Candidate card · Medicine
You are the doctorA patient asking for an immediate second opinion
Setting: A treatment-options consultation
The patient remains uncertain about a proposed intervention. The fictional service can explain a second-opinion route and any timing questions must be reviewed by the treating team.
Task
- Explore the concern behind this opening: If I ask another doctor, will you stop looking after me?
- Clarify the patient perspective using an appropriate follow-up, such as: What makes asking for another opinion difficult for you?
- 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 asking for an immediate second opinion supplied information
- The patient remains uncertain about a proposed intervention. The fictional service can explain a second-opinion route and any timing questions must be reviewed by the treating team.
- We can go through the reasons in the supplied plan and discuss the service's second-opinion route. Asking for clarification does not need to be treated as a personal criticism.
- I cannot promise a different recommendation, a particular clinician or a timescale for that opinion.
- We can record your outstanding questions and ask the treating team to explain how much decision time is available in this case. We should not invent a safe delay.
- Confirm the second-opinion process with the coordinator and clarify timing with the treating team before changing the planned schedule.
Fictional scenario information supplied for exam communication practice only; not medical guidance for real patients.