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MRCF Form - 2

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Foundation Training Year: Medication Related Consultation Framework (MRCF)

Title of MRCF Date of MRCF


Trainee pharmacist Stage of training
(in weeks)

How well did the trainee undertake the following activities when consulting with the patient?

(A) Introduction  Not Comments for introduction section


applicable
A.1 Introduces self
A.2 Confirms patient’s identity
A.3 Discusses purpose and structure of the consultation
A.4 Invites patient to discuss medication or health related issue
A.5 Agrees a shared agenda
Did the trainee build a therapeutic relationship with the patient? Yes / Partially / No

(B) Data collection and problem identification  Not Comments for data collection and problem
applicable identification section
B.1 Obtains a full medication history/medication review, or other suitable
task if applicable
B.2 Assesses patient’s understanding of the rationale for prescribed
treatment
B.3 Elicits patient’s (lay) understanding of his/her illness
B.4 Elicits concerns about treatment
B.5 Explores social history
B.6 Enquires if the patient misses dose(s) of treatment and how often (if
applicable)
B.7 Reasons for missed dose(s) (unintentional or intentional if applicable)
B.8 Identifies and prioritises patient’s pharmaceutical problems/needs
Did the trainee identify the patient’s pharmaceutical needs? Yes / Partially / No
(C) Actions and solutions  Not Comments for actions and solutions section
applicable
C.1 Relates information to patient’s illness and treatment beliefs (risk –
benefit discussion)
C.2 Works with the patient in reviewing/amending a management plan
C.3 Checks the patient’s understanding on how and when to take
medication, length of treatment, and negotiates follow-up
C.4 Checks patient’s ability to follow plan (are any problems anticipated?)
C.5 Refers appropriately to other healthcare professional(s) (if applicable)
Did the trainee establish an acceptable management plan with the patient? Yes / Partially / No

(D) Closing  Not Comments for closing section


applicable
D.1 Explains what to do if patient has difficulties to follow plan and whom to
contact
D.2 Provides further appointment or contact point
D.3 Offers opportunity to ask further questions
Did the trainee negotiate a 'safety netting' strategy with the patient?' Yes / Partially / No

(E) Consultation behaviours  Not Comments for consultation behaviours


applicable
E.1 Listens actively and allows patient to complete statements
E.2 Uses open and closed questions appropriately
E.3 Demonstrates empathy and supports patient
E.4 Avoids or explains jargon
E.5 Accepts patient (i.e. respects patient, is not judgemental or patronising)
E.6 Adopts a structured and logical approach to the consultation
E.7 Summarises information at appropriate time points
E.8 Keeps consultation “on track” or regains “control” when necessary
Did the trainee demonstrate any of these consultation behaviours? Yes / Partially / No

Overall Impression Overall the trainee’s ability to consult was… Below expectations Meets Exceeds expectations
(please circle) expectations

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Summary of case: (to include clinical setting, patient type, focus of encounter, new or follow-up, complexity of case)

What went well? Suggestions for development:

Agreed action (SMART: Specific, Measurable, Achievable, Realistic and Timely):

Trainee pharmacist reflection:

Name and Signature of supervisor: Date

Position of supervisor: Designated supervisor / Practice or Clinical supervisor

NB: This Assessment tool must be mapped by the trainee pharmacist to the GPhC Foundation Training Year Interim Learning Outcomes and the
HEE Foundation Training Year Assessment Activities Guide when submitting it on the e-portfolio.

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