Uploaded by matthewjamescope

SOAP Form

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SIMULATED TELEMEDICINE CONSULTATION (Jan
2021)
SIMULATED TELECONSULTATION MD2023
After the interview with the simulated patient, take a few minutes to complete questions 1 and 2. It is advisable to complete the questionnaire in a Word
document and copy and paste your text into the online questionnaire before submitting it. This way, you will have a copy of your answers for the
debriefing.
NB: You must submit your form BEFORE the debriefing.
1. Idem
2. Idem
3. Date of your teleconsultation
Title of session : ie TCS #1 TCS#2 etc
Clinical observation report: Write down the main points of your interview using SOAP notes.
Identify one strength and one weakness from your interview.
Before the simulated telemedicine consultation (STC):
I considered myself able to easily communicate effectively with a patient during a telemedicine consultation. 0 “strongly disagree” and 100 “strongly agree”
I considered myself able to easily communicate effectively with a patient during a telemedicine consultation. 0 “strongly disagree” and 100 “strongly agree”
0-10
11-20
21-30
31-40
41-50
51-60
61-70
71-80
81-90
91-100
71-80
81-90
91-100
I believed that telemedicine consultations presented the same challenges and difficulties as a regular clinical consultation.
0-10
11-20
21-30
31-40
41-50
51-60
61-70
After the simulated telemedicine consultation (STC): I consider myself able to easily communicate effectively with a patient during a telemedicine consultation.
0 “strongly disagree” and 100 “strongly agree”
I consider myself able to easily communicate effectively with a patient during a telemedicine consultation.
0-10
11-20
21-30
31-40
41-50
51-60
61-70
71-80
81-90
91-100
71-80
81-90
91-100
61-70
71-80
81-90
91-100
61-70
71-80
81-90
91-100
I believed that telemedicine consultations presented the same challenges and difficulties as a regular clinical consultation.
0-10
11-20
21-30
31-40
41-50
51-60
61-70
This simulation makes me feel like I have improved my confidence in performing telemedicine consultations.
0-10
11-20
21-30
31-40
41-50
51-60
This simulation confirms that I have the same strengths and weaknesses as during a clinical consultation.
0-10
11-20
21-30
Date of your telemedicine consultation:
31-40
41-50
51-60
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