OSCE – RTS

Question 1

What aspects must be covered in the introduction of an RTS consultation?

Answer 1

(1) Introduce + role

(2) Establish agenda, ‘how can I help today’? Obtain consent to discuss

Question 2

What aspects must be covered in the technical checklist of an RTS consultation?

Answer 2

• Who is it for?
• What symptoms?
  ø how severe?
  ø relieving/ aggravating factors?
  ø red flag/ key symptoms?
• How long?
• Can I see it?
  ø is a chaperone/ consultation room required
• Patient concerns/ questions
• Action taken already?
• Other medical conditions
• Medications
• Allergies - type/ severity
• OTC/ herbal/ vitamins?
• Creams/ patches/ ointments/ gels/ inhalers/ eye drops/ ear drops
• Check relevant lifestyle behaviours
• Clearly explain suspected diagnosis
• Offer treatment suggestions
  ø ask if patient has preferred formulation, e.g. tabs/ solution

Question 3

What aspects should be covered when providing information in an RTS consultation?

Answer 3

(1) Has this medication been taken before?
(2) Dosing + what to do if missed dose
(3) Common side effects
(4) Non-pharmacological + lifestyle advice

Question 4

What aspects should be covered when closing an RTS consultation?

Answer 4

• Summarise key points
  ø does what has been said make sense?
• Ask if any questions/ concerns
• Refer to PIL
• Safety net + refer
• Offers opportunity to come back