Candidate card · Medicine

You are the doctor

A home reading that differs from the clinic

Setting: A monitoring review

The fictional care plan asks the patient to bring their home device and recorded readings for a technique review before interpreting the difference.

Task

  • Explore the concern behind this opening: Your number is different from mine. Which machine should I trust?
  • Clarify the patient perspective using an appropriate follow-up, such as: What concerns you most about the difference between the readings?
  • Explain the supplied information and its limits in manageable sections.
  • Explore practical barriers and agree a workable next step from the supplied options.
  • Check the patient understanding and identify any unresolved question.
A home reading that differs from the clinic supplied information
  • The fictional care plan asks the patient to bring their home device and recorded readings for a technique review before interpreting the difference.
  • Different readings need to be interpreted alongside how and when they were taken. The supplied plan is to review the record and the device together before deciding what the difference means.
  • I cannot diagnose the cause of the difference from these two numbers or tell you to change treatment on that basis.
  • Bring the scraps as well as the monitor. The practice can help organise the readings; an app is not required for this fictional review.
  • Book the planned technique review using the practice number. The review will establish whether any further decision is needed; no treatment change has been agreed today.

Fictional scenario information supplied for exam communication practice only; not medical guidance for real patients.