17 MRS – Professionalism 2: Involvement

Main Scale

The doctor sees patients as problems rather than as individuals and attempts to respond to them without being personally involved. The doctor sees his/her patients as individuals, each in their own family and work situation, and tries to build up a relationship with them in which they are encouraged to be more self-aware, questioning, and self-reliant.
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 non-authoritarian in manner.
(b) Is clean, neat, and appropriately dressed.
(c) Shows respect for patient’s customs, values, ideas and attitudes.
(d)  Demonstrates to patients a curiosity about, and a concern for their family and work situation.
(e) Makes plans which take the patient’s personal situation into consideration.
(f) Shows tenacity in helping patients in difficult or frustrating situations.
(g) Involves the patient in decision making.
(h) Is prepared to teach and counsel about health when he/she has met immediate need.
(i) The doctor becomes deeply concerned for, and involved with, his patients as appropriate.

Notes for raters

Scales (a)-(d) are best assessed by direct observation. Scales (e)-(h) are assessed in case discussion. Scale(i) involves a general assessment based on both of the above, i.e. direct observation and case discussion.

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