Milestone map
3 milestones
Learn and apply a structured clinical communication framework
1–2 weeks
Study a recognised clinical communication framework used in your clinical specialty — Calgary-Cambridge Guide, SPIKES for breaking bad news, OSCE-style structured history taking, or an equivalent model endorsed by your training programme. Document the framework's key components and apply it in a practice encounter with a volunteer (peer, colleague, or simulated patient). Your clinical supervisor or a communication skills tutor must observe and provide written feedback.
Proof required
Submit a one-page summary of the communication framework you chose (naming all key components), your volunteer encounter notes (anonymised), and written feedback from your observer confirming they observed the practice encounter.
What gets checked
Common mistakes
Powstik Guide
A one-page framework summary and a practised session.
Steps
Template
Framework: Components: Volunteer session date: Observer feedback:
What gets sent back
Resources
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Complete 5 supervised patient communication assessments
4–8 weeks (dependent on clinical placement access)
Under direct supervision of a registered clinical professional, conduct and document 5 real clinical communication encounters with consenting patients — history-taking consultations, breaking bad news discussions, consent conversations, or equivalent encounters relevant to your specialty. For each encounter, document: the communication type, the framework applied, any communication challenges encountered, and your supervisor's assessment of your performance. All patient data must be fully anonymised.
Proof required
Submit your communication logbook with 5 anonymised entries, each countersigned by the supervising registered professional. Each entry must show the communication type, framework applied, challenges noted, and supervisor assessment.
What gets checked
Common mistakes
Powstik Guide
Five supervised communication assessments.
Steps
Template
| # | Date | Scenario type | Framework used | Supervisor | Registration | Signed | |---|------|---|---|---|---|---| Entries: __ / 5
What gets sent back
Resources
Foundationstart here
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What a verifier looks for
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Complete a recorded and reviewed communication assessment
2–3 weeks
Complete a formal recorded communication skills assessment — either a recorded OSCE station, a recorded consultation reviewed by a clinical supervisor, or a structured communication skills assessment used by your training programme. The recording must be reviewed with feedback by a qualified clinical supervisor or communication skills educator. Produce a self-assessment and comparison with the supervisor's feedback.
Proof required
Submit a summary of the recorded assessment (what type, what scenario), the supervisor's written feedback from the review session, your self-assessment (1 page), and a comparison identifying where your self-assessment agreed or disagreed with the supervisor's feedback and why.
What gets checked
Common mistakes
Powstik Guide
A recorded, reviewed assessment and your response.
Steps
Template
Type: Scenario: Consent/simulation confirmed: Supervisor feedback: Changes:
What gets sent back
Resources
Foundationstart here
Depthgo deeper
What a verifier looks for
You'll sign in first, then come straight back here.
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