OSCE -DOmains-EXAM REPORTS-ACEM
1. DOMAINS donation
HEALTH ADVOCACY: x
-Uses an appropriate screening
tool to detect for hidden health
problems (specify tool relevant to
that OSCE scenario)
-Provides understandable instruc-
tions for the patient on discharge,
including the likely progression of
their clinical course and reasons
to return for review.
-DAMA avoidance, explains Rx ra-
tionale
-
-Cultural competence- --> Use
com- munication strategies
(culturally relevant e.g Aboriginal,
-Incorporates belief system & val-
ues in making MX plan e.g
Jehova's witness
-Identifies common public health
issues relevant to indigenous
-Patient centred family centred
-Public health- e.g. communicable
disease, notification
-Explain treatment choices but
don't rely on the patient to make
decisions, provide a recommenda-
tions
-End-of-life care--> Explain ratio-
nale , Extra supports, e.g.
religious priest, explore organ
1/
17
, OSCE -DOmains-EXAM REPORTS-ACEM
LEADERSHIP: -Outline the additional processes
to op- timise improvements in
1) ClINICAL SUPERVISION: patient care
-Similar to teaching QUALITY MANAGEMENT
-Highlight priorities in ongoing
Manage- ment.
-Rectify errors/suboptimal Rx plan,
-Arrange a meeting later to discuss
(de- pends on specifics)
SITUATIONAL AWARENESS
MASS CASUALTY Incidents
-Set up a control area to manage
the disaster
-Adapt infection control
procedures to successfully
manage disasters
-Adopt infection control in disaster
PATIENT COMPLAINTS
-Listen respectfully to the
immediate complaint
-Acknowledge the concerns of the
com- plaint.
-Use advanced communication
tech- niques to defuse the
anger/anxiety in the patient or
relative.
-Use open disclosure principles to
gain the trust of the patient or
relative.
-Outline the immediate
management plan to resolve the
complaint.
2/
17
, OSCE -DOmains-EXAM REPORTS-ACEM
Vulnerable patients --->Child,
refugee, dying patien M&M, Quality cycle, policy-
making,Pa- tient safety
Provides strategies to improve
patient safety to a given scenario
2. Key Leadership and laborate with inpatient services
Management Criteria:
Clinical Supervision:
Establishing the Competence Lev-
el of a Clinician:Check the junior
clinician's current knowledge and
experience.Establish rapport and
make the learner feel safe.
Communication Style for Junior
Clinicians:Use appropriate, sup-
portive communication tailored to
the clinician's level.Ensure
transfer of information using
closed-loop communication.
Ensuring Appropriate Knowl-
edge:Provide necessary knowl-
edge and detail specific to the pa-
tient's needs.Double-check junior
clinician's understanding and
recti- fy suboptimal treatment
plans.
Patient Flow and Departmental
Workload:
Situational
Awareness:Understand care
levels in the ED and allocate staff
accordingly.Modify decisions in
response to changing ED envi-
ronments (e.g., patient surges).
Mass Casualty Incidents:Activate
hospital resources for patient
surges and disaster protocols.Col-
3/
17
1. DOMAINS donation
HEALTH ADVOCACY: x
-Uses an appropriate screening
tool to detect for hidden health
problems (specify tool relevant to
that OSCE scenario)
-Provides understandable instruc-
tions for the patient on discharge,
including the likely progression of
their clinical course and reasons
to return for review.
-DAMA avoidance, explains Rx ra-
tionale
-
-Cultural competence- --> Use
com- munication strategies
(culturally relevant e.g Aboriginal,
-Incorporates belief system & val-
ues in making MX plan e.g
Jehova's witness
-Identifies common public health
issues relevant to indigenous
-Patient centred family centred
-Public health- e.g. communicable
disease, notification
-Explain treatment choices but
don't rely on the patient to make
decisions, provide a recommenda-
tions
-End-of-life care--> Explain ratio-
nale , Extra supports, e.g.
religious priest, explore organ
1/
17
, OSCE -DOmains-EXAM REPORTS-ACEM
LEADERSHIP: -Outline the additional processes
to op- timise improvements in
1) ClINICAL SUPERVISION: patient care
-Similar to teaching QUALITY MANAGEMENT
-Highlight priorities in ongoing
Manage- ment.
-Rectify errors/suboptimal Rx plan,
-Arrange a meeting later to discuss
(de- pends on specifics)
SITUATIONAL AWARENESS
MASS CASUALTY Incidents
-Set up a control area to manage
the disaster
-Adapt infection control
procedures to successfully
manage disasters
-Adopt infection control in disaster
PATIENT COMPLAINTS
-Listen respectfully to the
immediate complaint
-Acknowledge the concerns of the
com- plaint.
-Use advanced communication
tech- niques to defuse the
anger/anxiety in the patient or
relative.
-Use open disclosure principles to
gain the trust of the patient or
relative.
-Outline the immediate
management plan to resolve the
complaint.
2/
17
, OSCE -DOmains-EXAM REPORTS-ACEM
Vulnerable patients --->Child,
refugee, dying patien M&M, Quality cycle, policy-
making,Pa- tient safety
Provides strategies to improve
patient safety to a given scenario
2. Key Leadership and laborate with inpatient services
Management Criteria:
Clinical Supervision:
Establishing the Competence Lev-
el of a Clinician:Check the junior
clinician's current knowledge and
experience.Establish rapport and
make the learner feel safe.
Communication Style for Junior
Clinicians:Use appropriate, sup-
portive communication tailored to
the clinician's level.Ensure
transfer of information using
closed-loop communication.
Ensuring Appropriate Knowl-
edge:Provide necessary knowl-
edge and detail specific to the pa-
tient's needs.Double-check junior
clinician's understanding and
recti- fy suboptimal treatment
plans.
Patient Flow and Departmental
Workload:
Situational
Awareness:Understand care
levels in the ED and allocate staff
accordingly.Modify decisions in
response to changing ED envi-
ronments (e.g., patient surges).
Mass Casualty Incidents:Activate
hospital resources for patient
surges and disaster protocols.Col-
3/
17
