Interview structure

Question 1

Roleplay structure

Answer 1

SPIKES

Setting - prepare the environment, private, quiet place to talk, ensure patient’s family support system is in place
Perception - Ask what they know about the condition and their expectations and preparation for bad news
Invitation - Ask how much info they want before proceeding and respect their autonomy
Knowledge - Warning shot of bad news, use small simple chunks of language and check for comprehension
Emotions - Anticipate and prepare for emotional reactions and respond with empathy, acknowledge their emotions
Strategy and Summary - develop a future plan, including treatment plans and referrals. Arrange a follow up meeting

Question 2

STARR framework

Answer 2

Situation - Briefly describe the contact and background of the scenario
Task - explain your role and what the challenge or problem was
Action - specific steps made
Result - describe the outcome of actions
Reflection - discuss what I learnt from it

Question 3

Ethical scenario framework

Answer 3

identify the issue
gather info
apply 4 medical pillars
identify stakeholders
explore options
pick the best option
outline practical steps

Question 4

Roleplay scenario

Answer 4

Ask family history and chronic conditions, ask about past issues like this before, any repeat medications?

SOCRATES:
Site where is the pain
Onset how has it developed and when
Character what is the pain like
Radiation does it spread elsewhere
Associated symptoms - anything else concerning it
Time how has it developed overtime
Exacerbate anything that makes it better or worse
Severity how bad is the symptom