MS Alcohol Standardized Patient Rater Form (Observer)

Medical Student Paticipant ID #:

Standardized Patient Case: Cynthia Madison Stewart

Pre-Intervention (1st) or Post-Intervention (2nd) -- Choose One

Please rate the following based on whether the student Met or Failed each criteria.

1. Asked open-ended questions about the chief complaint. __________

2. Asked about factors that aided in relief of complaint. __________

3. Asked about current use of medications. __________

4. Asked about past/current use of alcohol. __________

5. Asked about past/current use of tobacco. _________

6. Used at least 1 alcohol screening tool. __________

7. Ordered laboratory tests (blood/urine). __________

8. Asked about presence of depressive symptoms. __________

9. Asked about presence of anxiety symptoms. __________

10. Identified the patient as having an alcohol use problem. __________

11. Explained the limits of acceptable alcohol use. __________

12. Discussed a treatment plan in order to deal with alcohol use problem. __________

Informational Pages: Information and Background • FAQs • Chart • Labs • Health Professional Instructions • Actor Instructions • Physician Note • Rater Form (Patient) • Rater Form (Observer) • Needs Analysis

Project Framework: MS Alcohol Framework

Curriculum Plan: Medical Student Alcohol Curriculum

Modules: Alcohol and Patient Care • Role of the Physician • Screening • Brief Interventions • Pharmacology • Comorbidities • Meet Your Patients

Standardized Patient: MS Alcohol Standardized Patient Framework

Project Framework: MS Alcohol Framework

Progress Reports: 9-08 • 10-08 • 11-08 • 12-08 • 1-09

MS Alcohol References: MS Alcohol References