AAAAA
Forum Fanatic
Topics: 156
Posts: 1,991
|
1. checks reason why wife does not want
husband told about cancer.
----|-----------------------------------------------------------
2. states that patient will know something
is wrong.
----|-----------------------------------------------------------
3. states that patient may ask about
diagnosis.
----|-----------------------------------------------------------
4. states that when patients eventually
find out they lose trust in doctor and
family.
----|-----------------------------------------------------------
5. states that physician must tell the
truth/cannot lie, and/or that physician
is primarily responsible to the patient.
----|-----------------------------------------------------------
6. states that patient may want to put
affairs in order or do things knowing he
has a limited time left.
----|-----------------------------------------------------------
7. states that patient should have
information about his own health/has a
right to know.
----|-----------------------------------------------------------
8. states that IF NOT ASKED, physician will
not provide more information than
patient expresses a desire to know or
can handle emotionally.
----|-----------------------------------------------------------
9. States that IF ASKED directly, physician
will tell patient.
----|-----------------------------------------------------------
10. refuses to promise not to tell.
___________________
seeking study partner in USMLE, Canadian MCC OSCE examination
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| AAAAA
Forum Fanatic
Topics: 156
Posts: 1,991
|
Station Name: Pancreatic Cancer
Issue:
Truth Telling
Presenting Situation:
Gwen Jones does not want her husband (Lloyd) to know about his diagnosis of pancreatic cancer. The cancer is inoperable and Mr. Jones is terminally ill.
Activities:
Patient encounter.
Time Required:
10 minutes
This station was developed by Dr. Peter A. Singer (Centre for Bioethics and Department of Medicine, University of Toronto), and Anja Robb (Department of Family and Community Medicine, University of Toronto. It is part of the Ethics OSCE Project which is funded by Educating Future Physicians for Ontario (EFPO). There is an accompanying videotape. This material can be used for teaching or evaluation. It is not copyrighted and may be freely reproduced for educational purposes.
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Instructions to Candidate:
You are about to see Gwen Jones, the wife of a man who has been diagnosed as having pancreatic cancer. It is inoperable and he is terminally ill. The patient is still in hospital. Both the wife (who is currently completing her PhD) and the patient's father (who is a medical doctor) do not want you to tell the patient his diagnosis or the fact that he is dying.
You are a doctor on the surgical team looking after Mr. Jones. Please talk to Mrs. Jones about her request.
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CHECKLIST ITEMS:
^^^^^^^^^^^^^^^^
YES NO The Candidate:
1. checks reason why wife does not want
husband told about cancer.
----|-----------------------------------------------------------
2. states that patient will know something
is wrong.
----|-----------------------------------------------------------
3. states that patient may ask about
diagnosis.
----|-----------------------------------------------------------
4. states that when patients eventually
find out they lose trust in doctor and
family.
----|-----------------------------------------------------------
5. states that physician must tell the
truth/cannot lie, and/or that physician
is primarily responsible to the patient.
----|-----------------------------------------------------------
6. states that patient may want to put
affairs in order or do things knowing he
has a limited time left.
----|-----------------------------------------------------------
7. states that patient should have
information about his own health/has a
right to know.
----|-----------------------------------------------------------
8. states that IF NOT ASKED, physician will
not provide more information than
patient expresses a desire to know or
can handle emotionally.
----|-----------------------------------------------------------
9. States that IF ASKED directly, physician
will tell patient.
----|-----------------------------------------------------------
10. refuses to promise not to tell.
----|------------------------------------------------------------
=================================================================
RATE FROM 1-5:
+------------------------------------------------------------+
| | | | VERY | |
| POOR | FAIR | GOOD | GOOD | EXCELLENT |
| 1 | 2 | 3 | 4 | 5 |
+------------------------------------------------------------+
1. How would you rate the candidate's communication skills?
1 2 3 4 5
2. How would you rate the candidate's ability to address the
ethical issue in this case?
1 2 3 4 5
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
___________________
seeking study partner in USMLE, Canadian MCC OSCE examination
|
| amirhossein
Forum Guru
Topics: 57
Posts: 858
|
This is something quite similar to one of my Step2 Q.
Interesting issue, it was about feeding same patient when he refuses to eat, what is next?
Thanks AAAAA, Where I can find it for downloading and instructions?
___________________
All human wisdom is summed up in two words: wait and hope
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