Mock examiner feedback from the mock conducted on 21/06/2024
General Feedback
Overall Performance
The flow of the conversation was commendable.
Data gathering was thorough and complete.
The patient interaction was empathetic and supportive.
Specific Areas of Improvement
Ending the Consultation
When to End
Recognize when the conversation has reached a natural end.
Provide the patient with reading material for further understanding.
Arrange for follow-up reading material and consultations before seeing a specialist.
Safety Netting
Importance
Critical in urgent referral cases, particularly for cancer diagnoses.
Emphasize the urgency and importance of attending specialist appointments.
Reassure the patient about the importance of follow-ups and provide clear instructions if appointments are missed or delayed.
Incorporation
Mention the availability of urgent referrals and the need to return if an appointment isn’t set up promptly.
Ensure the patient understands the significance of attending specialist appointments and the steps to take if complications arise.
Management and Follow-Up
Communication
Clearly communicate the next steps and treatment options without overwhelming the patient with unnecessary details.
Reassure the patient about the presence of specialists and support systems.
Follow-Up Appointments
Schedule follow-up appointments to monitor the patient’s progress.
Maintain communication to understand the patient’s experience and provide continuous support.
Information and Support
Patient Education
Use specific medical terms like "osteosarcoma" to avoid confusion and ensure clarity.
Offer pamphlets and leaflets to help the patient understand the diagnosis and next steps.
Support Groups
Mention support groups like Macmillan Cancer Support for emotional and psychological support.
Ensure the patient is aware of the resources available for their holistic care.
Interaction and Empathy
Patient Engagement
Always ask about the patient’s current state and feelings.
Give the patient time to express their concerns and respond empathetically.
Avoiding Repetition
Avoid dwelling too long on certain parts of the conversation, such as the invitation to have someone present.
Move on smoothly once the patient’s preference is known.
Breaking the News
Timing and Delivery
Follow the SPIKES protocol: Set up, Perception, Invitation, Knowledge, Empathy, and Summary.
Ensure the patient is prepared before delivering bad news.
Additional Points
Always provide complete information regarding the diagnosis, including specific medical terms.
Encourage patients to inform their family using the exact diagnosis for clarity.
Maintain a balance between providing necessary information and not overwhelming the patient with excessive details.
Conclusion
Continue to practice delivering bad news with empathy and clarity.
Focus on ending consultations appropriately, safety netting, and ensuring the patient feels supported throughout the process.
Use feedback to improve specific areas and maintain the high standards demonstrated in data gathering and patient interaction.
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