Psych CASC / OSCE · Professional practice
Breaking the news of a dementia diagnosis — CASC communication station
MRCPsych/FRANZCP-style station: break the news of a dementia diagnosis using SPIKES, manage emotion and the spouse dynamic, address driving honestly, and close with a checkable plan.
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Station brief
Format. Communication station, approximately 7 minutes after reading time. You are the psychiatry registrar. Both the patient and his wife are in the room.[1]
Candidate instructions. Break the news of the diagnosis clearly and kindly, in a structured way; respond to emotion without blocking it; address the driving question honestly; agree next steps; check understanding before the bell. Do not lecture; do not collude with "just stress"; do not recite foreign legal section numbers — state that driving notification duties exist and you will check the local requirements with him.[1][2]
References5ShowHide
- [1]Baile WF, Buckman R, Lenzi R, et al. SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer Oncologist, 2000.PMID 10964998
- [2]Kurtz S, Silverman J, Benson J, et al. Marrying content and process in clinical method teaching: enhancing the Calgary-Cambridge guides Acad Med, 2003.PMID 12915371
- [3]Maguire P, Faulkner A, Booth K, et al. Helping cancer patients disclose their concerns Eur J Cancer, 1996.PMID 8695247
- [4]Jorm AF, Jacomb PA The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): socio-demographic correlates, reliability, validity and some norms Psychol Med, 1989.PMID 2594878
- [5]Elwyn G, Frosch D, Thomson R, et al. Shared decision making: a model for clinical practice J Gen Intern Med, 2012.PMID 22618581