[vc_row row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” oblique_section=”no” text_align=”left” css_animation=””][vc_column][ultimate_heading main_heading=”Candidate brief” main_heading_color=”#000000″ sub_heading_color=”#000000″ main_heading_style=”font-weight:bold;” main_heading_font_size=”desktop:36px;” margin_design_tab_text=””]

“This patient has recently been discovered to have metastatic pancreatic cancer. ┬áPlease explain the news to the patient and address his concerns.”

[/ultimate_heading][vc_empty_space image_repeat=”no-repeat”][vc_video link=”https://vimeo.com/151306317″][vc_empty_space image_repeat=”no-repeat”][vc_row_inner row_type=”row” type=”full_width” use_row_as_full_screen_section_slide=”no” text_align=”left” css_animation=””][vc_column_inner width=”1/6″][no_counter type=”zero” box=”no” position=”center” underline_digit=”no” separator=”yes” digit=”5″ title=”Minutes” text=”Time to prepare before station begins”][/vc_column_inner][vc_column_inner width=”1/6″][no_counter type=”zero” box=”no” position=”center” separator=”yes” digit=”20″ title=”Minutes” text=”Time for this station”][/vc_column_inner][vc_column_inner width=”1/6″][no_counter type=”zero” position=”center” separator=”yes” digit=”14″ title=”Minutes” text=”Time to talk to your patient”][/vc_column_inner][vc_column_inner width=”1/6″][no_counter type=”zero” position=”center” separator=”yes” digit=”1″ title=”Minutes” text=”Pause for reflection”][/vc_column_inner][vc_column_inner width=”1/6″][no_counter type=”zero” position=”center” separator=”yes” digit=”5″ title=”Minutes” text=”Time for discussion and questions with examiners”][/vc_column_inner][vc_column_inner width=”1/6″][/vc_column_inner][/vc_row_inner][vc_empty_space image_repeat=”no-repeat”][/vc_column][/vc_row][vc_row row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” oblique_section=”no” text_align=”left” css_animation=””][vc_column][vc_accordion style=”accordion”][vc_accordion_tab title=”Discussion”][vc_column_text]The doctor has made sure they have provided their name and confirmed the name of the patient and his age. It is important to work out what the patient understands about what has happened and what they think has occurred as when you give the diagnosis, you are better placed to give it in a way that the patient understands. Notice how the doctor does not use a lot of technical terms, medical jargon. So instead of an endoscopy it is a camera test. Instead of serology and biochemistry, it is blood tests.

Note how before saying it was cancer, the doctor said it was serious to prepare the patient. Then, the doctor has used simple language of saying it is cancer and that it had spread. The doctor then stops and allows the patient to take this information in.

Note how the doctor has not gone into a lot of detail about how the pancreatic cancer spreads. Instead, knowing that the patient is in a state of shock, the doctor reassures the patient that he will have ample opportunity to ask questions. You do not have to give all the information in one go, but piecemeal as the patient can handle it.

It is unlikely that you will know the exact prognosis of all the different cancers and so you should not pretend you do. The doctor repeats that the oncologist would be able to provide more accurate information. But the doctor does not pretend to know more information that might then be incorrect. You are able to give some information. Metastatic pancreatic cancer is not yet curable and is a terminal diagnosis. However, there are chemotherapy regimes that can be use to slow the progression and symptom control with radiotherapy. As this is something you will be expected to know, this is information you can give.

It is acceptable to say you are not qualified if you are not. Some candidates think they are required to know all the information, which is not possible. If you do not know the answer, then say so, do not pretend and make stuff up. The doctor makes sure there are no further questions he has for now that the doctor is able to answer, and that he has understood everything that has been explained thus far. It is important to ensure that the patient knows he will see the consultant and be provided with written information. This is a key point as otherwise you have given him information most of which, in his shocked state, he will not remember much of.[/vc_column_text][/vc_accordion_tab][/vc_accordion][/vc_column][/vc_row]