PROFESSOR VERIFIED
1. 1. Introduction [06/05/25]: 1) Read the setting: if you're in the hospital you
introduce yourself but if you are a GP, you don't.
- Hello I am Hee Jung Yang, your doctor [in the hosptial, a new patient] / I'm one of
doctors on duty today.
[A1] Hello, I am your doctor today
I'm Dr Sachin Jindal, one of the GPs at the clinic. Yeah, I'm not sure, have we met
before?
- Hello or Good morning (Hi is informal for Laura)
[A1] Hello, Jim. I'm glad [!!!] to see you again => Maro doesn't like it.
2) Assume that you don't know background information except for the obvious
things (e.g test result). If the patient expects you to know the reason, I wouldn't ask
these questions
- [best - by Gavin] How can I help you [if you don't know the reason of your visit] -
What brings you here to see me? or So, what brought you here today [D2]?
- OK, now so why have you come to see us today?
- What seems to be the problem [if the roleplay card says "problem"]? - Can you
tell me why you've come here - How do you feel?
- How do you feel today = How are you feeling today
3) If the patient expects you to know the reason (Don't ask too many questions. You
already know patient's condition)
,- blood test result: you are here for your blood test, aren't you?
- You are here regarding your test result, aren't you?
- You are here to have your stitch removed, aren't you (lowering tone) or is that
correct
- You are speaking to a patient who underwent a colonoscopy last week and has
returned for the results [This situation is likely to be non-urgent and suggests you
have met the patient before]
"Hi Dawn, thanks for coming back for your results today. How have you been this
last week?"
4) You are speaking to the parent of a 3-year-old admitted an hour ago with
breathing difficulties.
[This situation is likely to have caused anxiety for the mother and you are unlikely
to have met him/her before]
"Hello Steph, my name's Greeta, I'm one of the nurses who's been caring for your
daughter. I've come to give you an update but also to find out some more
background information from you. Is that OK?
2. Warm-up session
1) How long have you been a doctor for?
2) Why have you decided to become a doctor
3) What makes a good doctor?: 1) I've been a doctor for x years
I'm still a student in my final year
[contarction = sound's more nature]
I just graduated from my university this month. so I have been a doctor for less than
a month.
2) I have been interested in biology and psychiatry and have always wanted to
help people.
3) I think good communication skill and medical knowledge are important. Both
are very important however I often see many doctors who have good medical
knowledge without communication skills. Many doctors use very difficult medical
terms and sometimes they are also lacking empathy toward patients. Personally, I
would like to be a doctor who have both abilities.
,3. During 3 minutes of preperation time: Write down the questions and plan
how to start and conclude the dialogue [e.g You can pick up your prescription at the
receptor]
4. 2. Asking questions: *Plan 2-3 questions beforehand by turning provided
information into questions
e.g Could you tell me a little bit more about the condition/treatment?
[C1] I'm going to ask some questions to find out more about it, is okay for you?
Would you mind if I ask you some questions to understand your situation better?
May I ask a few questions to understand what you are experiencing?
*To get a better understanding of what you are experiencing, I need to ask more
questions about your sexual history. I know it is a delicate matter, but I need to
ask more questions about your relationship with your daughter. Would that be all
right?
[A2] If you don't mind, could you tell me exactly what happened at the moment? I
know it is a difficult/sensitive topic, but I need to ask more questions about it. Is that
okay? Has the pain back pain affected your sexual activity?
5. 3. Empathy [17/04/25]: [D1!!!!!!!] I'm sorry to hear that but there is a solution
to every problem
[D1!!!!!!!!] I see....It sounds horrible. I'm sorry to hear that. It must be difficult.
[A4] You must have been really scared at that moment. I'm glad to hear that at least
you didn't hurt yourself at the accident.
That must be uncomfortable
I see. All right
That's great because you are doing something for your stress
I can understand it is a concern for you
Oh, that would be hard
6. 4. [15/04/25] Always check understanding/opinion of patient: 1) Whenever
after explaining something
- Does that make sense (tone)?
- Is that clear (so far)? or Is it clear for you?
- v Would you like me to repeat anything?
- v Are you following me?
- Do you understand so far?
, - Do you have any questions? [make the patient talk as much as possible] - Are
there any questions so far?
- Do you want me to clarify it more?
- Do you want me to continue? [breaking bad news]
2) after suggesting something
- How does that sound? => after explaining positive things (DO NOT USE IT AFTER
EXPLAINING CHEMOTHERAPY)!!!!!!!
- Is that all right?
- Are you happy with that?
- Do you think you can do that? [after advising] - How do you feel about that?
- [E3] Just to check that I've been clear, can you tell me what our plan is?
- [me] Considering you are in the range of high risk, I recommend that you should
start taking lipid-lowering medication. How does that sound? - Do you think your
family would be supportive of that?
3) Before starting the explanation
- Are there any other concerns you would like to discuss? Is there anything else I
can help you?
- Do you know what types of risks you can have when you have increased
cholesterol?
- [E1] How much do you know about PTSD is?
Have you ever considered seeing a psychiatrist?
- [B2] You look worried/stressed. Are you worrying about something? What is your
concern?
7. 5. Provide structure [13/05]
- How much history to take
- How much information to provide,
- When to change the subject,
- When to end the consultation: [When you want to finish] Is anything else you
would like to speak about today? Bye for now
[Example] Laura, can I use the same structure for every role play like going with
intro then history which is going to be questioned then provisional diagnosis and