Download OSCEs at a Glance by Adrian Blundell PDF
By Adrian Blundell
Following the known, easy-to-use at a Glance layout, OSCEs at a Glance 2d version is either a revision consultant and a finished creation to goal established medical examinations for scientific students.
Fully revised to fit the present curriculum, and written with pupil suggestions and reports in brain, this full-colour textbook comprises fresh and comprehensively listed chapters which come with 32 new OSCE stations, masking certain parts of specialisation in addition to broader useful and verbal exchange abilities coated within the exams.
This new version of OSCEs at a Glance can also be supported via a significant other web site at www.ataglanceseries.com/osces containing downloadable OSCE checklists - ideal for checking out wisdom within the run-up to exams.
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Extra resources for OSCEs at a Glance
Example text
It is important to use this time wisely and structure your answer prior to entering the viva. Remember the essentials checklist (see Chapter 1). Where is communication assessed? g. g. g. improper, incompetent or sick) • Patient education • Issues around capacity and best interests decisions The emphasis on assessing medical students’ communication, attitudes and ethical awareness has increased dramatically in recent years, and with good reason. These components are easily assessed in the OSCE environment, where the stations are run in various formats: • An examiner guides the student through a structured viva, discussing a hypothetical situation that may involve ethical or attitudinal issues Further reading For many of the communication and ethics stations it is essential to know the medico-legal framework in which doctors work.
Published 2013 by John Wiley & Sons, Ltd. Station 23: Telephone information This is a common scenario on the ward. This station makes it clear that you have not met the patient’s relatives before. Hints and tips • Thank the nurse and ask her if it is possible to put the call through to the doctors’ office (remember the easiest way of breaching confidentiality is when conversations take place on the busy ward environment) • Introduce yourself • Establish the caller’s identity (if in any doubt a doctor should take the person’s number and call them back, after checking in the medical records) • Explain that it is not possible to give information over the telephone without the permission of the patient • If the relative mentions that she does not want information relaying to her father first, then discuss the principle that it is his right to know and make decisions as he has the capacity to do so (respect his autonomy) • Agree some form of plan: if Mr KJ is well enough to come to the phone, then invite him to speak to his daughter and with his permission information could then be given; if he is too unwell then state you will go and ask his permission and telephone her back, bearing in mind that you should only tell her what you have already discussed with him.
Hints and tips • Check for your own safety first • Attach defibrillator pads and turn on monitor, ventricular fibrillation is shown • Safely deliver one DC shock and recommence CPR immediately and continue for 2 minutes • While CPR is happening, secure airway, obtain IV access and consider and assess for reversible causes of cardiorespiratory arrest (if possible, you will delegate these tasks to suitable members of the team) • Give continuous chest compressions once airway secure • After 2 minutes, reassess rhythm – it is still showing VF • Give second DC shock and recommence CPR immediately and continue for 2 minutes • Repeat sequence and following 3rd shock give adrenaline 1 mg IV and amiodarone 300 mg IV while continuing further 2 minutes CPR • The patient starts to cough and shows signs of life.