SP SPA 1 (History) (SPA 1) 1. ( ) ( ) ( ) ( ) ( ) Item 4: Eliciting the Narrative 5. The Learner 4 3. The Learner 2 1. Thread encouraged and let the began to let the patient talk about the patient tell the The Learner failed patient's problem(s). to let the patient patient’s story, The Learner did not but either tell the patient’s stop the patient or interrupted with story. introduce new focused information. questions or OR introduced new information. The Learner set the pace with a Q&A style, as opposed to a conversational style. 2. ( ) ( ) ( ) ( ) ( ) Item 5: Timeline 5. The Learner 4 3. The Learner 2 1. The Learner obtained sufficient obtained some failed to obtain information so that a of the information chronology of the information necessary to chief complaint and necessary to establish a history of the present establish a chronology. illness can be chronology. established. The chronology of any The Learner associated symptoms failed to is also established. establish a chronology for any associated symptoms. 3. ( ) ( ) ( ) ( ) ( ) Item 6: Questioning 5. The Learner begins 4 3. The Learner 2 1. The Learner of Questions (edited) information gathering often failed to asked many why with more than one begin a line of questions, multiple open-ended question. inquiry with questions, or This is followed up by open-ended leading questions. more specific or direct questions, but questions. No poor rather employed question types are specific or used. direct questions to gather information. OR
SP SPA 1 (History) (SPA 1) 1. Item 4: Eliciting the Narrative Thread ( ) 5. The Learner encouraged and let the patient talk about the patient's problem(s). The Learner did not stop the patient or introduce new information. ( ) 4 ( ) 3. The Learner began to let the patient tell the patient’s story, but either interrupted with focused questions or introduced new information. ( ) 2 ( ) 1. The Learner failed to let the patient tell the patient’s story. OR The Learner set the pace with a Q&A style, as opposed to a conversational style. 2. Item 5: Timeline ( ) 5. The Learner obtained sufficient information so that a chronology of the chief complaint and history of the present illness can be established. The chronology of any associated symptoms is also established. ( ) 4 ( ) 3. The Learner obtained some of the information necessary to establish a chronology. The Learner failed to establish a chronology for any associated symptoms. ( ) 2 ( ) 1. The Learner failed to obtain information necessary to establish a chronology. 3. Item 6: Questioning of Questions (edited) ( ) 5. The Learner begins information gathering with more than one open-ended question. This is followed up by more specific or direct questions. No poor question types are used. ( ) 4 ( ) 3. The Learner often failed to begin a line of inquiry with open-ended questions, but rather employed specific or direct questions to gather information. OR ( ) 2 ( ) 1. The Learner asked many why questions, multiple questions, or leading questions.
EOA_2018_practice_case_and_checklists.docx