Completing a death certificate


Hints and Tips for the Exam


This is a very commonly tested finals OSCE station. Note that you will probably be required to fill out death certificates for at least two separate clinical scenarios in a 5-minute OSCE station, so you should practise pacing yourself accordingly in your study groups.


You are unlikely to get much practice at this task during any of your clinical attachments, so the best way to practise is by photocopying blank death certificates and setting each other example scenarios to complete within 5 minutes. Another option is to find out whether it would be possible for you to visit the bereavement office at your teaching hospital and spend a couple of hours going through some clinical histories and corresponding death certificates. In addition, you should memorise the criteria for referral to the coroner and the conditions that must be fulfilled before you can complete a death certificate.


Listed below are three example OSCE scenarios to get you started:



1. Mrs Winters is a 95-year-old lady who was admitted 7 days ago with a complete anterior circulation infarct. She deteriorated after admission and developed an aspiration pneumonia 2 days ago. Escherichia coli was isolated from a sputum sample. She was treated with antibiotics but subsequently went into cardiac arrest and was not resuscitated as she had a DNAR order. She had not been in good health for the previous 2 years and had a history of diabetes and Alzheimer’s disease.

  • 1A: Aspiration pneumonia caused by E. coli
  • 1B: Complete anterior circulation territory cerebrovascular accident (not stroke)
  • 1C: [BLANK]
  • 2: Diabetes mellitus, Alzheimer’s disease

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May 17, 2017 | Posted by in GENERAL & FAMILY MEDICINE | Comments Off on Completing a death certificate

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