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    Global Consultation Rating Scale (GCRS) MInTFM

    Uploaded by

    Nisha Reghu
    The document describes a Global Consultation Rating Scale used to evaluate consultation skills. It provides scoring criteria for various stages of a consultation including initiating the session, gathering information, problem exploration, developing rapport, providing structure, aiding recall and understanding, achieving shared understanding, planning and decision making, and closure.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Global Consultation Rating Scale (GCRS) MInTFM

    Uploaded by

    Nisha Reghu
    9 views2 pages
    The document describes a Global Consultation Rating Scale used to evaluate consultation skills. It provides scoring criteria for various stages of a consultation including initiating the session, gathering information, problem exploration, developing rapport, providing structure, aiding recall and understanding, achieving shared understanding, planning and decision making, and closure.

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    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    The document describes a Global Consultation Rating Scale used to evaluate consultation skills. It provides scoring criteria for various stages of a consultation including initiating the session, gathering information, problem exploration, developing rapport, providing structure, aiding recall and understanding, achieving shared understanding, planning and decision making, and closure.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    9 views2 pages

    Global Consultation Rating Scale (GCRS) MInTFM

    Uploaded by

    Nisha Reghu
    The document describes a Global Consultation Rating Scale used to evaluate consultation skills. It provides scoring criteria for various stages of a consultation including initiating the session, gathering information, problem exploration, developing rapport, providing structure, aiding recall and understanding, achieving shared understanding, planning and decision making, and closure.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Good Adequate Not done/poor

    Global Consultation Rating Scale (GCRS) Not


    applicable
    (2) (1) (0)

    Initiating the session

    Greets patient

    Introduces self and nature of interview

    Demonstrates interest and respect, attends to patient’s physical comfort

    Uses appropriate opening question

    Overall Score for Initiating the Session /8

    Gathering Information

    Listens attentively, minimising interruption and leaving space for patient

    Encourages patient to tell the story of the problem(s) from when first started to the present

    Checks and screens for further problems and negotiates agenda


    Overall Score for Problem Identification/6

    Uses open and closed questions, appropriately moving from open to closed

    Facilitates patient's responses verbally and non–verbally e.g. silence, repetition, paraphrasing

    Picks up and responds to verbal and non–verbal cues (body language, speech, facial expression)

    Clarifies statements which are vague or need amplification

    Periodically summarises & invites patient to correct interpretation or provide further information.

    Uses clear, easily understood language, avoids jargon

    Overall Score for Problem Exploration/12

    Actively determines patient’s perspective (ideas, concerns, expectations, feelings,


    effects on life) Minimum one explored!!
    Appropriately and sensitively responds to and further explores patient’s perspective

    Overall Score for Patient’s Perspective/4

    Building the relationship


    Demonstrates appropriate non–verbal behaviour e.g. eye contact, posture, position, movement, facial
    expression, use of voice
    Overall Score for Non-verbal Communication /2

    Acknowledges patient's views and feelings; is not judgmental

    Uses empathy to communicate appreciation of the patient’s feelings or predicament

    Provides support: expresses concern, understanding, willingness to help

    Overall Score for Developing Rapport/ 6

    Providing Structure

    Progresses from one section to another using signposting; includes rationale for next section

    Structures interview in logical sequence, attends to timing, keeps interview on task

    Overall Score for Providing Structure/4e


    Providing the correct amount/type of info for the individual patient

    Chunks and checks, using patient’s response to guide next steps

    Assesses the patient’s starting point (good if carefully tailors explanation)

    Discovers what other information would help patient, seeks and addresses patient’s info needs

    Overall Score for providing correct amount and type of information /6

    Aiding accurate recall and understanding

    Organises explanation (good if uses signposting/summarising)

    Checks patient’s understanding (good if asks patient to restate information given)

    Uses clear language, avoids jargon and confusing language

    Overall Score for aiding accurate recall and understanding /6

    Achieving a shared understanding: incorporating the patient's perspective

    Relates explanations to patient’s illness framework

    Encourages patient to contribute reactions, feelings and own ideas (good if responds well)

    Picks up and responds to patient’s non-verbal and covert verbal cues

    Overall Score for incorporating the patient's perspective/6

    Planning: shared decision making

    Explores management options with patient

    Involves patient in decision making (good if establishes level of involvement patent wishes)

    Appropriately negotiates mutually acceptable action plan

    Overall Score for planning and shared decision-making/6

    Closure

    Contracts with patient re next steps

    Safety nets
    Summarises session briefly and clarifies plan of care

    Final check that patient agrees and is comfortable with plan

    Overall Score for closure/8

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