Scenario Ranking and Selection

During this phase of the project, which ran from mid-May through the beginning of June, we reviewed and voted on the scenarios presented in the previous phase. As a result of this process, we selected the top two ranked scenarios from each scenario type (based on relationship between participants after consolidating the relationship types into four).

The scenario list has simplified to those eight listed here.

The next phase of the project was to develop short scripts illustrating realistic communication between the characters.

difficult patient - angry about office wait

Submitted by Jan Peace on May 14, 2011 - 3:12pm

This is the original scenario, as submitted. Click here to read and contribute to the realistic script, which is currently in development.

A patient has had a longer than usual wait in the waiting room and starts to yell and verbally attack the physician's receptionist who became upset and was crying. 

Category: 
physician – patient

Dealing with differing health beliefs and values

Submitted by brenda on May 10, 2011 - 7:08pm

This is the original scenario submitted in the scenario selection phase. Click here to see the realistic script in development.

A patient has just filed a complaint about an attending  physician. Patient health beliefs and values are not congruent with the physician. Physician says he is emotionally exhausted and unable to respond.

Category: 
physician – administrator

Physician addresses worrisome behaviour with his physician colleague

Submitted by trevort on April 6, 2011 - 9:15am

This is the original scenario, as submitted. Click here to read and contribute to the realistic script, which is currently in development.

Category: 
physician – physician

Physician informed of departmental cuts

Submitted by trevort on May 3, 2011 - 7:39am

This is the original scenario submitted in the scenario selection phase. Click here to see the realistic script in development.

 

Hospital administration office. Manager informs physician that there have been budget cuts that will lead to reduced services to patients.

Category: 
physician – administrator

Anxious senior resident

Submitted by LauraS on May 15, 2011 - 9:50pm

A new senior resident is finding the transition challenging and is micromanaging all of the patients on his team.

Category: 
physician – learner/preceptor

Reaching out to distressed colleague who refuses help

Submitted by mgautam on May 17, 2011 - 7:29am

This is the original scenario and comments. Click here to review and contribute to the realistic script in development.

 

Category: 
physician – physician

Resident is yelled at by a consultant

Submitted by LauraS on May 15, 2011 - 9:45pm

This is the original scenario, as submitted in the scenario generation phase. Click here to review and contribute to the realistic script, which is currently in development

Two physicians, resident and radiologist, meet in the radiologist's office. The resident requests an MRI for her patient.

Category: 
physician – learner/preceptor

Physican requests a last-minute rotation schedule change from physician trainee

Submitted by trevort on April 19, 2011 - 8:27am

Staff room at hospital. Physician asks trainee to change the rotation schedule for the next day. Trainee has made other plans.

Category: 
physician – learner/preceptor

Nurse offers advice to physician

Submitted by trevort on May 13, 2011 - 3:14pm

Head nurse meets physician in his office. Nurse addresses situation in her ward, whereby a high performing staff member just accepted a position in a different hospital.

Category: 
physician – non-physician coworker

difficult communication with administrator

Submitted by liseloubert on May 14, 2011 - 12:22pm

Nurse at clinic has concerns with time schedule and speaks to administrator. She feels that her concerns are not listened to or respected. The nurse speaks to a clinic doctor about her concerns.

Category: 
physician – non-physician coworker

Surgeon yelled at nurse

Submitted by trevort on March 30, 2011 - 2:15pm

Category: 
physician – non-physician coworker

Doctor dismisses patient's concerns

Submitted by ncraven on May 14, 2011 - 2:30pm

A patient had his/her BP checked in a drug store and it was high.  He/she is concerned because of a family history of hypertension. 

Category: 
physician – patient

Physician mistake

Submitted by Jan Peace on May 14, 2011 - 3:14pm

Physician with child patient, physician's office. Physician has given an incorrect injection but knows there has been no harm done.  

Category: 
physician – patient

Intense emotional response to catastrophe

Submitted by brenda on May 10, 2011 - 6:57pm

Category: 
physician – physician

Immigrant Patient using herbal medicine

Submitted by brenda on May 10, 2011 - 6:38pm

Category: 
physician – patient

What's new?

Check out our new videos

Articles of interest in a recent issue of the CMAJ

The Physician Health program of BC has been highlighted in a recent article in the the CMAJ: Hospitals turning to team-based conflict resolution.