Speaking introduction 1. Why are you taking the OBT exam? Actually, Iam taking the OBT exam to complete the Australian Medical Council registration process. 2. How long have you been working as a physician? Tam working as a physician for 12 years now. 6 years in Egypt and the other 6 years in Saudi Arabia. 3. What about your working hours? ‘Well, | am working for 8 hours every day from Sunday to Thursday every week. 4, Why did you choose medicine as a carcer? A lot of reasons really. Medicine is a very respectful job and it gives you the chance to help people. From the economic view, it eams good money. 5. What about your specialty? And why? ‘Well, it was a big conflict for me. I like all parts of medicine. I was hesitated to choose one specialty and leave the others. At last, I found my target on family medicine as on family medicine you practice all 6. What is your advice for fresh graduates? Oooh, the most important advice is to choose their specialty carefully and to choose what they actually like to do as they will spend the rest of their life doing it, To be always update themselves with the recent guidelines, science and education will not stop with graduation. 7. How to be a successful physi It is an important question. From my point of view, I think this need a lot of efforts and much contributing factors. For example, you need to do fewer mistakes in your practice, the fewer mistake you do the better you will be. A well-established relationship with your patients is mandatory also, And you need to understand your patient’s needs and concern and always pay sympathy for their suffers. Last but not least, be always familiar with recent updates guidelines. 8. What was the last training you had? Let me see. On academic, I passed the Australian Medical Council exam part one on June 2017. On practical side, I got the ACLS Advanced Cardiopulmonary Life Support Course on October 2017. 9, What is the recent medical advance you heard about?Speaking Role Play Template 1. Introduction 2. Sympathy &History P 3. Diagnosis ® 4. Management Reassurance 6, Reluctant patient > 7. Checking understanding Ending 8. Sign posting P 9. Ending & 10. Special eases 1. Introduction: Good afternoon, my name is doctor ...., fam the treating doctor for today. How can I help you? FU visit: Good afternoon, nice to meet you ain. How are you so far? //How ean T help 2. Sympathy & History: A. Starting: Oh, [am really sorry to hear that, it must have been very painful’ it must be stressful for you but can I ask you some questions first if you don’t mind? all right Mr. ... L appreciate your (fears, worries, concer, etc.) would you mind if I ask you a few further questions regarding this situation? B. Clarify: * What about appetite? Are you eating well? * Do you have // Have you had any symptoms like ...? Could you describe the pain? Does it occur all the time or just now and again? * Does anything special mak relieve it? Does anything seem to bring it on or aggravate it? C. Site: * Which part of your body is affected? * Could you tell me where the pain is? * Can you tell me where it hurts? D. Duration: When did it start? How long have you had it// been suffering from this problem/ been feeling like that? worse or E. End of history: * Have you trieditaken any medication for it? * Is there anything else that is bothering you? 3. Diagnosis A, Well, based on your symptoms and after examination, I believe that you have what is called .... , and let me explain .... * You are suffering from a condition known as... have you ever heared of that? * The X ray indicates that you have ..... !/ the tests show that it is probably a condition known as ..... and let me explain... B, It is a condition caused by .... The symptoms include ..... the best treatment is, 4. Management: A. [think we would start with I will give you a prescription for... Pll write a referral letter to ... We will run some tests to see B. First of all ...... itis also important to .-- do you think you can d C, There are some very eff strategies to cope with ....., [would like to explain them for you Is that okay? D. [see that must be a very difficult situation for you but the good news is that there are several options available which will help you. Would you like to hear more about that? D. It is a good time to start .. Of sees . in terms _it will be necessary for you to...5. Reassurance: * Rest assured, this is quite a common It is nothing to get alarmed about... * Let me reassure you that eczema is self limited. * Don’t worry, if you can follow my advice you will get much better soon * Don't worry it will go away by itself'in a few days with some rest. * [know it sounds difficult at first but with practice, Lam sure you will be able to * Tam sure you won't have any more trouble * The staff here are very experienced and will take good care of you. 6. Reluctant Patient: A. [really appreciate your concern * [can understand your worries * L know how you feel but let me .. B. [completely understand your busy time, but your health is my priority, what is more important your health or your job? so I think you should find some time io... What is more important the risk of ...01 C. Let me assure you, if you follow my advice the risk of heart attack will be greatly reduced; however, if you do not follow my advice and continue to smoke then the risk of heart attack is much higher. you don’t want that to happen, do you? D. Let me explain to you why the insulin therapy is necessary for you. E. Of course you will need to continue... However, I don’t think .... will be helpful in your situation. I would prefer alternatives. *L understand ... but let me explain to you why it is not a good choice for you to .. Finally, after agreemei hear that, Now : I'm pleased to 7. Checking understanding: 1. Is that clear // am I clear so far? // How does that sound// Am I clear till now? 2. Do you think you can do that // Do you feel comfortable about my advice? 3. Do you have any question so far // would you like me to tell you more about that? 8. Signpostiny A. First of all * as I said before // as I told you earlier .. B. I’m concerned about your smoking habit, Ibis important to // necessary to stop smoking * Thave to highlight/ emphasize the importance of ... itis very beneficial for you * [recommend that // I strongly advice that you should lose weight. C. For this reason ... therefore..., 0... however..., in addition... also..., now D. that is a good question and let me explain to you that . * Itis a good idea to... 9. Ending: A. Do you have any more question? * Hope you feel better soon, * Wish you a speedy recovery. B. 1 would like to see you in a week, don’t hesitate to call me if you have any concems.10. Special Cases 1. Breaking bad news: A. June, we have the test results back and I’m sorry to tell you that the cause of your symptoms could be more serious than you think and that is a risk that .... B. I realize that this come as a shock to you (pause) C. It is.a very important that we do a few further investigations including ... D. Fortunately, we caught it early and there are some treatment options such as chemotherapy. E. We will keep a close on you and be sure you are in very good hands. F. It may be a good idea to talk to someone about this. Do you have any relative or close friend who can help you and provide support? Now regarding your diet, I can refer you to a dietician and they can provide really good guidelines and 3. refer to physiotherapy One way to speed up the recovery process and to increase mobility is to ysiotherapist. They will be based on your needs and it can make a big difference. Would you like to try that? 4. Quit smoking: Now in order to quit smoking, I recommend that you attend our They run regular classes and I can tell you that it has helped many patients succeed in giving up smoking. Would you like to do that’ 5. Alcohol addiction: Is quite a serious condition, and you really need some outside support to help you overcome this. Therefore, | recommend that you contact or I can contact them on your behalf, and arrange an appointment. How does that sound?S. 6. Starting insuli T understand that self-injecting insulin can be challenging at first, but at our clinic we run They can take you through the process step by step and help you gain confidence. Would you like me to make an appointment for you? 7. Exercise: You need to start an exercise program, and I recommend joining They will be able to that can help you lose weight and feel healthier. Do you think you can do that?