Wednesday, June 04, 2008

Things future doctors do in their mock OSCE

Station:
Mr X is a 53 year old asthmatic who came in to your GP. (followed by other patient details etc)

1. In 2 minutes, take the patient's history and try to elicit the severity of his asthma.
2. Measure the patient's peak flow.
3. Educate the patient on the use of an asthma medication.

Comments from tutors:
1. Use of medical jargon. (eg asking the patient things like, "How's your respiration?", "..inhale, exhale, peak expiratory flow etc"
2. Question: There is a glass of water here. What do you think it's for?
Correct answer: To rinse the mouth after using the inhaler, ie get rid of corticosteroids etc
Some of the answers given by students:
a) "Oh, if the patient feels thirsty ar, after the peak flow test and medication taking, he can drink it lor."
b) "If you don't know whether the inhaler medication is empty, you can put it into the water and see whether it floats or sinks."

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