GP Virtual CCA Station

Patient Interview (Chest pain)

10-minute station

This is a 10-minute station.

You are a medical student on a general practice placement.

Arthur Meadows has come to see his GP today about pains in his chest. He has agreed to talk to you, prior to seeing the GP for his booked appointment

He last had chest pain a few days ago

Tasks:

• Please take a focused history from him

• You are not required to discuss management

Mark Scheme

1. Introduction and orientation (name and role, explains purpose of interview, confirms patient agreement) (2=does well 1=adequately, 0=poorly or not done)	2	1	0
2. Rapport (shows interest, concern and respect, ) (2=does well, 1=adequately, 0=poorly or not done)	2	1	0
3. Listening skills (attentive listening, responds to answers, picks up on patient cues) (2=does well, 1=adequately, 0=poorly or not done)	2	1	0
4. Questioning skills (appropriate open and closed questions, avoids leading or multiple questions, avoids jargon) (2=does well, 1=adequately, 0=poorly or not done)	2	1	0
5. Structure - demonstrates a logical approach without interrogating the patient (2=does well, 1=adequately, 0=poorly or not done)	2	1	0
Establishes:
6. On exertion (1) for 3-4 weeks ago (1)	2	1	0
7. Heavy pressure (1) Relieved by rest (1)	2	1	0
8. Felt breathless (1)	2	1	0
9. No previous episodes of chest pain		1	0
10. No dizziness (1) No associated symptoms (1)	2	1	0
PMH
14. No other significant illness (1)		1	0
15. No medication		1	0
16. No OTC medication, No herbal remedies (both for 1 mark)		1	0
17. Ex-smoker (1) 20/day for 30 years (1)		1	0
18. Does not drink alcohol		1	0
Family history
19. Father MI at 58, Brother Angina (1 mark for both)		1	0
Social history
20. Lives with wife		1	0
Expectations
21. Concern cardiac (1) Would like investigations (1)	2	1	0
22. Thanks the patient and will relay information to the GP (1)		1	0