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It covers introduction and set-up, contraceptive and symptom discussion prompts, a neutral delivery of results with explicit pregnancy wording, and emotional response skills such as reflection, normalization, and offering support. It further evaluates exploration of options including continuation/parenting, abortion, and adoption, risk assessment for intimate partner violence and reproductive coercion, and overall communication behaviors such as non-judgment and respectful closure.","Non-Directive Pregnancy Options Counseling: OSCE Checklist  \n\n| IMPORTANT: Answer ALL questions Yes/No |  |\n| --- | --- |\n| STUDENT NAME: | RATER NAME: |\n\n\n| INTRODUCTION AND SET-UP |  | Yes | No |\n| --- | --- | --- | --- |\n| 1a. | Washed hands |  |  |\n| 1b. | Greeted patient kindly |  |  |\n| 2a. | Introduced self |  |  |\n| 2b. | Identified role (medical student, doctor   ) |  |  |\n| 3. | Explained purpose (e.g. to take over from the other doctor, to finish helping you today, to speak with you about next steps, to go over test results   ) |  |  |\n| 4a. | Asked about use of effective contraception (e.g. oral contraceptives, ring, patch, implant or IUD; this may be done at any time in the encounter) |  |  |\n| 4b. | Asked about the effects of symptoms (nausea) on daily life (this may be done at any time in encounter) |  |  |\n| DELIVERY OF PREGNANCY TEST RESULTS |  | Yes | No |\n| 5a. | Prior to delivering results, student assessed what patient already knew/believed/suspected (e.g. what do you think is going on? Did they explain what tests they were going to do?) |  |  |\n| 5b. | Prior to delivering results, student gave a specific verbal warning (e.g. I have some news that we need to discuss, I have some news that may be unexpected…) [simply announcing “I have test results” as they might do to explain their purpose is NOT sufficient] |  |  |\n| 5c. | Delivered the pregnancy test results in a neutral fashion (showed neither excitement nor disappointment when delivering results) |  |  |\n| 6. | Plainly told patient “results show that you are pregnant” OR “Your test result is positive which shows/means that you are pregnant”(If student relied only on the word “positive” to convey result, check NO) |  |  |\n| 7. | Explicitly asked how the patient felt about the pregnancy |  |  |\n| STUDENT’S RESPONSE TO PATIENT’S EMOTIONAL SILENCE AT HEARING THE NEWS OF PREGNANCY (Students may use these techniques later in the interview. Do NOT record those here. This section is ONLY for those techniques they use in response to the patient’s initial reaction to the news of pregnancy. They are not expected to use ALL techniques) |  | Yes | No |\n| 8a. | Silence that indicated that the student was “in the moment” with the patient |  |  |\n| 8b. | Reflection/naming/inquiring about emotion: restated the patient’s emotion (i.e. I can see this might be very difficult for you, can you tell me what’s going on, what you are feeling right now   ) |  |  |\n| 8c. | Normalizing, legitimizing or understanding: expresses understandability or normality of patient’s response ([e.g. it](e.g. it)’s understandable, many women in this situation also feel this way) |  |  |\n| 8d. | Made an offer of support or partnership (“we will get through this/I am going to help you/I will be here…”) |  |  |\n\nPLEASE PROCEED TO NEXT PAGE TO CHECK OFF ADDITIONAL ITEMS  \nNon-Directive Pregnancy Options Counseling: OSCE Checklist  \n\n| COVERAGE OF OPTIONS (To get credit for exploring beliefs and/or feelings, student should not only elicit the first response that the patient may give after appropriate silence at hearing the news of pregnancy or being told of an option, but do one of the following: ask “why do you feel that way/can you tell me more?”) |  |  |  |  | Yes | No |\n| --- | --- | --- | --- | --- | --- | --- |\n| 9. | Acknowledged pregnancy continuation and parenting as an option |  |  |  |  |  |\n| 10. | Explored beliefs and/or feelings about pregnancy continuation and parenting |  |  |  |  |  |\n| 11. | Acknowledged abortion as an option |  |  |  |  |  |\n| 12. | Explored beliefs and/or feelings about abortion |  |  |  |  |  |\n| 13. | Acknowledged pregnancy continuation and adoption as an option |  |  |  |  |  |\n| 14. | Explored beliefs and feeling about pregnancy continuation and adoption |  |  |  |  |  |\n| RESPONSE TO “What should I do?” or “What would you do ifit were you/your loved one?”If SP does not get to ask this question, then leave these items BLANK. |  |  |  |  | Yes | No |\n| 15a. | ","cbCairtTxlTxFpTG","https://ap.wps.com/l/cbCairtTxlTxFpTG","pdf",128898,14,3,"English","en",105,"# Introduction and Set-up\n# Delivery of Pregnancy Test Results\n# Student’s Response to Patient’s Emotional Silence\n# Coverage of Options\n# Risk Assessment\n# Overall Communication\n# Patient-Centered Skills","[{\"question\":\"What communication behaviors are required when delivering pregnancy test results?\",\"answer\":\"The student should assess what the patient already knows and give a specific verbal warning before delivering results. 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