.0 pts51_9606
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Tobacco
_6222
threshold:
Rating Description
3.0 pts51_8804
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Duration of Tobacco use
_4526
threshold:
Rating Description
3.0 pts51_8178
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Amount of tobacco use
_2203
threshold:
Rating Description
3.0 pts51_5422
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Sexual activity
_5271
threshold:
Rating Description
3.0 pts51_7212
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Exercise
_3561
threshold:
Rating Description
3.0 pts51_5077
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Diet
_2960
threshold:
Rating Description
3.0 pts51_8987
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Drug allergies
_3541
threshold:
Rating Description
3.0 pts51_2386
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Description of criterion
threshold:
5 pts
This area will be used by the assessor to leave
comments related to this criterion.
/
5 pts
--
Total Points:
220.0 out of 220.0
Find Rubric
