Candidate card · Medicine
You are the doctorA bereaved relative seeking an explanation
Setting: A planned family meeting
A bereaved relative requests an explanation of a fictional hospital admission. The service has confirmed that this relative may receive the agreed record summary. The clinician can discuss that summary and arrange unanswered questions for the responsible team.
Task
- Explore the concern behind this opening: Everyone uses careful words, but nobody tells me why things happened so quickly.
- Clarify the patient perspective using an appropriate follow-up, such as: Which question would you most like us to start with?
- 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 bereaved relative seeking an explanation supplied information
- A bereaved relative requests an explanation of a fictional hospital admission. The service has confirmed that this relative may receive the agreed record summary. The clinician can discuss that summary and arrange unanswered questions for the responsible team.
- The agreed summary records an unexpected deterioration, an urgent ward-team assessment and a transfer to higher-level care. It does not explain the underlying cause or establish whether earlier recognition would have changed the outcome. Those questions need the responsible team.
- I should not fill gaps with speculation, assign blame or claim that the record can explain every part of your experience.
- With the appropriate permission for sharing information, the team can discuss who should join a further meeting and whether an agreed written summary is available.
- The family liaison contact on the card can coordinate outstanding questions and a further meeting with the responsible team.
Fictional scenario information supplied for exam communication practice only; not medical guidance for real patients.