Recurrent implantation failure — shared decision-making and adjunct counselling station

Station brief

Format. Communication and shared decision-making station, approximately 12 minutes. You are the reproductive medicine registrar. The assessor plays the patient; a second examiner scores. You have the cycle history and the list of adjuncts she has brought.^[1]

Candidate instruction. Conduct the consultation: acknowledge the emotional and financial cost first, define her situation by the ESHRE cumulative-chance model, complete the evidence-based workup, and counsel her on each adjunct using the ESHRE traffic light and the best trial evidence. Verbalise your reasoning and your checks.^[1][2]