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Good attempt at the MSE but was unable to finish

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I forgot to talk about his thought form and thought process and did not fully assess the criteria and exclusion

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I forgot to talk about his thought form and thought process and did not fully assess the criteria and exclusion

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I liked it but she needed to be a bit faster to cover everything.

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Le’Shaunda spent too long on HPC at the expense of major things (Delusion screening for eg)

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The criterion for MDD was not thoroughly explored. She inquired about hallucinations but not delusions, obsessions or phobias. Past medical history, substance use and insight weren't assessed due to time constraints. Summary started off well but she did not describe thought process and thought content. I disagree with the patient having suicidal ideation - wanting the lord to take him does not mean that he wishes to harm himself. Overall hesitancy at the beginning cost time.

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He started off well but didnt explore the HPC fully
Ran out of time

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Pradeep did not get into the exclusion criteria to rule out any ddx

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Pradeep did not get into the exclusion criteria to rule out any ddx

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Pradeep was thrown off by the patient’s presenting complaint.

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Aasiya did well. Did not ask about perceptual disturbances.

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Aasiya did well. Did not ask about perceptual disturbances.

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Pradeep did not thoroughly assess the DSM-5 criteria for panic attacks/disorder which was my first thought upon hearing the P/C. He ran out of time to assess obsessions, psychosis, safety screen, past psych history, past medical history, family history, substance use etc.

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Aasiya had a good approach but I think she needed to elicit more symptoms to make a diagnosis of schizophrenia.

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Aasiya had a good approach but I think she needed to elicit more symptoms to make a diagnosis of schizophrenia.

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Aasiya did not assess insight or judgement

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Aasiya did not assess insight or judgement

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Aasiya did not challenge his possible delusion of persecution; she did not ask about other delusions such as gradiose, reference, nihilistic. I might have missed it, but I don't remember her commenting on appearance, attitude toward the doctor, eye contact. She neglected to explore perceptual disturbances. The information elicited was not sufficient to confidently make a diagnosis of schizophrenia.

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aasiya needs a bit more pace

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Aasiya-  PC is less important here... Should have led with "how do you feel in your spirit?" The exam is how the pt presents in that time

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Aasiya did not ask about perceptual disturbances

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(Aasyia) Tricky with the circumstantial speech  maybe , be more direct in questions moving through the MSE.

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(Aasyia) Tricky with the circumstantial speech  maybe , be more direct in questions moving through the MSE.

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needs to assess thought process, insight as well as judgement

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Aasiya's approach was good, good intro...but key components of MSE were missing

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Aasiya's approach was good, good intro...but key components of MSE were missing

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Left out some perceptual disturbances, as well as  thought process
Her summary was supposed to be MSE specific...speech, psychomotor agitation etc etc

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aasiya did not assess cognition, judgment, insight
too much history taking

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aasiya didnt get to terminate. Also didnt ask about thought content and perceptual disturbances

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aasiya didnt get to terminate. Also didnt ask about thought content and perceptual disturbances

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the intro was good but he needs to focus on keeping within the time

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The intro was a bit long

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I think he could have asked how exactly the suicide attempt failed (eg if someone caught him and saved him; or if he backed out at the last minute). He could also have asked if he lived alone, and inquired about his support system.

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Seth did the intro very well. He missed out past psychiatric hx and family hx and a few other points

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Seth did the intro very well. He missed out past psychiatric hx and family hx and a few other points

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Didn't ask if patient is still feeling suicidal, if he regrets act or has no remorse

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Didn't ask if patient is still feeling suicidal, if he regrets act or has no remorse

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Introduction and explanation was too long .
Missing were previous suicide attempts, history of mental illness , family history and substance use .

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Timing is definitely a major problem. Less time should be spent on the "first slice" to allow sufficient time to get through the "meat"

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good at asking depressive symptoms
ask more about past psychiatric history
ask about substance use

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Seth did a good job but just ran out of time. Missing: 

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Seth did a good job but just ran out of time. Missing: 

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- History of mental illness
- Past Psychiatric History
- History of medical illness
- History of substance abuse
- Insight

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Not too sure about suicide assessment risk but too much time was wasted in the intro

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Not too sure about suicide assessment risk but too much time was wasted in the intro