Breaking Bad News OSCE - The 8 step approach

Hi guys, welcome back!
1 way to approach your Breaking Bad News OSCE station!
To save you some time:
00:00 - Intro
01:00 - The Brief
01:20 - The 8 step Approach
13:28 - Wrap Up
📸Instagram: / arun.kiru
🐦Twitter: / arun_kiru
📕Website: www.arunkiru.com
Who am I? My name is Arun, I’m a junior doctor working in London and graduated from Cambridge University. I’ve helped 100s of students over the last 10 years or so get into med school with things like personal statements, picking uni choices, the UCAT & BMAT exams and medical school interviews. I was the lead UCAT & BMAT tutor for Kaplan Test Prep for 5 years and helped write their materials. I started up a company called Easy Medical Interviews to help students for their medical school interviews. I’ve decided to put all my experience over the years onto RUclips now so its completely free for you guys and hopefully you find it useful!

[@user-fy2qv8gw5f]

Thank God I came across your video before my final exams, thank you so muchh🥺

[@mercyraiye3849]

These videos are incredibly helpful, we do appreciate them

[@evothompson3073]

I find these videos very helpful. Feeling more optimistic for my OSCEs now 👍🏾

[@bethanlouise2645]

Really great and thorough video, thank you!

[@ulbaha7709]

fantastic video again bro! Super helpful

[@lalalalatrey]

Thanks Arun ! This was really good 👌🏽

[@jthomas8699]

Thank you SO much, this is brilliant!

[@shazwaniothman]

amazing video! thank you!

[@iluvbluify]

This was so useful thank you!

[@jtw3962]

This is awesome thank you so much!

[@laurawoolfson8230]

Really great. And I love that you always include PAs.

[@lamyaal-mansi2122]

So informative, thanks

[@AW-pz4ev]

really useful structure, THanks :)

[@najamsabeeh]

Thank you so much for these videos

[@786shah]

Amazing! May be worth mentioning support services as well e.g. Macmillan

[@vivianngoziikwueze4706]

Thank you for this information especially now am preparing for exams for PA..thank you

[@salwa2840]

Very good Vedios Aurn / I hoped to see some of you wonderful sentences in between the rows or a full discussion between doctor and patients to follow your empathy words …..Thank you so much ..God bless you

[@oetgenius31885]

Great ... Very Helpful ... God bless you

[@nadinecampbell3717]

This video is absolutely golden! Thank you so much 🙏🙏🙏 My only addition would be asking if they wanted a family member with them, as I know this is included on many mark schemes. Again thank you so much I have learned so much from you. You angel 😇🙏💞

[@leoniward5660]

Do they ask that then? If they wanna bring someone with them to appt? is that a hint its bad news?

[@susanne5803]

@@leoniward5660 Mother of patient here: If it's bad news after some imaging procedure, the first hint of bad news is usually the very neutral expression of the assistants running the scan and their repeated comment, that the doctor will explain the results.
After some really bad experiences in the family with diagnostics we always go at least two strong into appointments which we expect to be non routine.
That way at least one person can keep a sort of oversight. For example explain that someone is overwhelmed and not able to continue currently. Or that someone is hating to hear all the heavy armament because they don't understand any of it due to disability. They want to sit outside, read a comic and be told by a family member each step they have to take and they want a family member at their side all the time.
Doctors we considered really kind and helpful gave us handwritten or typed notes and/ or drawings of a situation. Just to clarify where some organ is or what a word means - not any legally problematic stuff naturally.
Or get a Wikipedia print out, maybe in "Simple English" (you find that among the language choices).
I am still angry that even large hospitals don't have specialists at hand that can moderate such a talk with someone with a beginning dementia, with a cognitive disability, or similar problems.
With all those computers every hospital should have a fully accessible program with simple graphics and simple explanations.
Anyway: Thanks for studying medicine! Wishing you serendipity and success!

[@DrRussell]

@@susanne5803 Thank you for sharing your experiences with us, it really helps.

[@DrRussell]

Very good point. Thank you for raising it. Our profession desensitises (to varying degrees) us to the fears and emotions of our patients.

[@DrRussell]

@@leoniward5660 Yes definitely a hint.

[@saniyanarain]

i wish there was a transcript!! these lines are so so good and would love to use and practise them in actual conversations!!

[@rusnarusli70]

Thank you. very beneficial

[@syed2694]

Thanks so much Arun. Any chance you can make a focused history taking for surgical cases? I.e. GU?

[@anupbanerjee5827]

Very helpful

[@kshirjakorvi]

love your content 🤍

[@ShivanS]

This is good. Even for life skills. Thank you!

[@RohanYesudian]

bossman epic video!

[@drrampershadgaarg2494]

Best 👌

[@zackalghamdy3253]

muchas gracias from saudi

[@ayeshanoreen1345]

V good

[@Simbacavapoolove]

Can u do medical emergencies osce

[@ronant567]

Thanks Arun! Why did you choose ophthalmology?

[@irynaYe]

What about approaching "in layers"?

[@nevilpatrick9290]

What kind of analgesics can we offer during the exam?

[@salwa2840]

What do you mean by ICE..thanks

[@MagicProductNews]

Ideas, Concerns and Expectations

[@user-pt5wm8ef2z]

thank u but i got lost here