Chronic disease self-management OSCE — adolescent adherence and motivational interviewing

Candidate brief

You are the paediatric registrar in the adolescent diabetes clinic. Liam is 16 and has had type 1 diabetes for five years. He has been admitted twice in six months with diabetic ketoacidosis. His HbA1c has risen. His pump download shows wide gaps in bolus insulin. He and his mother both say he takes everything. You have 12 minutes. ^{[1] [4]}