UKMLA CPSA Do No Attempt Cardiopulmonary resuscitation (DNACPR) Discussion - Communication OSCE

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[@mondwoolley]

Again the actor is INCREDIBLE!!! BAFTA-award winning stuff

[@gwenllianroberts5857]

In real life, Wouldn’t you stop at the point that he didn’t know his cancer had spread and surgery wasn’t an option. Because he then had two very heavy blows/discussions. He might have needed time to process the news of spread, and then a DNACPR discussion later when the extent of his cancer had sunk in a bit more ??

[@AM-gc2wu]

Yes, this sounded rushed and a bit unempathetic without warning signals

[@titaniamoonbeam]

the way she broke the news to him that the cancer had spread was pretty bad in my opinion..

[@quesmedqbank]

Thank you for your feedback. Yes, in real life you would not expect to have two discussions in one go. One important learning point from this scenario is that sometimes you go into a consultation expecting the patient having a certain perspective only to encounter a very different one once the conversation begins.

[@drdrdrdrkoalus]

love her accent as well as the tone and the rhythm of the speech

[@user-bp4mu1vu7o]

i thought this was quite a harsh discussion. despite it being important to be clear it was still harsh.

[@sandrar.n.233]

yes felt like this was very harsh

[@philippah6488]

Me too the doctor seemed so cold

[@gcwcooper7538]

No offer of a nurse or if he wants a family member/wife present for this discussion? What are the chances of him remembering all this stuff in real-life or being able to communicate what was said back to them after hearing this news?

[@MOSTIprince94]

This is a fair comment. Seems like this is 2 stations in 1: breaking bad news + DNACPR discussion. I’d take the first part with a pinch of salt as others in the comments have noticed the ‘SPIKES’ structure has been ignored entirely. I’d be cautious about breaking bad news in the format presented by this video, but the DNACPR bit is good.

[@dridmedicaltutorial331]

Any need talking about other components of advanced care planning--AD, LPA, place of preferred death?

[@medicmandan2554]

very helpful, thank you!

[@quesmedqbank]

Glad it was helpful!

[@amrdorra7816]

For me In real life , I will never say to a dying patient expressions such as “I’m happy” or “I’m glad”

[@bandaragkpk]

Why is the tone of talking is so technical. Surely there should be a better way of breaking bad news. I have seen this in real life too. Lack of true empathy is difficult to ignore.

[@m.merganee9399]

Superb .... really useful

[@quesmedqbank]

Thanks for the comment!

[@Nadx7]

It was informative, but the doctor was lacking empathy and sympathy and was simply commanding, I believe that if i acted based on this video i would pass the station but will definitely get 0 marks in interpersonal skills

[@meramahmoud8072]

Yes definitely. It felt rushed and did not feel like there was any emotion to it.. The actor patient however made me tear up at one point lol. This felt too much and too blunt.

[@waynechen6253]

The acting patient was excellent. The doctor on the other hand... I really didn't feel any empathy from her at all...

[@MuhammadAli-ok8fc]

where is other patient ....

[@thomism1016]

Very matter of fact, wholly and entirely lacking in any iota of empathy or even ‘common sense’ at what is likely the worst time of the patients life ☹️😂😤😱😡

[@ebereosiegbu9068]

This is Depressing and doesn't seem patient centred.

[@gc31]

?

[@drmohammadmahmoud]

I liked it, however, the actor does not show (empathy) needed to meet the requirement of an exam :D

[@manoolabdo376]

Is she a sociopath?

[@dydx8585]

This is a good OSCE scenario but really pretty terrible when it comes to dealing with a real person. It’s better to discuss what a patient is aiming for and giving them time to digest all information about their health before they have the DNA CPR decision. An entire treatment escalation plan should be in place, of which the DNA CPR is only a small part. If this guy were to be a real patient, he’s clearly far too overwhelmed to give a proper answer.

[@ecekara7728]

words and centences are helpfull, but no emotıons at all. I would not want to be the patient in this conversation.

[@maryamabeelhamed9623]

I felt bad for the man. The doctor had no empathy, zero IPS

[@uzmachaudhary9783]

example of bad consultation!!

[@philippah6488]

The doctor is incredibly cold lol…

[@mysha3327]

No empathy at all

[@d8457]

No empathy or sympathy towards the patient 😢