🩺 Record Detail
Patient Info
Transcript
Doctor: Hi, good morning Samuel My name is Molly Milan I'm your invigilator for the OET speaking session on the 8th of April 2020 How are you doing? Patient: Hi. Good morning I'm good Thank you for asking How about you? Doctor: Well, I'm great Can you tell me your full name for the record, please? Patient: My full name is Samuel Fernandez Doctor: and what is your candidate number, please? Patient: My candidate number is 2 1 2 8 0 1 1 9 Doctor: Thank you. And you are taking this test as a doctor. Is that correct? Patient: Yes, correct Doctor: Thank you Can I see your ID, please? Patient: Sure Here it is. Doctor: The warm-up questions are not assessed and are a chance for us to get used to each other's voices We'll just talk for two to three minutes. All right What are the roles of a doctor? Patient: Doctors mainly restore the lives of their patients using medicines They examine the patients for any illness, review their medical history, diagnose the illness the patient has and give them treatment The doctor then educates the patient on their health and well-being They also collaborate with other doctors and health care workers to improve the quality and safety of patient care Doctor: What are the qualities that a doctor should pose as to be effective? Patient: An effective doctor should be empathetic and caring to save the lives of the patients professionally He or she should also be skilled in their field of specialization and use evidence intuition and method to ensure faster services to the patients Doctors should also keep their patients medical history private and not share it with anyone else unless they allow it Doctor: Describe your daily routine as a doctor Patient: I start my day by organizing all the workloads and undertaking patient consultations and physical examinations I then perform surgical procedures if needed and also lab tests for some patients After that, I offer general pre and post operative care to the patients and then monitor and administer medications Additionally, I assess other patients and plan their treatment requirements Doctor: What are the unique skills that differentiate you from other doctors? Patient: I care a lot about people's lives and I am always cautious and extra careful while treating them. I never treat a patient based on assumptions and then predict the medication. I always conduct lab tests on the patient to ensure the conditions they have after that predict the appropriate medications and ensure they take them accordingly Doctor: What kind of mindset and strategies is required for this role? Patient: A doctor needs to constantly research new medical advancements to ensure they give good and effective treatment He or she needs to be curious to know new trends in their field and implement them The doctor should also be compassionate and ensure to save as many lives as possible In addition to this, he or she should work together with colleagues to ensure they offer excellent treatment to their patients Doctor: Great Thank you very much for sharing that So let's move on to role play now I'll take the part of the patient or perhaps a relative and you'll take your professional role The purpose of the role play is to get evidence of your ability to communicate effectively with patients Use your ability to fulfill as much of the role play as possible Do you have any questions? Patient: No, you have up to three minutes to prepare the role play You will start the role play after that time I'll let you know when three minutes are up You can ask me if there is anything you are not sure about and you can make notes on the role play card if you want to Here's a pencil for making notes Doctor: Thank you. You can look at the card during the test, but you must return it to me at the end of the test Please start preparing now Patient: Thank you. Your preparation time is over You can now start your OAT speaking role play Don't worry if I stop you when the time is up. Doctor: Good morning. I am. Dr. Samuel Fernandez One of the doctors in the clinic Can I have your full name and age for the record, please? Patient: Good morning, doctor My name is Molly Milan and you can call me Molly. I am 76 years old Doctor: Alright, Molly What brings you here today? Patient: Doctor? I am having severe pain in my right hip. I Need your help to overcome this. Doctor: I'm sorry to hear that Can you please tell me in detail what exactly has happened Patient: yes, doctor I Have had pain in my right hip for years Recently the pain has become more intense and it is affecting my ability to perform everyday movements and tasks. Doctor: All right Did you try any remedies? Patient: Doctor I have recently started using a walking stick to maintain mobility. Doctor: All right Haven't you taken any treatment since the pain started? Patient: No, doctor. I Haven't taken any treatment so far. Doctor: I acknowledge that But Molly I would like to inform you that whenever you feel any abnormality It is always safe and better to be consulted at the right time. Patient: Sorry doctor Unfortunately, I didn't get consulted and Now I am worried about what exactly is the cause of my increased pain and likely treatment recommendations, Doctor: I Understand your situation Try not to worry For your better understanding I can explain the possible causes of your symptoms Molly there are various causes that can affect this including osteoarthritis, which is most likely to be affecting you Other causes can be bursitis tendinitis uneven referred pain in the back. Patient: Oh, I see Why is the pain getting worse doctor Doctor: your concern is quite reasonable There are several reasons for the worsening symptoms Most probably it can be due to the cause remaining untreated So gradually the condition worsened and is affecting you badly. Patient: Is this problem common? Doctor: Yes, Molly. It is a common problem Hip pain is quite common in people over 65 The most common cause is found to be due to arthritis Patient: What should be done to diagnose my problem doctor? Doctor: Your question is very appreciable Your condition can be diagnosed by physical examination first and thereafter X-ray can be performed to rule out the possibility of arthritis These two examinations are required for the diagnosis in the first stage. Patient: All right Doctor what treatment might follow afterwards Doctor: your thoughts are sensible Let's discuss the treatment options now Firstly you have to understand that the treatment actually depends on the diagnosis According to the condition the treatment method will vary For your better understanding if you are diagnosed with arthritis We will initiate weight loss techniques first along with modification of activity and habits For pain relief paracetamol and NSAIDs will be provided You also have to perform physiotherapy for better recovery. Patient: All right. I Understand that Doctor: Moreover, you will be referred for hip replacement surgery if these conservative treatments fail to show the progress. Patient: Oh, I see and Doctor what should happen now to my pain? Doctor: Definitely Molly. I will guide you through the current procedure Like we discussed now the initial step is to find out the reason behind your hip pain, okay? Therefore we can begin with the physical examination Afterwards for further diagnosis X-ray can be performed today You have to wait for the diagnosis report for the follow-up treatment since it is based on the confirmation of the diagnosis. Patient: I Only after the confirmation of the diagnosis Once the treatment has begun you will be monitored on a regular basis to evaluate the course of action and to make necessary Changes accordingly. Doctor: All right, doctor It is clear to me now Patient: good to hear that Well Molly now, I need your consent to proceed with the physical examination. Doctor: Sure doctor You may please proceed Patient: Thank you for your consent, that is the end of your OIT speaking roleplay all the best. Doctor: Thank you Thank you for watching Please like this video and encourage us Subscribe and stay tuned for more videos Kindly comment your suggestions and help us do better
Clinical Notes
Gastroenterology Consult
Patient Name: Molly Milan
Date of Visit: April 8, 2020
ID: 21280119
CC: Severe right hip pain.
HPI: Molly Milan is a 76-year-old female presenting to the clinic today for a consultation regarding severe pain in her right hip. She reports having had pain in her right hip for years, but recently the pain has become more intense, affecting her ability to perform everyday movements and tasks. She has not taken any treatment so far but has recently started using a walking stick to maintain mobility.
Symptoms:
- Musculoskeletal: Severe right hip pain affecting mobility.
Physical Exam: Pending
Past Medical History:
- Not provided.
Family History:
- Not provided.
Medications:
- None reported.
Investigations:
- Physical examination
- X-ray to rule out arthritis
Labwork:
- None performed at this time.
Musculoskeletal Symptoms:
- Hip Pain: Severe, chronic, affecting everyday movements and tasks.
Dietary History:
- Not provided.
Gastrointestinal Endoscopy Findings: Not applicable
Musculoskeletal Procedures:
- X-ray scheduled for today.
Endoscopic Biopsy Results: Not applicable
Imaging Studies:
- X-ray: Pending
Impression/Plan:
Diagnosis:
- Possible Osteoarthritis: Given the patient's age and symptoms, osteoarthritis is a likely cause of her hip pain.
Plan:
- Physical Examination: To assess the hip and determine the extent of the pain.
- X-ray: To rule out arthritis and other possible causes of hip pain.
- Conservative Treatment: If diagnosed with arthritis, initiate weight loss techniques, activity modification, and habits adjustment. For pain relief, paracetamol and NSAIDs will be provided. Physiotherapy will be recommended for better recovery.
- Surgical Referral: Consideration for hip replacement surgery if conservative treatments fail to show progress.
- Follow-up: Regular monitoring to evaluate the course of action and make necessary changes accordingly.
Note: This report is based on the information provided in the transcript. Further investigations and evaluations are necessary to establish a definitive diagnosis and treatment plan.