Simulated Patient: Jessie Lock
- Age: 20
- Assigned sex at birth: Female
- Gender: Non-binary (they/them)
- Presenting complaint: “I want to have some tests done to see if I am healthy.”
Assessment Domains & Criteria
| Domain | Criteria | Marks | Comments |
| 1. Introduction & Rapport | Greets the patient respectfully and introduces self with name and role |
1 |
|
| Confirms patient name and preferred pronouns, uses them correctly throughout |
2 |
||
| Establishes a safe and non-judgmental environment (verbal and non-verbal cues) |
2 |
||
| Subtotal |
/5 |
| Domain | Criteria | Marks | Comments |
| 2. Presenting Complaint | Elicits the patient’s reason for the visit using open-ended questions |
1 |
|
| Clarifies what the patient means by “tests to see if I’m healthy” |
1 |
||
| Explores symptoms (rash, concerns about STIs) appropriately and sensitively |
2 |
||
| Subtotal |
/4 |
| Domain | Criteria | Marks | Comments |
| 3. Focused History Taking | Asks about recent sexual activity with attention to consent and comfort |
1 |
|
| Explores sexual practices and partners in a respectful and inclusive way |
2 |
||
| Asks relevant menstrual, contraception, or STI history (as appropriate) |
1 |
||
| Screens for symptoms (e.g., pain, discharge, systemic signs) |
1 |
||
| Asks about past testing or vaccination (e.g., HPV, Hep B) |
1 |
||
| Subtotal |
/6 |
| Domain | Criteria | Marks | Comments |
| 4. Communication Skills | Uses inclusive, non-judgmental, and gender-affirming language |
2 |
|
| Demonstrates active listening, empathy, and validation of concerns |
2 |
||
| Avoids assumptions about sexual orientation, gender, or behavior |
1 |
||
| Subtotal |
/5 |
| Domain | Criteria | Marks | Comments |
| 5. Summarising & Closure | Summarises main concerns accurately and checks patient’s understanding |
1 |
|
| Provides brief explanation of next steps (e.g., STI testing, confidentiality) |
1 |
||
| Thanks the patient and offers reassurance or follow-up |
1 |
||
| Subtotal |
/3 |
| Domain | Criteria | Marks | Comments |
| 6. Ethical Awareness | Demonstrates understanding of confidentiality and consent |
1 |
|
| Responds appropriately to sensitive disclosures |
1 |
||
| Subtotal |
/2 |
Total Score: /25
Global Rating Scale (Tick One):
☐ Excellent – Clear, confident, respectful; meets all criteria; patient would feel safe
☐ Good – Mostly complete, minor gaps; good rapport
☐ Borderline – Incomplete history or awkward communication; needs support
☐ Unsatisfactory – Misses key information; uses inappropriate or insensitive language
☐ Dangerous – Breaches confidentiality; dismissive or harmful communication
