Red Eye SOO

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Red Eye SOO

September 15, 2022 | Family Medicine Exam Prep Course | CCFP

Dear Residents,

YOU WANTED SOO PREP? Well, here it is!

The CPFC oral exam has five simulated office orals (SOOs). Each of the stations is 15 minutes long. The CFPC is attempting to mimic the actual Family Practice setting.
The scoring system focuses on the candidate’s approach to dealing with the illness experience and interactions with the patient. Getting the correct diagnosis plays only a minor role in the scoring.
When using the FMEP SOO practice, we recommend practicing with a study buddy. Practice, practice, practice! Don’t be discouraged if you miss some points… it’s part of the studying process. The FMEP course will go over many, many practice SOOs with you to get you prepared.
Click here for some helpful information from the CFPC website on SOOs.

Good luck!

We look forward to seeing many of you soon 🙂

FMEP Course Team

 

SOO

Sara Mcgill is a 43 year old law clerk who is presenting with a two day history of eye redness and discomfort. She has a history of Diabetes, Hypertension and Rheumatoid arthritis. Her medications include Losartan, Metformin and Methotrexate. She smokes half a pack per day and drinks 3-4 beers on the weekends only. She is single and has a 4 year old daughter who is enrolled in daycare.
You are asked to speak to Sara.

Red Eye Illness Experience
Areas to be covered include:

  1. Eye symptoms
    • Onset and duration of symptoms
    • Unilateral or bilateral eye involvement
    • Whether it has been stable or progressively worsening, and whether it is present constantly or intermittently
    • Ocular pain
    • Foreign-body sensation
    • Photophobia
    • Presence of discharge
  2. Associated symptoms
    • Rhinorrhea
    • Sore throat
    • Fever
    • Headache
  3. Past medical history
    • Ocular disorders
    • Systemic disorders
    • Sexually transmitted infections
    • Clotting disorders
    • Vascular disorders
    • Allergies
  4. Exposures
    • Environmental
    • Close contacts with similar symptoms
    • Trauma
    • Contact lens use
Feelings

  • Worried that this is contagious and she may spread it to others.

Ideas

  • The physician will help her treat the eye infection.

Effect/Impact on Function

  • She is embarrassed to go to work and see friends until her eye heals.

Expectations for this visit

  • The physician will give her an antibiotic for her eye

A satisfactory understanding of all components (Feelings, Ideas, Effect/Impact on Function, and Expectations) is important in assessing the illness experience of this patient.

 

Superior Certificant Covers points 1, 2, 3, and 4. Actively explores the illness experience to arrive at an in-depth understanding of it. This is achieved through the purposeful use of verbal and non-verbal techniques, including both effective questioning and active listening.
Certificant Covers points 1, 2, and 3. Inquires about the illness experience to arrive at a satisfactory understanding of it. This is achieved by asking appropriate questions and using non-verbal skills.
Non-certificant Does not cover points 1, 2, and 3. Demonstrates only minimal interest in the illness experience, and so gains little understanding of it. There is little acknowledgement of the patient’s verbal or non-verbal cues, or the candidate cuts the patient off.
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