OSCE 9

Candidates were asked to provide a mid-term In-training Assessment to a junior ICU registrar (actor) in her first year of training. The registrar had previously received good term reports as a junior doctor but colleagues recently find her unreliable, difficult to work with and not seeking appropriate assistance.

Candidates were expected to develop rapport with the registrar and conduct an interview along the lines of:
-Introduction, setting the scene, explaining the aims of the interview
-Information gathering, exploring her circumstances and feelings about the term
-Information imparting, explaining the staff concerns and getting her response to them
-Setting a plan for remedial action
-Organising follow-up review before completing the ITA.

Disclaimer: the viva stem above may be an original CICM stem, acquired from their publicly available past papers. Or, perhaps it is a slightly altered version of the original CICM stem. Or, it is a completely original viva stem, concocted by the monstrously amoral author of Deranged Physiology for nothing more than his own personal amusement. In either case, because the college do not make the main viva text or marking criteria available, almost everything here has been confabulated. It might sound like a plausible viva and it could be used for the purpose of practice, but all should be aware that it does not represent the "true" canonical CICM viva station.