GP Vivas · core-skills
Consent, capacity, and confidentiality - structured viva
Structured oral on consent, capacity and confidentiality: four-ability assessment, Gillick competence, emergency necessity, SPIKES, and confidentiality exceptions.
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Study tools
Target exams
RACGP CCEFRACGP oralsMRCGP SCA
Prompt
The examiner opens: A patient refuses life-saving treatment. Can you override them? The viva branches through capacity, consent types, confidentiality and difficult conversations.
Stem
You are the GP. A competent patient refuses a life-saving transfusion. [2]
References2ShowHide
- [1]Baile WF, Buckman R, Lenzi R, et al. SPIKES-A six-step protocol for delivering bad news Oncologist, 2000.PMID 10964998
- [2]Moskop JC Informed consent and refusal of treatment: challenges for emergency physicians Emerg Med Clin North Am, 2006.PMID 16877132