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OSCE Master List: Ethics and Communication Skills
Task 1: Duplication of notes request for a specialist down
south.
Introduction PointsIntroduces self 1Obtains consent 1Checks
patient details 1IntroductionListen to patient's concerns 1Calm the
patient down 1Good body language 1Inquires in reason for going down
South 1Professional in response to outburst 1Gains understanding of
child's condition 2Duplication of NotesInform that a summary or
duplication can be made 1Mention data protection act and freedom of
information act 1A fee may be charged 1Can take up to 10 working
days 1Information can't be given about 3rd parties, if information
may harm patient or if in the public interest is in question
1
Ask if she would like to take she dissatisfaction further 1Asks
about her health 1Ask if she would like to discuss further social
support: respite care etc 1ClosureMark from patient for excellence
1Mark from examiner for excellence 1
.../20
Justice: Judgement involved in the determination of rights and
the assignment of rewards and punishments
Autonomy: Right to determine what happens to you.
Beneficence: The act of doing a kind deed.
Non-maleficence: not doing harm
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Task 2: Discuss HIV testing, counselling and testing
Introduction PointsIntroduces self and obtains consent 1Checks
patient details 1IntroductionUnderstand reasoning for getting test
1Confirm confidentiality 1Appreciates risky lifestyle 1Suggests
behaviour change as primary prevention 1Elicits social stressors
1Inquires about health 1Elicits recent change in energy and general
malaise 1HIV Testing Inform that it is a blood test and is 99%
accurate 1Can be negative and still infected if infected in the
last 3 months 1Discusses the difference between HIV and AIDS
1Confirms the medical advantages of knowing HIV status and
treatment options 1Who to tell about the test and the result
1Discusses partner notification issues 1Sensitive at all times
1ClosureAlleviates fears and offer further support 1Gains consent
1Mark from patient for excellence 1Mark from examiner for
excellence 1
.../20
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Task 3: Do not resusitate request. Talk about wanting this and
practicalities.
Introduction PointsIntroduces self and obtains consent 1Checks
patient details 1IntroductionUnderstands situation 2Inquires into
reasoning 1Inquiry into thoughts of family 1
Ask about current symptoms 1Agree DNR can be issued 1Express
that comfort will the primary treatment goal 1Issues
SurroundingInquire into affairs: Financial, family, friends
2Discuss setting for death: hospice, home, hospital 1Ask if the
patient would like anyone contacted 1Student tries to alleviate
fear of death 1Recommend that next of kin is made aware of DNR
1Sensitivity at all times 1Good body language 1ClosureConfirm this
will be added to his notes 1Mark from patient for excellence 1Mark
from examiner for excellence 1
.../20
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Task 4: Post-mortem: Requirement and process
Introduction PointsIntroduces self obtains consent 1Obtains
consentChecks patient details 1IntroductionUnderstanding of
surrounding of death 2Sensitive to grief 1Explain that a death
certificate can't be issued due to circumstances 1
Inform that their loved one has been taken to the morgue 1The
post-mortem will be done within the next 48 hours 1Explain that
examination of the organs will be done to find out cause of death
1The procurator fiscal will then issue death certificate 1Ask
whether it burial or cremation is desired 1Use of correct language
(doesn't go into too much detail about evisceration) 1Correct body
language 1Issues Surrounding CaseAsk about fears or worries
2ClosureQuestion: Situation which need referral to Procurator
Fiscal
Sudden, suspicious, accidental, unexpected, unexplained deaths
or important to public health
2
Mark from patient for excellence 1Mark from examiner for
excellence 1
.../20
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