GP Virtual CCA Station
Patient Interview (Depression)
10-minute station
This is a 10-minute station.
You are a medical student on a general practice placement.
Simon Jones has come to see his GP today as his mood is low. He has
agreed to talk to you, prior to seeing the GP for his booked appointment
Tasks:
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. Patient low mood (1) this has been for 3 months (1) |
2 |
1 |
0 |
|
7. Work has been stressful (1) Works in IT (1) |
2 |
1 |
0 |
|
8. Mother died 6 months ago (1) Has had difficult coming to terms with
this (1) |
2 |
1 |
0 |
|
9. No previous episodes of depression or mental health problems |
|
1 |
0 |
|
10. No psychotic symptoms (1) (voices), no bipolar
features(1)(mania/hyperactive) |
2 |
1 |
0 |
|
Biological symptoms |
|
|
|
|
11. Sleep interruption (1) early morning waking (1) |
2 |
1 |
0 |
|
12. Diurnal variation of mood |
|
1 |
0 |
|
13. Anhedonia (loss of enjoyment) |
|
1 |
0 |
|
14. Loss of appetite (1) Weight changes (1) |
2 |
1 |
0 |
|
Risk |
|
|
|
|
15. Had transient
thoughts of taking paracetamol (1) No future plans (1) |
2 |
1 |
0 |
|
16. Family
protective factor |
|
1 |
0 |
|
PMH |
|
|
|
|
17. Episode abdo pains 4-5 months ago
(1) No other significant illness (1) |
2 |
1 |
0 |
|
18. No medication |
|
1 |
0 |
|
19. No OTC medication, No herbal remedies (both for 1 mark) |
|
1 |
0 |
|
20. Does not take recreational drugs or smoke
cigarettes (both for 1 mark) |
|
1 |
0 |
|
21. Does not drink alcohol |
|
1 |
0 |
|
Social history |
|
|
|
|
22. Lives alone (1) Isolated from friends recently (1) |
2 |
1 |
0 |
|
23. No financial concerns |
|
1 |
0 |
|
Expectations |
|
|
|
|
24. Would like to consider talking therapy (1) Not keen on medication (1) |
2 |
1 |
0 |
|
25. Thanks the patient (1) will relay information to the GP (1) |
2 |
1 |
0 |
|
|
|
|
|