Candidate card · Medicine

You are the doctor

A patient asking for an immediate second opinion

Setting: A treatment-options consultation

The patient remains uncertain about a proposed intervention. The fictional service can explain a second-opinion route and any timing questions must be reviewed by the treating team.

Task

  • Explore the concern behind this opening: If I ask another doctor, will you stop looking after me?
  • Clarify the patient perspective using an appropriate follow-up, such as: What makes asking for another opinion difficult for you?
  • 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 patient asking for an immediate second opinion supplied information
  • The patient remains uncertain about a proposed intervention. The fictional service can explain a second-opinion route and any timing questions must be reviewed by the treating team.
  • We can go through the reasons in the supplied plan and discuss the service's second-opinion route. Asking for clarification does not need to be treated as a personal criticism.
  • I cannot promise a different recommendation, a particular clinician or a timescale for that opinion.
  • We can record your outstanding questions and ask the treating team to explain how much decision time is available in this case. We should not invent a safe delay.
  • Confirm the second-opinion process with the coordinator and clarify timing with the treating team before changing the planned schedule.

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