Location: You are an FY1 doctor in General Practice
Patient: Mrs Summer, a 45 year old lady, has come to clinic with breast pain and you have been asked to perform a breast examination
– Perform a breast examination
– After 6 minutes you will be asked a series of questions by the examiner.
– Answer any questions that the patient may have
Note to actor:Try to restrain yourself from volunteering too much information – you may do so when prompted (that is, by a specific question, not a general one). If a student is on the wrong line of clinical reasoning do not fuel this line of thinking, state no to the question as being ambiguous may prompt further questioning and does not allow the student to be appropriately tested. The aim of the exercise is to take a focused history; short answers are required.
You are Mrs Summer, a 45 year old, who’s had breast pain in both breasts for the last few months. You’ve come into clinic and the GP has asked his colleague to perform a breast examination. You are happy to be examined and you do not have any questions.
If the candidate appears to have finished early remind them how long is left at the station and enquire if there is anything else they would like to ask, or whether they have finished. If they have finished, please remain silent and allow the candidate that time for reflection.