Hints and Tips for the Exam
This is a relatively straightforward station. The vast majority of candidates will be able to explain asthma and inhaler technique to a patient, and most will be able to give basic information about dosing regimens and the side effects of medication. However, you will be expected to explore and address any specific concerns the patient has in order to secure a good score in this station. The key concepts that you should demonstrate in this station relate to the following:
- Good communication skills:
- Do not overlook the importance of using phrases to demonstrate empathy at the start of the consultation because asthma is potentially a lifelong condition and can be particularly frustrating if it limits participation in sports or employment.
- Remember to ‘chunk and check’. Check the patient’s prior knowledge, provide information at an appropriate pace and check the patient’s understanding afterwards. Ensure that you demonstrate inhaler use and check the patient’s technique during the consultation.
- In addition to the basics, the actor-patient is likely to have a specific agenda. Concerns about the side effects of steroids are quite common in OSCEs. This will only be revealed if the candidate specifically enquires about the patient’s concerns. Candidates who explore the actor-patient’s agenda are likely to be considered for a merit/distinction.
- Do not overlook the importance of using phrases to demonstrate empathy at the start of the consultation because asthma is potentially a lifelong condition and can be particularly frustrating if it limits participation in sports or employment.
- Safety netting:
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