Candidate card · Medicine
You are the doctorA patient refusing another trainee attempt
Setting: A procedure preparation discussion
The patient has had an unsuccessful sample attempt and requests a different practitioner. The fictional plan allows senior review of the next attempt.
Task
- Explore the concern behind this opening: I do not want the same person trying again. Am I allowed to say that?
- Clarify the patient perspective using an appropriate follow-up, such as: What was difficult about the previous attempt?
- Explain the supplied information and its limits in manageable sections.
- Explore practical barriers and agree a workable next step from the supplied options.
- Check the patient understanding and identify any unresolved question.
A patient refusing another trainee attempt supplied information
- The patient has had an unsuccessful sample attempt and requests a different practitioner. The fictional plan allows senior review of the next attempt.
- You can explain that you do not want another attempt by the same person. In this scenario, the next step is to ask the supervising clinician to discuss the options with you.
- I cannot promise the next attempt will be painless or successful. Agreement to the earlier attempt does not mean every further attempt is already agreed.
- We can describe the request accurately as a preference after a difficult experience. Before any further attempt, the clinician can explain the plan and check whether you agree.
- We will keep the procedure paused while the supervising clinician discusses the options with you. No further attempt has been agreed.
Fictional scenario information supplied for exam communication practice only; not medical guidance for real patients.