Shared-care planning OSCE — multi-level co-management and loop closure

Station A — Fragmented multi-level discharge (10 minutes)

Setup. Actor parent of a 7-year-old with medical complexity after ward admission. Five specialties, unsorted letters, mother only coordinator. Child currently stable. ^{[9] [1]}

Tasks for candidate

1. Assess the shared-care network and identify failing domains. ^[8]
2. Explain why parent-courier care is unsafe without blaming the family. ^[1]
3. Co-create a shared-care plan with named owners and emergency thresholds. ^{[7] [9]}
4. State concrete loop-closure actions before discharge. ^{[6] [2]}

Expected performance

• Names primary/secondary/tertiary teams and outstanding loops. ^[8]
• Defines shared care versus one-way referral. ^[2]
• Writes owners, review date, thresholds; reconciles medicines/devices. ^{[7] [9]}
• Arranges timed medical-home/coordinator follow-up and specialty feedback routes. ^[6]
• Uses plain language and teach-back; offers support without dumping unpaid labour. ^{[9] [7]}

Critical fails

• Delays ABCDE if instability appears. ^[13]
• Blames mother as the problem. ^[1]
• Gives only “see your GP sometime” with no owners. ^[8]