Observable Behaviour Field Note
Assessing Competence in family medicine

Search results for: Professionalism
Theme: The physician demonstrates a flexible, open-minded approach that is resourceful and deals with uncertainty.

Select up to  behaviours to include in one field note.

✓  In patient encounters, consistently demonstrates a willingness to explore the patient’s ideas of cause and take steps to include or exclude these from the ensuing differential diagnosis

✓  Is willing to adapt diagnosis/plan when provided with an alternative view/information/perspective (willing to change his or her mind)

✓  Provides time to deal with the emotion related to an uncertain diagnosis

✓  Does not unnecessarily limit patient options (i.e., does not display paternalism)

✓  Is satisfied with “symptom diagnosis” (e.g., says “dyspepsia”, not “peptic ulcer disease”) when information is limited or diagnosis is not confirmable

✓  Formulates a patient-centred stepwise plan to deal with a situation even when he or she doesn’t know the answer

✗  Cuts patients off

✗  Refuses to deal with a major problem during an office visit because of time

✗  Refuses to see a patient who arrives slightly late for an appointment

✗  Shows anger/rigidity when patients don’t follow a prescribed course of action

✗  Becomes dismissive of patient ideas when they don’t fit his or her own

✗  Uses manipulative techniques to influence patient behaviour (“I won’t be able to take care of you if you choose to do…”)

Other behaviour not listed

Resident:
Assessor:
Clinical Setting:
Date:
Skill Dimension:
Theme:
The physician demonstrates a flexible, open-minded approach that is resourceful and deals with uncertainty.

Observed Behaviour:

Other:
Feedback given (what was done well / suggestions for improvement):
 

Signed Resident:   Signed Assessor:  
Date:   Date:  


  
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