04 MRS – Physical examination 2: Considerateness

Main Scale

The doctor tends to forget the patient’s modesty and comfort and does not explain clearly what he/she is going to do or why. The doctor forgets to warn about uncomfortable procedures and tends not to listen if the patient volunteers further information during the examination. The doctor’s movements are confident and show consideration of the patient’s needs and feelings. The patient is helped to prepare for examination when needed. The doctor makes sure that the patient knows the relevance and thoroughness of the examination. He or she can acquire additional verbal information during the examination.
1 2 3 4 5 6 7 8 9 10
Has little understanding of this. Attempts to do this but is not yet skilful and sometimes runs into difficulty. Attempts to do this and is usually successful but recognises his/her limitations. Perfect

Subscales

The doctor:

Rarely Occas
ionally
Fairly
frequently
Often Usually
(a) Is sensitive to the patient’s feelings, especially about privacy while dressing and undressing; and gives help where appropriate.
(b) Continues to listen to the patient while examining.
(c) Explains to the patient what he or she is doing and why.

Notes for raters

This area of behaviour can be assessed only by direct observation (becausevideotape is rather invasive in the examination).

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