Fig. 1
Schematic representation of the educational elements of the first year of the clerkships (M1). Top consultation training takes place throughout the year. Bottom representation of setting for training = programme in time (chronological). cons full weeks of training in consultation competence (2 weeks, 1 week, 1 week, 1 week). CTC clinical training centre (5 weeks). CS clerkship (hospital, 5 weeks). Arrow time of consultation test
Box 1
Examples of fragments from reflective reports
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I found the physical examination difficult. I was not sure what to do |
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In practice I would have asked better differentiating questions. Although I asked a couple of questions, I noticed that I had to dig deep to come up with some more |
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When reviewing the consultation, I saw that there were times when an emotional reflection would have been better. E.g.… |
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In general I found that I was empathetic and concerned about the fears of the patient |
Box 2
Assessment criteria
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Recording/DVD | |
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Communication |
Direction, communication skills and interaction with patient |
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Medical content |
Choice and execution of physical examination, logical (working) diagnosis and taking appropriate therapeutic management |
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Execution within time | |
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Chart | |
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In accordance with conducted consultation | |
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Reasoning |
Diagnostic and therapeutic, proper argumentation for differential diagnosis and proper argumentation for diagnostic and therapeutic management |
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Mentioned data and findings are relevant for diagnostic process | |
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Reflection | |
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Insight into own strengths and weaknesses; matching conducted consultation |