You're a Junior Doctor on shift, and you're asked to counsel a family whose loved one is in a coma and will soon be declared brain dead. The family is unsure whether to consent to organ donation. How would you approach this conversation? Try answering this question within 10 minutes, practice with a friend or try recording yourself. Mark scheme will be released later today! 😊

Hi everyone, is someone able to explain how mmi’s work at Brighton? I already know about the stations being 10 minutes each but how many questions within those 10 minutes and what type of skills do they test? Thank you.

Anyone able to share Plymouth MMI intel and questions?

1) What trends do you observe in the obesity prevalence for the different regions shown on the graph between 2000 and 2020? 2)Which region shows the most significant increase in obesity prevalence, and what might be the reasons behind this trend? 3)Compare the trends for North America and Europe. Why might the increase in obesity prevalence differ between these two regions? 4)What strategies could governments in regions like North America and Europe implement to address the obesity epidemic

1. Introduction and Initial Approach - Demonstrate professionalism and empathy: Use open body language and a calm, non-judgmental tone. Acknowledge the patient’s concerns: “I understand that this situation must be very stressful for you, and I’m here to support you.” - Build rapport and establish trust: Ensure the patient feels heard by actively listening to their concerns. Use reflective listening: “I can see how the thought of losing your job and the financial impact is deeply worrying.” 2. Assess the Situation - Clarify details about the seizures: Ask about the frequency, severity, and timing of recent seizures. Inquire about potential triggers, compliance with medication, and any recent changes in health or stress levels. - Understand the patient’s driving patterns: Explore when and where they are driving: “Can you help me understand how often you drive and for what purposes?” - Assess the patient’s insight: Gauge their understanding of the risks of driving after seizures. 3. Explain Legal and Ethical Obligations - Educate the patient about legal responsibilities: Clearly outline their obligation to inform the DVLA about their seizures: “By law, if someone has had a seizure, they must inform the DVLA because it can impact their ability to drive safely.” - Highlight the risks of non-compliance: Discuss potential consequences if they do not inform the DVLA, such as legal penalties, invalidation of insurance, or causing harm to themselves or others. - Explain the GP's duty of care: Emphasize the ethical obligation to protect public safety: “As your GP, it’s my responsibility to ensure both your safety and the safety of others on the road.” 4. Address Patient Concerns - Acknowledge financial and emotional worries: Validate their concerns about losing their job and financial instability. Offer a compassionate response: “I understand that losing your license can feel like losing your independence and livelihood, but let’s explore how we can support you through this.”