Leos Oet Notes
Leos Oet Notes
Leos Oet Notes
1 INTRODUCTION
Using the information in the case notes, write a letter to Ms Samantha Bruin, Senior Nurse at Greywalls Nursing Home,
27 Station Road, Greywalls, who will be responsible for Mr Baker’s continued care at the Nursing Home.
The TASK will provide you with: {N.P.A.T.K = NAME, POSITION, ADDRESS, TYPE OF LETTER, KNOW EACH OTHER}
• A reference to what type of letter you must write: referral, discharge, transfer or information
THE NOTES WILL BE WRITTEN IN SHORT UNGRAMMATICAL PHRASES, USING ABBREVIATIONS AND SYMBOLS, WITH
DIFFERENT SUB-HEADINGS {IMPORTANT TO DISTINGUISH}.
YOU SHOULD NOT INCLUDE ALL CASE NOTES, JUST SELECT THE RELEVANT ONE’S, BY PRACTICING YOU WILL
UNDERSTAND WHICH NOTES ARE RELEVANT, SEMI-RELEVANT AND IRRELEVANT.
1. The introductory sentence/paragraph should contain the reason why you are writing the letter (i.e. refer,
discharge, transfer) and the main medical issue. As a rule, important information should be prioritised or
brought to the top of the letter; don’t bury the important information deep in the letter.
2. Paragraphs should contain single ‘themes’. A paragraph should not contain mixed information; it should be clear
what the paragraph is about, not confusing.
3. The internal structure of the paragraph should also flow from beginning to end. So, while your whole letter
should flow from beginning to end so should your paragraphs be structured coherently.
Grammatical accuracy accounts for 20% of your mark; however, if your grammar is incomprehensible then it will affect
much more than 20% of your overall grade. Consider the difference in meaning from these three verb tenses:
You should also make sure that you include a range of different sentence types – some short, some complex, some
active, some passive; but remember that the aim is to not include various sentence types but to communicate
information as clearly as you possibly can that will require you to use varied sentence types and grammar.
After you have finished your letter, give it a once over for any silly grammar mistakes. Many candidates make mistakes
with:
NOTES:
After full stop or new sentence use cap, do not use caps after comma. No caps for drugs and diseases.
Double check grammar and spelling correctness.
Do not start sentences with Patient.
Do not include irrelevant notes.
Summarize the relevant information efficiently and effectively.
Each of your paragraphs should contain a 'theme' or be about a single issue. The reader should know what each
paragraph is about and its purpose.
You do not need to 'show off' by using a range of sentence structures. Instead, you need to use the right sentence
structure at the right time to make your meaning as clear as possible.
make sure that the information in your letter is clear and concise. It cannot be convoluted or 'inefficient'.
You do not need to 'show off' by using a range of sentence structures. Instead, you need to use the right sentence
structure at the right time to make your meaning as clear as possible.
Please work on your spelling.
Please work on your punctuation.
OET WRITING CRITERIA: B 350-440 7-7.5 you need 2/3 for purpose and 5/7 in all other criteria.
1. Purpose. 0-3
2. Content. 0-7
3. Conciseness and clarity. 0-7
4. Genre & style. 0-7
5. Organization & layout. 0-7
6. Language. 0-7
Purpose:
Content:
1. The content of your letter is appropriate for the reader. Keep relevant case notes to the recipient.
2. Case notes selection: Key information is included and no important details missing.
3. The case notes are interpreted correctly.
Language:
1. Clear overall language: precise vocabulary, accurate grammar and sentence structures.
2. Accurate spelling and punctuation.
3. Don’t be fancy, be simple, clear and apparent meaning.
Dr Dev Desai
Gastroenterologist
City Hospital
Easton
20 November 2020
Dear Dr Desai,
Thank you for seeing Mr Adam Knowles for assessment and endoscopy if required. He presented with symptoms of
Gastro-esophageal reflux, back pain and 2 kg weight loss in four weeks.
Mr Knowles is also complaining of diarrhea, pale stool, abdominal pain on eating and fatigue. His abdomen is tender and
swollen on palpation and is having yellow discoloration of skin and eyes.
Mr Knowles is physically active, non-smoker for the past 10 years and a social drinker. He had cholecystectomy in 2008
due to gallstones and a 4 years history of depression which is being treated with fluoxetine.
The results of investigations done yielded high serum levels for Bilirubin, Amylase, ALT, Albumin, and Alkaline
phosphatase. I prescribed Omeprazole PPI 20 mg twice daily for 8 weeks that did not improve his heartburn nor
indigestion.
I would be grateful if you could see Mr Knowles at your earliest convenience for an endoscopy and assessment as I am concerned
about the possibility of pancreatic cancer. I have discussed this possibility with Mr Knowles.
Yours sincerely,
Dr Mohamed Khair
GRAMMARLY CORRECTED LETTER
Dr. Ian Robson
Allergist
Central Hospital
Oldtown
20 November 2020
I am writing to refer Mr. Riddle into your care who requires allergenic testing and guidance on environmental
management due to his asthma.
Mr. Riddle, a nonsmoker with childhood asthma, positive family history, periodic eczema, and no known allergies,
presented on 01/06/2019 complaining of breathlessness for 2 weeks, persistent coughing, whizzing, and itching eyes
which made him miss university classes. He had a clear chest x-ray and his FEV1 improved after bronchodilation.
At that visit, Mr. Riddle had new accommodation with two cats and was sleeping on a dusty old carpet. Moreover, he
had a recent break-up with his partner, and university exams pending in July. He was diagnosed with moderate
persistent bronchial asthma and was prescribed oral prednisone 50 mg for 10 days, albuterol inhaler twice a day, and
Symbicort. He was advised allergen management and to return after 4 weeks.
Upon his return, he had sleep disruptions, eczema flare-up, and was using albuterol 6 times daily. He was feverish with
very high blood pressure, heart, and respiratory rate. His oxygen saturation was 88%, had abnormal blood gases, and
bilaterally diminished lung sounds and expiratory wheezes. Administered oxygen attained 93% o2 sat and hourly
albuterol with IV corticosteroid resulted in a positive response.
I would be grateful if you could provide Mr. Riddle with education regarding environmental triggers, proper inhaler
technique, and allergenic testing with guidance on environmental management. Please contact me if you require any
more information.
Doctor
Sample Answer
14/06/2019
Dr Ian Robson
Allergist
Central Hospital
Oldtown
Dear Dr Robson,
I am writing to refer Mr Riddle into your care, who has moderate persistent bronchial asthma. He requires
further testing and identification of his allergies.
On 01/06/2019, Mr Riddle presented with a two-week history of breathlessness associated with coughing, eye
itching and wheezing that resulted in his absence from university. He had an assessment for his lung function
that showed a pre-bronchodilator FEV1: 3.61 and a post-bronchodilator FEV1: 4.35. He was prescribed a short
course of prednisone and inhalers and a return visit was arranged for 4 weeks.
On 14/06/2019, Mr Riddle presented again with an acute exacerbation of bronchial asthma that was treated with
oxygen, hourly albuterol and IV corticosteroids. He was educated about possible environmental triggers and
proper inhaler technique.
Please note, his past medical history is significant for childhood asthma which has been controlled for the last 8
years. He has occasional bouts of eczema, but no known allergies. He has recently moved into new
accommodation, which he shares with two cats and where he sleeps on the old dusty carpet.
I would appreciate it if you could assist with Mr Riddle’s allergenic testing and provide guidance on
environmental management.
Yours sincerely,
Doctor
OET SPEAKING FEEDBACK: (IO – IG [A-LE-F] – IG [GI-P-FU-R-P] – FF – S – C)
1. INTRODUCTION + OUTLINE: A. INTRODUCTION: A NEW PATIENT: HELLO AND GOOD MORNING, MY NAME IS
DR. KHAIR. I WILL BE TAKING GOOD CARE OF YOU TODAY. CAN YOU PLEASE TELL ME YOUR NAME? AN OLD
PATIENT: HELLO AND GOOD MORNING, I HOPE YOU REMEMBER ME MR/MRS (X: LAST NAME). I AM DOCTOR
KHAIR AND I WILL BE TAKING GOOD CARE OF YOU TODAY.
2. INFORMATION GATHERING: (ASK – LISTEN WITH ENCOURAGEMENT – GIVE FEEDBACK): ONLY ASK ONE
QUESTION AT A TIME (Mr. Peter, can you please tell me about what brings you in today?) GIVE TIME FOR PT
TO TALK AND LISTEN ATTENTIVELY - PROVIDE FEEDBACK AS PATIENT TALK (hm, aha, yes, and..) GIVE
FEEDBACK (I do understand what you are going through, I can understand this may be difficult for you, I’m sure
you won’t have any more problems, rest assured this is quite common, Mr. x there is nothing to be too worried
about.) THEN MOVE TO ASK THE NEXT QUESTION LISTEN WITH ENCOURAGEMENT PROVIDE
FEEDBACK.
3. INFORMATION GIVING: (GIVE INFO – PAUSE – GET FEEDBACK/UNDERSTANDING – REACT TO PT’S FEEDBACK -
PROCEED): A.1. GIVE INFO WITH INTRO: (NOW/NEXT, I WOULD LIKE TO DISCUSS WITH YOU THE,… ). A.2. GIVE
SUGGESTION: (I KNOW THIS MAY BE DIFFICULT TO DO BUT YOU NEED TO ….). B. PAUSE: (WAIT FOR INFO TO
SINK IN). C. GET FEEDBACK & UNDERSTANDING: (HOW DOES THAT SOUND TO YOU? WHAT DO YOU THINK
ABOUT THAT? HOW DO YOU FEEL ABOUT MANAGING THAT? ARE YOU FOLLOWING WHAT I’M SAYING? DOES
THAT MAKE SENSE TO YOU?)
4. FINAL FEEDBACK: DO YOU HAVE ANY MORE QUESTIONS OR CONCERNS? IS THERE ANYTHING I CAN HELP YOU
WITH FURTHER?
6. CONCLUSION: (WELL, MR/MRS X, IT HAS BEEN LOVELY CHATTING WITH YOU TODAY. I AM GLAD I COULD BE OF
SERVICE, PLEASE BE SAFE AND HAVE A WONDERFUL DAY.)
1. Treat the role play like a real workplace scenario, listen and focus on the other person and just have the
conversation.
2. The Role Play Card: Setting – Scenario – Task.
3. The scenario: the opening – A. Whether to introduce yourself vs greet the patient as if you know them. B. ask
some introductory questions.
4. The Task: the body of the speaking, if you have 6 tasks use 45 seconds for each task. (5 minutes) starts with
actions like: Ask – Reassure – Explain – Inform.
5. The OET Person (The Interlocutor): is not an examiner, just an exam conductor. They will have a role play card.
Corresponding to your card: Complain-Assure – Ask-Explain. The two cards work together, this means if you miss
a task you can come back because the interlocutor will now what you are talking about.
6. Time: Finishing up: if you finish up early: you should summarize, “it’s been lovely chatting to you MS smith, let
me summarize what we talked about, first we talked about … then we discussed …, and so on.
7. It’s not just a speaking task, it’s a test of your ability to listen, emphasize and ask good questions and be a good
medical professional, use it as a real workplace scenario.
1. 2 role plays – 2-3 minutes to prepare – you get to hold the role play card on your hand – each role play is 5
minutes and medical knowledge is irrelevant.
2. The role play card: A. Setting. B. Scenario. C. Tasks.
3. Setting: important, will denote: Urgency. Background will give you all info about this patient.
4. Tasks: the first words (verbs) are critical.
5. The patient – doctor role playing cards correspond to each other.
6. Using the RPC: Read – Speak – Listen – Respond.
7. ENDING EARLY: SUMMARIZE: IT HAS BEEN LOVELY CHATTING TO YOU MRS SMITH, LET ME SUMMARIZE WHAT
WE HAVE DISCUSSED, FIRST WE TALKED ABOUT X, THEN WE DISCUSSED X, …
Language skills:
1. Effective Communication.
2. Ease of understanding. (Intelligibility)
3. Fluency.
4. Appropriate Language.
5. Grammar and vocabulary.
A. Effective Communication:
1. Initiate the conversation. Hello, My Name is Dr. Stein, how can I help you today? Or Hello Mary, Nice to see you
again. How’s your mother?
1. Pronunciation is clear.
2. Accent does not affect understanding.
3. Intonation is appropriate in that it matches what you express.
4. You stress the most important words and right part of words.
Fluency:
Appropriateness:
Clinical skills:
Notes:
Start The conversation: Hi Mr. Smith, my name is Dr. Mohamed. Thank you for coming to see me. Now I understand
that you are having some issues with your medications?
Be attentive: do you mind if I ask about …. Ok thank you for sharing this information.
Nonjudgmental: I can see why taking those meds can be scary and understand that you don’t want to take your
medication. Now can we find another alternative?
What do you think might be causing your allergy?
Reply to the patient’s concerns: so there is certainly something we can do about your dizziness, that shouldn’t be a
problem.
Structure: sequence the interview – make topic changes clear – organize your explanations.
Sequence: I would like to talk to you about three ways we can help you, First …
Topic changes: Now that we have discussed the side effects, I’d like to talk next about …
Organize explanations/summarize: so just to recap what we have discussed. We talked about x, pause, and its really
important to remember that …
Minimize interruptions, open questions moving toward closed questions, avoid compound questions, clarify,
summarize.
Summarize and clarify: after patient talks, say as far as I understand it, you want to refill your meds. Is that right?
At end: Is there anything else I can help you with.
LISTENING: Lasts 45 minutes and you answer 42 questions in total. Three parts: A – B – C.
Part A: two 5 minutes dialogues between a health professional and a patient. You will fill in the gap. Listen,
understand and interpret conversations. Each conversation will have 12 gaps. Note down the missing info to fill
in the gaps. Total of 24 questions. Method: two sets of incomplete notes, 30 seconds to read text, listen & fill in.
the patient always says the answer not the doctor. If you get lost, reorient yourself using completed notes and
move on.
Part B: 6 short monologues and dialogues lasting 45 seconds each, MCQ with three options. 6 different short
recordings. Identify the correct answer for a MCQs with 3 options. Listen to and identify key info. Each question
is preceded by a prompt recording. Method: read and listen to the context, read the questions, scan answers
quickly if possible, choose the best answer.
Part C: (Possibly the hardest subtest of all exam) Two 5 minutes recordings, 6 MCQ with 3 choices for each
recording. You hear each recording once only. No pause between questions. 90 seconds reading time (scan read
all questions & answers) recording 6 questions no pauses between 6 MCQ with 3 Cs each Repeat.
Method: keep question keyword (focus) on mind while listening eliminate incorrect answers confirm
correct answer move on to next question.