Student Name - : ICM 1: HTP Recording Review Checklist
Student Name - : ICM 1: HTP Recording Review Checklist
Student Name - : ICM 1: HTP Recording Review Checklist
Faile
d to
Expa
nd
Whe
n
Nee
ded
Omit
ted
Item
N/A
Well Done
Accepta
ble
Needs
Improvement
Introduction
Own name clearly stated
Interviewers role established
Patients name established
Nonverbal
Attentive posture
Eye contact
Nonintrusive (still when listening)
Language
Clear, audible diction
No jargon
Begins with open questions
Sparing use of direct questions
No leading or biased questions
Facilitation
Nonverbal nods (uh-huh)
Encouraging statements
Reflection
Clarification/Direction
Clarifies vague terms
Keeps patient on task
Summarizes findings
Invites comments/questions
Key aspects of the encounter
1) Opening the encounter
Not
Done
Don
e
Done Well
N/A