Each number (1-7) represents a consultation being submitted for MRCGP.  Simply circle the consultations which demonstrate that PC.  After assessing all 7 consutlations, ensure you have at least 5 circles (the examiners will look for 4) in each box.  I recommend 5 as a safety netting procedure.

10 Pass Criteria: each demonstrated at least 4 times in total of 7 videos
Encourage patient contribution
	Social, occupational & psychological context	Explore patient’s health understanding	Sufficient history: PC, PMH, relevant symptoms 	Appropriate physical & mental examination	
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Active listening. Open questions. Reflecting. Facilitation.	
Use the information. Causes of illness. Consequences. Family.	
ICE. Only if additional info is actually elicited.	
Exclude relevant significant conditions.	
Choice of examination. Outline intended examination to patient	

Appropriate working diagnosis
	Explain problem / diagnosis in appropriate language	Appropriate management plan	Involve patient in management options	Specify F/U conditions & interval	
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Plain English. Avoid jargon.	
Good understanding of modern medical practice. EBM.	
Give & explain appropriate options. No choice necessary.	
Clear reference to further contact. “Safety-netting.”	

4 Merit Criteria: 
Respond to signals and cues	Incorporate patient’s health beliefs when explaining problem 
	Seek to confirm patient’s understanding of diagnosis	Explore patient’s understanding of treatment to enhance concordance		
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Face, body language, phrasing, omissions, med records. Only if relevant additional info is elicited	
Incorporate ICE when explaining problem.	
“Does that make sense to you; anything you want to ask?”  Offer to explain to a third party. 	
Similar. Regards to treatment