CSA scenarios with REAL CSA actors AsclosetotheCSAexamaspossible
Bookyourplaceonthecoursefor350
4 CSA Cases with 4 different CSA actors for less than 400
Individualised feedback from course facilitators & CSA actors on your performance
QUICKREFERENCE: ExplainingDiagnosestothepatient
ByNazmul&MuhammedAkunjee
QUICKPOINTERS
Ensureyouhavetheclinicalknowledgebeforeattemptingtoexplainit
o o Whilst patient do respect that doctors do not know everything, they do expect them to know and be able toexplaincommonmedicalproblems HavingpastyourAKTexamsyourmedicalknowledgewillbeatanoptimumleveltotackletheCSAexams
Whenexplainingcreateanenvironmentthatpermitstwowaydialogandisbidirectional
o o Whatyouintendtoexplainwillhavebeenbuiltuponwhatthedoctorandpatienthavealreadydiscussed Permitthepatienttointerjectifnecessarywhenexplainingsothatitisaninteractiveprocess
Signposttothepatientthatyouwishtoofferanexplanationoftheirsymptoms
o ThiscansavevaluabletimeinyourCSAexamaswellasownconsultationsespeciallyifthepatientalready knowsabouttheirconditionanddoesnotwishyoutorepeattheexplanation
Checkthepatientscurrentlevelofunderstandingabouttheircondition
o Thispermitsyoutocheckwhattheyalreadyknowandseeiftheirunderstandingneedscorrecting
Ensureyourexplanationhasclarity
o o Attempttoofferclear&unambiguousexplanations.Keepsentencesshortandsimplewhereverpossible Considerusingeasilyrememberableanalogiesthatthepatientcanrelateto
2 FOR TWO COURSE HALF DAY MINI-CSA EXAM WITH 8 CSA CASES EACH ROLE-PLAYED BY MRCGP TRAINED CSA ACTORS. FOR ONLY 500
Contact us: [email protected] visit us www.csaprep.co.uk CSA course cases ideas concerns and expectations - CSA prep 2011
CSA scenarios with REAL CSA actors AsclosetotheCSAexamaspossible
Bookyourplaceonthecoursefor350
4 CSA Cases with 4 different CSA actors for less than 400
Individualised feedback from course facilitators & CSA actors on your performance o Do home work, using the internet or patient leaflets to look at ways to explain in simple terms common medical problems i.e. diabetes, hypertension, stroke, hypercholesterolaemia. Test these explanations on youreverydaypatientsinyourclinicsbeforeusingtheminyourexams Practisingsayingthesesexplanationwillmakeyourexplanationsappearnaturalandlessstuttered
Avoidmedicaljargonwherepossible
o o o o Use simple vocabulary that is likely to be understood by the recipient. Spend time of thinking of ways to explainconditionswithouttheuseofmedicalterminologiesorjargon. The patients trust in their doctor may be shaken if their doctor appears to lack confidence in what they aresayingoriftheyareleftconfusedbutwhattheyarehearing Tailor your explanation to your patient. Avoid offering over simplistic explanations to an educated patientasthiscanbereceivedasbeingcondescending.Theoppositealsoapplies Patientleafletsorwww.patient.co.ukareagoodresourceforexplanationsthatlackmedicaljargon
Pacetheamountofinformationwhengivingyourexplanation
o o Appropriatepausesareusefultobreakyourexplanationintoretainableanddigestiblechunks Patientswillfeeltheyhaveanopportunitytointerruptiftheyareunclearaboutthings
Weavesomeoftheinformationofferedbythepatientinyourownexplanation
o o Incorporate as well as acknowledge the patients own understandings when giving your explanation, You arerightwhenyouthoughtthatspicyfoodscanmakeindigestionworse Weave this information into your explanation even if it is incorrect. This demonstrates that you are listening.Iknowyousaidthatyouwereworried thatyourchestpainwascaused byaheartattackasyou had watched it on TV, but I can reassure you that is more likely to be caused by a muscle strain. This is because Trytoquotethesamevocabularythepatienthasusedintheirhistorywherepossibleinyourexplanation
Checkunderstandingafteryouhavegivenyourexplanation
o Patientswillnotvolunteerthattheyhavenotunderstoodsomething.Theymayhowevershownonverbal cuessuchasafrown.Offerthepatientanopportunitytorevisittheexplanation
2 FOR TWO COURSE HALF DAY MINI-CSA EXAM WITH 8 CSA CASES EACH ROLE-PLAYED BY MRCGP TRAINED CSA ACTORS. FOR ONLY 500
Contact us: [email protected] visit us www.csaprep.co.uk CSA course cases ideas concerns and expectations - CSA prep 2011
CSA scenarios with REAL CSA actors AsclosetotheCSAexamaspossible
Bookyourplaceonthecoursefor350
4 CSA Cases with 4 different CSA actors for less than 400
Individualised feedback from course facilitators & CSA actors on your performance o Never attribute lack of understanding to the patient as it can appear rude and condescending Is there anythingyouhavenotunderstood?Attributealackofunderstandingtoyourpoorattemptatexplaining
Usediagramsorofferleafletsifappropriate
o o Occasionallyusingdiagramsordrawingsareusefulwaytoexplainthings Consider offering practice leaflets to patients. However, do summarise to patient its content rather than justgivingoneforthesakeofit
SIGNPOSTING
Doyouwantmetoexplainwhatdiabetesis? FromwhatyouhavesaidtomeandafterexaminingyouIthinkyouhavecellulitis. Doyouwantmetogothroughthiswithyou?
CHECKLEVELOFUNDERSTANDING
TellmewhatdoyoualreadyknowaboutCOPD? Haveyoureadorheardanythingaboutitbefore? Whatdoesdiabetesmeantoyou?
WEAVETHEPATIENTSOWNWORDSINYOUREXPLANATION
Theroomspinningaroundthatyoudescribedisbecauseyouhave Iamalittleworriedwhenyousaiditfeelslikeahammerhittingyourhead.Ithink itcouldbe Howhasitaffectedyourhomelife?Howarethingsathome? Hasyoursymptomsaffectedyourrelationship?
2 FOR TWO COURSE HALF DAY MINI-CSA EXAM WITH 8 CSA CASES EACH ROLE-PLAYED BY MRCGP TRAINED CSA ACTORS. FOR ONLY 500
Contact us: [email protected] visit us www.csaprep.co.uk CSA course cases ideas concerns and expectations - CSA prep 2011
CSA scenarios with REAL CSA actors AsclosetotheCSAexamaspossible
Bookyourplaceonthecoursefor350
4 CSA Cases with 4 different CSA actors for less than 400
Individualised feedback from course facilitators & CSA actors on your performance
CHECKUNDERSTANDING
I am really sorry but I am worried that I have confused you. Is there anything you wantmetogothroughagain? IsthereanythingIhavesaidthatIcouldhavemademoreclear? Iamsensingthatyouarestillworriedaboutsomething?AmIright?
2 FOR TWO COURSE HALF DAY MINI-CSA EXAM WITH 8 CSA CASES EACH ROLE-PLAYED BY MRCGP TRAINED CSA ACTORS. FOR ONLY 500
Contact us: [email protected] visit us www.csaprep.co.uk CSA course cases ideas concerns and expectations - CSA prep 2011
