colleague unfit to work scenario
candidate brief
You are the most senior doctor in the department. One of the nurses has asked you to talk to Dr Robinson, who has arrived late for their shift, and smells of alcohol. They were very abrupt and evasive when asked what was going on.
actor brief
examiner brief
- Makes sure department is safe
- Introduces self to Dr Robinson
- Confirms Dr Robinson’s identity
- Appropriately explains wish to discuss the concerns raised
- Responds calmly and professionally to Dr Robinson’s initial denial
- Seeks information from Dr Robinson as to what’s happened
- Explains patient safety is paramount and Dr Robinson cannot work
- Asks about personal problems Dr Robinson is experiencing
- Demonstrates empathy
- Explains there is a need to inform seniors
- Explains Dr Robinson’s confidentiality will be protected as much as possible
- Explains there are systems to help support Dr Robinson
- Ensures patients are handed over to another doctor
- Reaches agreement that Dr Robinson will not work their shift
- Involves senior staff appropriately - supervisor for example
- Remains professional and non-confrontational throughout discussion
- Achieves satisfactory conclusion to discussion
- Global mark from Dr Robinson
- Global mark from examiner
sources/links
MRCEM OSCE 125 Stations book