ANSWERS LATEST UPDATE EXAM . . .
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1. Introduction [06/05/20] - correct answer 1) Read the setting: if you're in
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the hospital you introduce yourself but if you are a GP, you don't.
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- Hello I am Hee Jung Yang, your doctor [in the hosptial, a new patient] /
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I'm one of doctors on duty today.
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[A1] Hello, I am your doctor today
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I'm Dr Sachin Jindal, one of the GPs at the clinic. Yeah, I'm not sure, have
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we met before?
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- Hello or Good morning (Hi is informal for Laura)
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[A1] Hello, Jim. I'm glad [!!!] to see you again => Maro doesn't like it.
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2) Assume that you don't know background information except for the
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obvious things (e.g test result). If the patient expects you to know the
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reason, I wouldn't ask these questions
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- [best - by Gavin] How can I help you [if you don't know the reason of your
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visit] . ..
- What brings you here to see me? or So, what brought you here today
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[D2]? . ...
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- OK, now so why have you come to see us today?
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- What seems to be the problem [if the roleplay card says "problem"]?
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- Can you tell me why you've come here - How do you feel?
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,- How do you feel today = How are you feeling today
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3) If the patient expects you to know the reason (Don't ask too many
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questions. You already know patient's condition)
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- blood test result: you are here for your blood test, aren't you?
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- You are here regarding your test result, aren't you?
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- You are here to have your stitch removed, aren't you (lowering tone) or is
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that correct
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- You are speaking to a patient who underwent a colonoscopy last week
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and has returned for the results [This situation is likely to be nonurgent
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and suggests you have met the patient before]
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"Hi Dawn, thanks for coming back for your results today. How have you
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been this last week?"
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4) You are speaking to the parent of a 3-year-old admitted an hour ago
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with breathing difficulties.
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[This situation is likely to have caused anxiety for the mother and you are
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unlikely to have met hi
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Warm-up session . ..
1) How long have you been a doctor for? . . . . . . . ..
2) Why have you decided to become a doctor . . . . . . . ..
3) What makes a good doctor? - correct answer 1) I've been a doctor for x
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years . ..
I'm still a student in my final year
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[contarction = sound's more nature] . . . . ..
,I just graduated from my university this month. so I have been a doctor for
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less than a month.
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2) I have been interested in biology and psychiatry and have always
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wanted to help people.
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3) I think good communication skill and medical knowledge are
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important. Both are very important however I often see many doctors
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who have good medical knowledge without communication skills. Many
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doctors use very difficult medical terms and sometimes they are also
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lacking empathy toward patients. Personally, I would like to be a doctor
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who have both abilities.
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During 3 minutes of preperation time - correct answer Write down the
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questions and plan how to start and conclude the dialogue [e.g You can
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pick up your prescription at the receptor]
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2. Asking questions - correct answer *Plan 2-3 questions beforehand . . . . . . . .
by turning provided information into questions
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e.g Could you tell me a little bit more about the condition/treatment?
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[C1] I'm going to ask some questions to find out more about it, is okay for
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you? Would you mind if I ask you some questions to understand your
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situation better? May I ask a few questions to understand what you are
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experiencing?
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*To get a better understanding of what you are experiencing, I need to ask
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more questions about your sexual history. I know it is a delicate matter,
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but I need to ask more questions about your relationship with your
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daughter. Would that be all right?
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, [A2] If you don't mind, could you tell me exactly what happened at the
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moment? I know it is a difficult/sensitive topic, but I need to ask more
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questions about it. Is that okay? Has the pain‐ back pain affected your
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sexual activity?
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3. Empathy [17/04/20] - correct answer [D1!!!!!!!] I'm sorry to hear . . . . . . . . .
that but there is a solution to every problem
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[D1!!!!!!!!] I see....It sounds horrible. I'm sorry to hear that. It must be . . . . . . . . . . . .
difficult.
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[A4] You must have been really scared at that moment. I'm glad to hear
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that at least you didn't hurt yourself at the accident.
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That must be uncomfortable . . . ..
I see. All right
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That's great because you are doing something for your stress
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I can understand it is a concern for you
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Oh, that would be hard . . . . ..
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4. [15/04/20] Always check understanding/opinion of patient - correct
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answer 1) Whenever after explaining something - Does that make
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sense (tone)?
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- Is that clear (so far)? or Is it clear for you?
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- v Would you like me to repeat anything?
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- v Are you following me?
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- Do you understand so far? . . . . ..
- Do you have any questions? [make the patient talk as much as possible] -
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. Are there any questions so far?
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