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OSCEExpress Session10 NidhiAgarwal(FY1) Meet the Team Nidhi Agarwal Sumedh Sridhar SaraSabur NikitaChoudhary Shaili Kadambande OSCE Express Co-Founder5OSCE Express and FY1 Doctor FY1 Doctor FY1 Doctor OsceAce Co-founder LNRTrust LON Trust LNRTrust Holly Garcia BethanyTurner Nevash Maraj VanessaDatta FatimaAhmedi FY1 Doctor FY1 Doctor FY1 Doctor FY1 Doctor FY1 Doctor LNRTrust SYTrust NWTrust LNRTrust LNRTrustCourseOverview OSCE Express 1. 11 session guide to common OSCE finals stations 2. Delivered by Foundation Year 1 Doctors 3. Peer-Reviewed Cases + Video Guides provided to all participants (published on MedAll, osceace.com) 4. Preparation for OSCEs… 5. …And also preparation to be a safe FY1Disclaimer This course has been designed to help final year students with practical OSCE exams and is an unofficial resource that covers themes present in the University of Leicester Final OSCEs. We have nonetheless made this course as applicable to other final year OSCEs as possible, but there may be discrepancies in your University’s expectations. OSCE Express sessions are peer-reviewed by junior doctors, but we take no responsibility in the accuracy of the content, and additionally our sessions do not represent medical advice. Please use our sessions as a learning aid, and if you note any errors, do not hesitate to message us at osce.express@gmail.com Kind regards, Dr Nidhi AgarwalFY1 Sumedh SridharYr5 MedicalStudent OSCEExpressco-creatorsInToday’sSession… 01 02 Ethicsand Professionalism Q&A+recap PartII 01 Ethicsand Professionalism Layoutofthestation - 0-8 minutes 01 - Consultation with simulator - A conversation testing any of the Ethicsand ethical issues according to GMC GMP Professionalism - 8-10 minutes 02 - Questions from the examinerMarkingschemeCriteriaforexcellenceExampleThemes ➢ Confidentiality (The Caldicott Principles, Gillick Competence and Frazer guidelines) ➢ Consent and mental Capacity (4 principles of capacity) ➢ Duty of candour (medical error whilst prescribing, equipment left inside patient during surgery) ➢ Safeguarding (child abuse, domestic violence, vulnerable adult, DoLS) ➢ Conflict of interest (financial, providing care to people you know) ➢ Raising and Acting on Concerns (Datix, colleague not contributing enough at work / late, freedom to speak up guardianExamplescenariosinvolving colleagues 1. Anything that would put patient safety, confidentiality, or right to know at risk. Any recommendation that is biased/off-licence/demonstrates a conflict of interest 2. Any scenario where a colleague is: a. not pulling their weight b. mistreating colleagues c. Breaking doctor-patient relationship guidelines d. Accepting gifts from colleagues/patients/pharma which influences their workExamplescenario You are a FY1 doctor working in your first medical job. There is another FY1 colleague working on the same ward with your team. You have noticed for some time now that they are often late for ward round, and often leave early. Hence they end up not doing their fair share of work. A few times you have been the last one left to leave your ward because you end up needing to pick up on your FY1 colleague’s unfinished tasks. You did not want to upset your colleague by bringing this up, but recently a lot of speciality referrals on the ward were missed and this came to your consultant’s attention. They then confronted you thinking it was your responsibility to action this and not your colleague’s. No patient suffered serious physical harm. You decide to speak to your colleague.Approach 1. Establish rapport, set the scene 2. Begin with open question 3. Openly, calmly explains the situation leading to the meeting 4. Listen to colleague’s POV 5. Explain what has made the situation a problem for you 6. Extract colleague’s situation leading to the problems at work 7. Empathically offer lines of support 8. Explain the need for current working situation to change 9. Negotiate a plan of action 10. Draw out any further concerns from colleague 11. Check they are in agreementExamplequestions 1. Explain what means of support are available to your colleague experiencing personal hardship? a. Educational/clinical supervisor 2. Explain what means of support are available to you given the scenario events? a. Education/clinical supervisor b. Exception reporting c. FTSU guardian/datix 3. Give some suggestions on how junior doctors can be supported to prevent such incidents? a. Regular meetings and check-in with supervisors b. Anonymous forums to provide impartial advice 02 RecapandQ&ATopTips 1. Practise little and often with friends/study groups! 2. Create your own cases for each other 3. Review the mark schemes + theory 4. Practise with a timer 5. Keep an ear out for simulator cues 6. Many many online OSCE resources 7. Devise a strategy for each station’s 2 minutes reading time 8. Core to communication stations is: ICE, Empathy, motivational interviewing Feedback OSCE Express resources will be released sequentially over the next 2-3 weeksQuestions? Thanks ! Follow us for updates @osce.express Cases: osceace.com/osceexpress Please don't hesitate to contact the team at n.agarwal@nhs.net or osce.express@gmail.com forany questionsregardingfinals