MRCF Form - 2
MRCF Form - 2
MRCF Form - 2
How well did the trainee undertake the following activities when consulting with the patient?
(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
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)
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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