Clinical Case Database / Category: Teaching and Training

"Oh, by the way Doctor" syndrome.

Publication details

Ahmad Abu-Omar DO-HNS, MRCS, Rami Hasan MBBS
Foundation Years Journal, volume 5, issue 6, p.11 (123Doc Education, London, July 2011)


Doctors frequently explore a patient problem before determining the full spectrum of the patient's concerns. They often redirect the patient's initial description of concerns. This leads to incomplete initial description and raises the chance of late-arising concerns and missed opportunities to gather potentially important data. Uncovering the patient's agenda from the outset takes little time, yields important data and improves the efficiency of the consultation. The authors of this article spent some time in General Practice during their foundation training. They aim, through this article, to share their experience with trainees in General Practice and help them solicit the patient's hidden agenda early in the consultation to avoid the above "syndrome".

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Ahmad Abu-Omar DO-HNS, MRCS

Specialty Registrar
Department of Otolaryngology, Crosshouse Hospita

Rami Hasan MBBS

Core Trainee Year 1
Department of Urology, Ayr Hospital


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5. Marvel MK, Epstein RM, Flowers K, Beckman HB. Soliciting the patient's agenda: have we improved? JAMA 1999; 281:283-7.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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