Communication station

Important part of the exam and candidate must pass (preferably)--is the communication station

Remember that you must show empathy and discuss the meeting with primary team


Suggested interview structure:

Introduction
Introduce yourself and staff members
Determine names and relationships of family members or surgeon
Explain why you are meeting (state the goal of the meeting)

Gather information
Ask what the family members know about the medical situation
Ask what they have been told by others
Ask what thy think about the future prospects
Ask about the patient's function, values, fears and wishes
Ask who feel they best represent the patient
Ensure all the important decision makers are present (or involved)

Give information
Explain the current medical situation
Explain the expected prognosis
Explain any planned interventions/investigations
Explain what you think the future progression will be
Take care to use clear, non-medical language
Avoid ambiguity wherever possible

Check understanding
Check that everyone understands what you have just told them

Agree a plan
Ensure you have clear outcomes from the meeting i.e. ou have 'negotioted to a conclusion'
Confirm everyone understands and agree with the plan

Plan for next meeting
If a clear and final outcome has not been agreed, it is important to plan for another meeting before the family leaves

6 steps to effective end-of-life communication:

-Explain
-Explore
-Options
-Advise
-Agree
-Communicate