Location: Foundation doctor, outpatient clinic. You have been asked by your consultant to perform a full cardiovascular examination.
Patient: 78 year old presenting to out patient clinic
Task: – Examine this patients cardiovascular system – Talk through your examination whilst examining, stating any key positives and negatives – After 6 minutes you will be asked a series of questions by the examiner
Note to actor:Try to restrain yourself from volunteering to 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 a 78 year old patient who has attended out patient clinic. You are happy to be examined by the junior doctor.
Abnormal findings: irregularly irregular pulse, HR 92. No other abnormal findings
BP = 125/70
At 6 minuets the candidate will be asked some questions by the examiner.