3rd Year Mock OSCE Mark Scheme

Student Instructions:
Jo has just received a letter from the GP referring
him / her for a colonoscopy.
Please explain to this patient what a colonoscopy
entails and give enough accurate information so
that they will be capable of giving informed
consent to the procedure.

3rd Year Mock OSCE Mark Scheme

Explain Colonoscopy
Student Instructions:
Jo has just received a letter from the GP referring him / her for a
colonoscopy
Please explain to this patient what a colonoscopy entails and give enough
accurate information so that they will be capable of giving informed consent to
the procedure.
1. Introduction, checks identity and gains consent.
PATIENT PERSPECTIVE (Ideas/Concerns/Expectations)

2. Concerned about procedure what will happen?

3. Is it painful or uncomfortable?
4. What about work afterwards?
LIFESTYLE/RISK FACTORS IDENTIFICATION

5. Enquires about both smoking and alcohol intake

6. Enquires about significant family history.
INFORMATION GIVING

7. The test looks at large bowel using flexible tube.

8. Safe test, discomfort should be minimal, can use IV sedation but not GA.
9. Bowel needs to be empty laxatives will be provided, biopsy maybe taken.
10. Complications rare, patient should not drive home afterwards. Pt may feel a bit sleepy if a
sedative was used. There may be some bleeding, if a biopsy was done.
ASSESSMENT OF UNDERSTANDING

11. Checks understanding of information.

12. Encourages patient questioning and identifies additional information needs throughout.
SUMMARY

13. Summarises all key points in the interview including patients concerns.
14. Encourage the patient to ask questions and respond appropriately.
15. Student showed respect and understanding of situation.
16. Behaviour/manner appropriate.