Zachary is a previously well 19-year-old male admitted to your ICU three days ago with refractory status epilepticus. No infective cause has been found and the working diagnosis is auto-immune encephalitis.
A 30 - year - old haematology inpatient, Donna /David Smith was transferred to your intensive care unit with neutropenic septic shock 4 hours ago. She /he received induction chemotherapy 14 days ago for newly diagnosed Acu te Lymphoblastic Leukaemia.
You are the duty Intensivist arriving for the first day of your ward service week. One of your patients is a previously independent 60 year old female, Mrs. Jane Smith, who was admitted 5 days ago with community-acquired pneumonia.
You are taking over as the Intensivist on for the week and you meet with Chris who is the next of kin of 59 year old Pat, a patient in the ICU. Pat was admitted to hospital with dysarthria and limb weakness.
You are the Intensivist in a tertiary metropolitan unit caring for Mr John Wilson, a previously well 45 year old man who has suffered a devastating neurological injury as a result of a subarachnoid haemorrhage.
You are asked to speak to the parent of a 21-year-old male, Kevin Smith, who was readmitted to your ICU last night. He was originally admitted to your ICU with a severe traumatic brain injury 4 months ago.
Mr Soul is an 82-year-old man who, despite severe dementia, has been living at home with his elderly wife. He is fully dependent for activities of daily living and was assessed last year as requiring high-level nursing care.
You have taken over the care of Matthew, a 28 year old male, admitted to the Intensive Care Unit overnight following a motor bike accident. His GCS was 3 at the scene and was intubated and ventilated by the paramedics.
Mr Smith is a 54 year old male who was admitted to the ICU 7 days ago. He presented with severe hypoxic respiratory failure and has a background of advanced motor neurone disease. He is currently unconscious, intubated and ventilated. Mr.
You are the Intensivist on call, working with a new ICU Registrar who is in the first year of Advanced Training. This is your first shift with this trainee but your colleagues have found him/her to be competent.
You are the intensivist caring for a patient Mr James Wilson, a 70 year old man admitted to your ICU last night with aspiration pneumonitis associated with a bowel obstruction. He had been in hospital for 4 days prior to admission to the ICU.
Joanne, 60 years old, was admitted to intensive care with severe community acquired pneumonia. After several days of instability, she began to improve. Her only daughter, Mary kept a vigil at her side, sleeping in the waiting room overnight.
As for communication stations in general, candidates were expected to provide an empathic explanation of the situation, using appropriate body language, and appropriate attention to the needs of the daughter.
As for communication stations in general, candidates were expected to provide an empathic explanation of the situation, using appropriate body language, and appropriate attention to the needs of the wife.
Communication station: Candidates were expected to provide an empathic explanation of the situation, using appropriate body language, and appropriate attention to the needs of the mother. The clinical scenario provided was as follows:
Communication with an actor involved discussion of ongoing management of a patient with incurable metastatic disease. Six out of fifteen candidates passed this section. Many candidates need to improve their basic counselling skills.