Clinical Consultation Communication & Structure Assessment

**Consultation Overview** [Summary of the overall nature of the consultation including consultation type, main reason for attendance, and general structure or flow; include comments on duration, completeness, and main complaint if discussed] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Consultation overview not discussed.") **Consultation Structure** [Description of how clearly the consultation followed a logical structure including sequencing, transitions, and signposting; include comments on repetition or topic transitions if discussed] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Consultation structure not discussed.") **History Taking** [Summary of history-taking thoroughness including exploration of symptoms, duration, severity, aggravating/relieving factors, functional impact, past treatments, medications, and investigations as discussed] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "History taking not discussed.") [Comments on empathy, clarity, communication style, and whether language was patient-centred] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Communication style during history taking not discussed.") **Explanation of Findings** [Summary of how imaging or examination findings were explained in patient-friendly language; include whether findings were connected to symptoms] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Explanation of findings not discussed.") [Comments on whether limitations of imaging were explained] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Imaging limitations not discussed.") **Management Discussion** [Description of treatment options discussed including risks, benefits, and expected outcomes] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Management options not discussed.") [Comments on whether a clear plan and timeline were agreed upon] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Management plan not discussed.") [Comments on whether patient understanding or preferences were checked] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Patient preferences or understanding not discussed.") **Communication & Empathy** [Assessment of clinician tone, rapport, empathy, and active listening as described in the transcript] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Communication and empathy not discussed.") [Comments on whether patient concerns or experiences were validated] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Patient validation not discussed.") **Patient Empowerment and Education** [Summary of educational content provided including self-management strategies and reassurance] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Patient education not discussed.") [Comments on whether the patient left with a clear understanding of what they can do independently] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Patient empowerment not discussed.") **Documentation Quality** [Assessment of documentation clarity, structure, accuracy, and tone] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Documentation quality not discussed.") [Comments on whether key facts—findings, plan, risks, follow-up—were accurately summarised] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Documentation completeness not discussed.") **Summary & Scoring** [Summary of the overall consultation quality] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Overall consultation summary not discussed.") [Three strongest aspects of the consultation] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Strengths not discussed.") [Two areas requiring improvement] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Areas for improvement not discussed.") [Overall consultation score] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Consultation score not discussed.") [Specific actionable recommendations for clinician development] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, else write "Recommendations not discussed.") (Never come up with your own patient details, assessment, diagnosis, differential diagnosis, plan, interventions, evaluation, or plan for continuing care — use only the transcript, contextual notes or clinical note as a reference for the information you include in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state that the information has not been explicitly mentioned in your output unless explicitly included as a fallback within the AI instruction.) (Use as many sentences as needed to capture all the relevant information from the transcript, contextual notes or clinical note.)