Roleplay scenarios

1. Roleplay scenarios Practising the skills

2. Doctor’s tasks • Greetings and introductions • Listening without interruption to the whole of the patient’s opening statement • Connecting with the patient, with a very brief summary and brief empathetic comment • Checking with the patient for further agenda items.

3. Observer’s record • Greets • Maintains eye contact • Uses encouraging body language and posture • Listens to end of opening statement without interruption • Uses a short summarising statement • Makes a brief empathetic comment • Asks for any other agenda items

4. Practising the skills • Roleplay 4 mins • PATIENT. He/she uses one of the 3 scenarios provided. The observer also has a copy of the scenario, but the doctor does not see it • DOCTOR. He/she is trying to achieve the 4 tasks using the skills • Feedback4 mins • OBSERVER feeds back the skills covered • Change round1 min

5. You have hypertension. Tell the doctor you have hypertension and have come back to the doctor for a follow up check of your blood pressure. • You want to know more about what the blood pressure reading means, you do not understand. • If probed, reveal that you have not been taking your antihypertensive medication.

6. Tell the doctor that you are a farmer and the parent of 3 children and have been sent by the health visitor to get some treatment for nits. This is the 6th time that your children have had nits this year. • If probed, reveal that you know a friend who has been very ill with organophosphate poisoning, and that you are aware that the treatment for nits is an organophosphate.

7. What you have practised • Active listening • Summarising • Empathic comment • (Ideas, concerns and expectations) • Agenda setting • Negotiation