UKMLA CPSA PLAB Breaking Bad News - OSCE Guide

[@dr.arsalanjaved]

Give that man a Oscar, He truly deserves it

[@blahaj3336]

Absolutely! He nailed it

[@DaRyteJuan]

The actress playing the doctor is just as good too. She even throws on a Scottish accent.

[@mosesayodele7551]

Absolutely agree

[@pppmeen125]

Feels a bit strange that the Doctor would say "I'm happy to discuss your results" seems like the exact opposite of a warning shot.

[@greenviper7716]

Are you okay to talk about your test results? This one should be perfect

[@gamehengeful]

Well, she's British, that's how they phrase things

[@zalanjan]

agree

[@tangofoxtrot40]

It’s a British thing

[@Aaron-cc7yq]

How is this gentleman not in movies!? Performance of a generation!

[@DaRyteJuan]

Plus he’s so good at doing that English accent!

[@Os-lo1cj]

The actor is way too good 😭

[@romz5330]

I feel the doctor could have shown much more empathy in her tone of voice and facial expressions

[@zainabibrahim2040]

Exactly what i was thinking

[@Y16Y17]

Doctor should have shown more sympathy and functional pauses. That what we have learned.

[@eliasali9383]

indeed.

[@m.merganee9399]

She is acting normally as in real life...I think she did well I want to know the name of this actor he is amazing 👏 actor made you feel like doing real meeting.

[@tatienouorest3358]

I’m a doctor, not an actor. You want me to cry too?

[@meghalshah3143]

the actor is so good that watching him made me cry. firstly in the angry patient, i felt afraid and now i am feeling sad. such a good actor he is.. 😅 expecting more videos with him.

[@quesmedqbank]

Thanks for the comment! He is a great actor!

[@julianbruce7595]

fake empathy is the worst. it totally turns me off to the entire process. the way she handled it seem much more realistic.

[@usmanmushtaq5310]

that gave me Goosebumps cuz of how sad and emotional this situation is. to be honest, my day would have been destroyed consulting a patient like this

[@dplj4428]

Doctors are human. Do we forget because we’re in a clinical environment and do not remember they aren’t a god, and definitely not infallible? We both might try to avoid or sugarcoat a pill like this situation. It’s scary. Reminding: we have the right to quiz our doctor, our medical co-pilot. Reminding: no one is infallible and doctors witness pain and confusing situations every day, and treatments might be unique per person.

[@niyasahamed700]

The role player is really good.

[@rayblade6383]

The patient is even better.... she seemed pretty cold hearted IMHO lol

[@rayblade6383]

Sorry I just realized you meant the role player i.e patient :)

[@amstarksten2247]

@@rayblade6383 she was very proffesional, not cold hearted

[@MrMegasayf]

He is such a great actor, I literally cried with him :(

[@quesmedqbank]

He really is!

[@zensurgery2755]

She would have shown empathy and offered tissue paper when he cried

[@mentenegro6872]

This gentleman deserves to work for GMC of ECFMG as a simulator for OSCEs.

[@lukwagonicholas1305]

Good work, thanks everyone involved in making this possible.

[@JuvenileLeech]

I think silence is very useful. This is a short video to show what should be done and they didn't have time to pause - also this is for an OSCE which is not the greatest way to test bedside competency imo. I feel like if my doctors give me time to process and think, I like them a lot more! It's natural to feel awkward when telling someone they don't have a lot longer to live and to fill that awkwardness with talking. But silence can be very powerful and the patient will fill it by expressing things that they wouldn't have otherwise.

[@faririzvi1056]

Doctor is like that she is running late and has to tick all the boxes...no sympathy

[@socratessocratilis2846]

Studying this as i prepare for plab 2 next week. My mum had a similar diagnosis a week ago. Absolutely devastating.

[@dianapereira2979]

Great role play, really helpful! I would have liked a summary of the steps on one page at the end of the video

[@quesmedqbank]

Thanks for your comment and the feedback!

[@DrVaruntyagi]

How can we even use the word- “happy”? The patient is definitely not gonna be happy!

[@ameerali8713]

Amazing job, huge respect to both of you. The Gentleman is a subperb actor.

[@quesmedqbank]

Thanks for the comment!

[@Tan-ns2hr]

Why on earth would she say "it's very early in your journey" It just confuses the patient, considering his cancer has actually spread. The actor was amazing, but this was a poor breaking bad news station from the doctor

[@Smashbones178]

Fantastic actors!!Love it..Brilliant

[@lucyjones1623]

this guy is an incredible actor, it felt so real

[@quesmedqbank]

he really is!

[@sabaqayyum2008]

I would ve cried along if he was my patient

[@namrabaig2936]

He is too good. I cried 😢

[@wendyiphieokora4]

The actor is just too good. The doctor was pretty cold except towards the end.

[@tanvihegde4165]

I started crying. this man is such a good actor!!!

[@nadiyanoreen9614]

this man oh my GOD! PLEASE someone take him in a movie

[@Dr.Rosun17]

Omg! He is such a great actor. It felt real.

[@abdulkadirokeji4812]

beautiful presentation

[@hurmatullah2083]

Man this patient was making me cry too

[@zensurgery2755]

Actor deserve a award.

[@dplj4428]

Back passage, alternative to #2

[@tahirhasam286]

An excellent stuff to go through while approach to this sort of cases

[@quesmedqbank]

Thanks for your comment!

[@horizon7871]

The doctor wasn’t seemingly good for the amount of his great and excellent acting

[@adithyanagendran4623]

amazing role player ! acts like he is in a movie!

[@quesmedqbank]

He really is! Thanks for the comment!

[@premkiran4502]

the sympathy is not enough

[@sizzyhawk8699]

My God, the doctor’s giving me anxiety !

[@veekyabaks]

Is that a real patient or an actor? he's so in character. awesome!!

[@asemharoun418]

He is a good actor

[@alaskabarbiegirl]

Cold doctor like a mechanic

[@khotai5775]

i stopped the video to say that actor is brilliant, i almost cried

[@SC-hi6tp]

YESS YALL BETTER ACT MAMAAAAA GET YOUR OSCARRR

[@Lala47362]

I'm only a 3rd year so we don't do these stations yet, but my question is how do you do this without crying??!! I'm already tearing up just watching this video 😢

[@Royal-mq4rf]

Immediately give the man oscar

[@zalanjan]

what an actor - Amazing

[@Mr.Pheonix_CEP]

Imo since this a coaching video I think the Dr did not show adequate empathy. 2ndly she was in a hurry to break the bad news especially after she mentioned that she got bad news. She should have given the man some few more minutes before the actually bad news and few minutes afterwards the actual bad news. She did not check the man's understandimg of what is 'bowel cancer ' The emotional state of the man may not have warranted to continue progressive engagements such that it may require another visit with a significant support person to talk about the way forward in a way he and or the partner will comprehend better

[@gulsaquib961]

Happy to give you the results !!! are you happy to talk about them !!! are you happy for me to tell you the next steps , well does he look happy ?

[@MubarakModibbo]

ok i know doc was just following a format but the tone & line of questioning at the beginning seems awfully misleading to me, given what the way the conversation was going to

[@ElegantAttire.]

The role player is so good…wow

[@quesmedqbank]

He really is! Thanks for your comment!

[@mylessimmons4037]

Could you possibly do a capacity history pls

[@quesmedqbank]

Great idea!

[@eiphyo8089]

he is such a great actor.

[@quesmedqbank]

He really is!

[@yannicktin6999]

Really helpful...thanks

[@quesmedqbank]

Glad to hear that!

[@abdullahmt2624]

That was very beneficial thank you

[@quesmedqbank]

You're welcome! Glad it was beneficial.

[@salmajama9431]

I didn't understand of ( iam happy to answer your questions???) Happy about what?

[@hagersamir8259]

I have the same inquiry

[@anuragvkumar4031]

Excellent presentation

[@quesmedqbank]

Glad it was helpful!

[@derickantwi9849]

The best surrogate ever.

[@DaRyteJuan]

I had my annual physical recently and after my doctor’s office got back the results, they said _“she wants you to come back to go over the results.”_ I feel totally fine though and last year they just told me to take 2,000 IU of Vitamin D. So now I’m like, _“WTF is this all about?!”_ So now I’m watching all these videos in case the doctor wants to deliver me some ‘bad news.’ I’ll be ready. My doctor won’t see me sobbing like this poor old bird. Might as well make it easy on the practitioner. I would just need enough time to get my affairs in order, then wait for the inevitable.

[@AlinaJawad-b8u]

I guess she has shocked the patient without any warning !

[@adakuotosi1536]

Ha! She threw the cancer diagnosis at him so fast without empathy at all...😮

[@Kubranur-g7b]

More empathetic videos, please. We do not want to watch this lady without any interpersonal skills. She just says words which are definitely scripted!!!! The actor is already amazing

[@aliusamaasif]

On our side ppl can meet with dr on same day an here 2 weeks

[@indolilyindomitablelily7306]

The patient acted much better than the doctor 😊😊😊. She should have shown more empathy and be silent for a little time after saying the diagnosis to let the patient process the bad news.

[@pinkmuffin_357]

I really love the role player

[@quesmedqbank]

He's great! Thanks for your comment!

[@sudiptodas0001]

How did you people get Michael Caine for this video! 😅

[@dinayounis7380]

he mad me cry!!!!

[@ramyasambathkumar2489]

What’s the nurse she mentioned.?

[@quesmedqbank]

www.macmillan.org.uk Macmillan Cancer Nurses

[@quratulainsaghir4902]

What is the name of this actor? He is extremely good and needs recognition!

[@samiwekifwabantu4018]

The doctor is good I wouldn’t have kept a straight face

[@vahidmohamadi5884]

Wowwww it is unfortunate. that man could have been easily an legand in Hollywood if he had the chance😂😂.

[@dumindasamarawickrama3795]

Nicely done

[@quesmedqbank]

Thanks!

[@ceelomarco]

The dr is moving too fast…giving too much information…no empathy

[@amaani1036]

These are made for OSCE exams, you get around 7mins per station and this is a possible scenario. So the process of breaking bad news has to be time-efficient with all relevant information given to the patient while showing whatever empathy possible in 7mins, then once the station is done its onto the next (even if you feel emotionally annihilated)! Of course in real life you would spend more time to create more space for the patient to process the news and emotions.

[@Meowmeowhere1]

The actor should be a star

[@manikandansrt]

Two weeks is fast?

[@dplj4428]

It’s too early in diagnosis to state eol.

[@EveWheeler-rx2dd]

Who else is here because they have health anxiety and have convinced themselves they have every serious disease under the sun

[@dianacorreia1454]

Role player is excellent

[@quesmedqbank]

He really is! Thanks for your comment

[@Ghajahha]

My issue is that I laugh at awkward situations as a coping mechanisms

[@AmritKc-ez8hw]

Superb

[@AbN-mq3se]

Love the actor bless him. Is he a doctor?

[@fozjun21]

''Happy to give you the results?'' really? When you know it isn't good news. I would never say that before a bad news. Better to skip this and tell him would you like someone else to be with you while we discuss the scans results as I am afraid.............

[@m.merganee9399]

I want to know the name of this actor he is amazing 👏 actor made you feel like doing real meeting.

[@helen4235-s2e]

seriously The doctor doesn’t deliver the news well , this man is very good at acting even I on my phone show empathy but that doctor was so cold I don’t think she is a good guide for OSCE training

[@rebenrebwar974]

Perfect

[@samo2853]

What .. nurses??

[@ayaelkady6861]

Macmillan nurse

[@KomalSehar]

Offer the maj a tissue please

[@dr.fk003]

Can anyone give me his details?

[@setarehsat9147]

Professionally speaking, the doctor should not show more empathy? she is not trying to comfort the patient, offering a napkin or a glass of water? At least, that´s what is said to be done. Anyway, great video, thanks a lot

[@mahrousayman6426]

The doctor come across as a very cold blooded. Allow that nice excellent actor a break 😅😅

[@hsrtknt]

great

[@gamilabdelgawad9310]

Fantastic patient simulator Rude emotionless doctor simulation

[@momentous_cuts]

IPS could have been better. She barely used words like "I'm so sorry" "I understand". Felt a bit robotic

[@shimazayat3257]

💫💫💫

[@asooorlan2751]

Give him tissue ,

[@Drsays]

Really a bad communication! She said I m happy to share results!! Unbelievable! You are going to break bad news!!! Patient is in agnoy and she keeps talking

[@quratulainsaghir4902]

This dr has zero empathy. I would never go to such person for a consultation.

[@newnew4172]

she speaks terrible actually no empathy no emotion ... bam bam bam

[@antitrokov1356]

That's not Antarctica 🐧, but America. That looks like a scam.

[@leiliigh5472]

She doesn’t have any expression!

[@DaRyteJuan]

The only problem I see with some of these training videos is that they keep making it seem like getting diagnosed with cancer is a death sentence or that otherwise the situation is hopeless. I mean, by the time someone has gotten to the age of this bloke, the idea of getting diagnosed with cancer should have already crossed his mind. He didn’t think he was going to live forever, did he? When you get diagnosed with a bacterial infection, the doctor just says, “Here’s some antibiotics … blah, blah, blah.” And off you go. But these are all the loss-leader treatments. The medical industry keeps us healthy until we come down with something serious which kicks a whole bunch of professions into high gear and keeps the medical industry turning. At least he’ll get the chance to say ‘goodbye’ to everyone he loves before the Final Hour.

[@riskybiscuit4442]

The professional isn’t very empathetic 🥹