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OSCE Master List: Ethics and Communication Skills

Task 1: Duplication of notes request for a specialist down south.


Introduction

Points

Introduces self

Obtains consent

Checks patient details

Introduction
Listen to patient's concerns

Calm the patient down

Good body language

Inquires in reason for going down South

Professional in response to outburst

Gains understanding of child's condition

Duplication of Notes
Inform that a summary or duplication can be made

Mention data protection act and freedom of information act

A fee may be charged

Can take up to 10 working days

Information can't be given about 3rd parties, if information may harm patient or if in the
public interest is in question

Ask if she would like to take she dissatisfaction further

Asks about her health

Ask if she would like to discuss further social support: respite care etc

Closure
Mark from patient for excellence

Mark 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

OSCE Master List: Ethics and Communication Skills

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Task 2: Discuss HIV testing, counselling and testing


Introduction

Points

Introduces self and obtains consent

Checks patient details

Introduction
Understand reasoning for getting test

Confirm confidentiality

Appreciates risky lifestyle

Suggests behaviour change as primary prevention

Elicits social stressors

Inquires about health

Elicits recent change in energy and general malaise

HIV Testing
Inform that it is a blood test and is 99% accurate

Can be negative and still infected if infected in the last 3 months

Discusses the difference between HIV and AIDS

Confirms the medical advantages of knowing HIV status and treatment options

Who to tell about the test and the result

Discusses partner notification issues

Sensitive at all times

Closure
Alleviates fears and offer further support

Gains consent

Mark from patient for excellence

Mark from examiner for excellence

1
.../20

OSCE Master List: Ethics and Communication Skills

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Task 3: Do not resusitate request. Talk about wanting this and practicalities.
Introduction

Points

Introduces self and obtains consent

Checks patient details

Introduction
Understands situation

Inquires into reasoning

Inquiry into thoughts of family

Ask about current symptoms

Agree DNR can be issued

Express that comfort will the primary treatment goal

Issues Surrounding
Inquire into affairs: Financial, family, friends

Discuss setting for death: hospice, home, hospital

Ask if the patient would like anyone contacted

Student tries to alleviate fear of death

Recommend that next of kin is made aware of DNR

Sensitivity at all times

Good body language

Closure
Confirm this will be added to his notes

Mark from patient for excellence

Mark from examiner for excellence

1
.../20

OSCE Master List: Ethics and Communication Skills

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Task 4: Post-mortem: Requirement and process


Introduction
Introduces self obtains consent

Points
1

Obtains consent
Checks patient details

Introduction
Understanding of surrounding of death

Sensitive to grief

Explain that a death certificate can't be issued due to circumstances

Inform that their loved one has been taken to the morgue

The post-mortem will be done within the next 48 hours

Explain that examination of the organs will be done to find out cause of death

The procurator fiscal will then issue death certificate

Ask whether it burial or cremation is desired

Use of correct language (doesn't go into too much detail about evisceration)

Correct body language

Issues Surrounding Case


Ask about fears or worries

Closure
Question: Situation which need referral to Procurator Fiscal
Sudden, suspicious, accidental, unexpected, unexplained deaths or important to
public health

Mark from patient for excellence

Mark from examiner for excellence

1
.../20

OSCE Master List: Ethics and Communication Skills

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