BlackStone Tutors | Medicine Application Specialists
London Office: 020 3393 8934 
info@blackstonetutors.co.uk
  • Home
    • Our Tutors
    • Our Tutees
  • Interview Clinics
    • Medicine Interview Preparation & Tuition
    • Dentistry Interview Preparation & Tuition
    • Personal Statement Services
    • Complete Medicine Application Packages
  • Schools
    • In-School Medicine Talks and Courses
    • How to get into Medical School Intensive Course
  • UCAT
    • UCAT Preparation Courses
    • Online UCAT Course
    • UCAT ANZ Courses
    • Private UCAT Tutoring
  • BMAT
    • BMAT Preparation Courses
    • Singapore BMAT Course
    • Online BMAT Course
    • Private BMAT Tutoring
    • Free BMAT Resources >
      • BMAT Information: Free Guide to the BMAT Exam
      • Free BMAT Past Papers
      • Free BMAT Subject Guide
      • BMAT Practice Questions - Section 1
      • BMAT Practice Questions - Section 2
      • BMAT Section 1 Tips & Techniques
      • BMAT Section 2 Tips & Techniques
      • BMAT Section 1 Critical Thinking - Additional Practice
  • MMI
    • MMI Interview Courses
    • MMI Question Bank >
      • Medicine MMI Question Bank
      • Dentistry MMI Question Bank
      • Nursing MMI Question Bank
      • Physician Associate MMI Question Bank
    • MMI Tips & Resources >
      • Multiple Mini Interview (MMI) Questions and Answers
      • MMI Interview Tips
      • Medical School Interview Questions
      • Medical School Interview Questions | US & Canada
      • Multiple Mini Interview (MMI) Ethical Scenarios
  • GPST
    • GP Stage 3 Preparation Course
    • GP Stage 3 Online Question Bank
    • GPST Entry Articles & Resources >
      • GPST Entry >
        • GP Training Entry Requirements and Key Tips
      • GP Stage 2 (MSRA) >
        • Free MSRA Practice Questions & Answers
        • GP Stage 2 Exam Information, Tips & Banding
        • GP Stage 2 (MSRA) & GP Stage 3 (Selection Centre) Weighting
      • GP Stage 3 >
        • GP Stage 3 - What To Expect, Mark Scheme & Preparation Tips
        • GP Stage 3 Selection Centre: The Complete Guide
        • GP Stage 3 Written Prioritisation Exercises | Key Tips, Techniques & Mark Scheme
        • GP Stage 3 Simulation Exercises | Key Tips & Techniques
        • Free GP Stage 3 Written and Simulation Exercises
        • GP Stage 3 Mark Scheme Domains
        • GP Stage 3 Pass Rate
        • How To Score 100% In The GP Stage 3 Selection Centre
  • Articles
    • BMAT Articles >
      • Free BMAT Resources
      • BMAT Section 1 Tips
      • BMAT Section 2 Tips
      • BMAT Section 3 Mark Scheme
      • How Universities use the BMAT
      • BMAT Past Paper Worked Solutions
    • UCAT Articles >
      • Free UKCAT Practice Questions
    • TSA >
      • TSA Essay Tips & Techniques
      • TSA Essay Example
      • Free TSA Past Papers
    • Personal Statement >
      • Medicine Personal Statement Structure
      • Medicine Personal Statement - Common Errors & Pitfalls
    • Interview Articles
    • Medicine Applications >
      • Which Medical Schools Should I Apply To?
      • Tips for a Successful Oxbridge Medicine Application
      • Why 40% Of All Doctors Choose General Practice?
    • Dentistry Applications
  • COVID
  • Contact Us
    • New Tutor Registration
    • Fees
    • Testimonials
    • Terms and Conditions
  • Subscribe To Our Newsletter
  • GPST Entry and Selection Centre Dates
  • GP Stage 3 Selection Centre Tips
  • The University of Auckland Medicine Interview Questions
  • The University of Auckland Medicine Interview Tips
  • MMI Tips & Techniques
  • 5 Cambridge Medicine Interview Tips
  • GP Selection Centre: Common Written Prioritisation Scenarios
  • Oxford Medicine Interview Tips
  • When Do Medical School Interview Invites Come Out?
  • MMI Role Play: The Complete Guide
  • MMI Data Analysis: The Complete Guide
  • MMI Prioritisation Tasks: The Complete Guide
  • MMI Calculation Questions: The Complete Guide
  • MMI Ethical Scenarios: The Complete Guide
  • MMI Observation Tasks: The Complete Guide
  • How To Revise For The BMAT
  • Why Do You Want To Study Medicine?
  • Guide To The 2020 UCAT
  • How To Prepare For The UCAT Situational Judgement Section
  • How To Prepare For UCAT Abstract Reasoning
  • How To Prepare For UCAT Verbal Reasoning
  • How To Score 850+ In UCAT Quantitative Reasoning
  • How to Score 850+ on the Quantitative Reasoning section of the UCAT
  • Pre-Registration Pharmacist Situational Judgement (SJT) Exam: The Complete Guide
  • Bespoke BMAT Course
  • UCAT Practice Test: Decision Making Mini Mock Exam
  • Online TSA Course Tutorials
  • Medicine Personal Statement Checklist: 8 Key Areas
  • What Should a Medicine Personal Statement Include?
  • Physician Associate University Interview Questions and Answers
  • Nursing University Interview Questions and Answers
  • Nursing Applications
  • Dentistry University Interview Questions
  • BMAT Section 1 Critical Thinking Questions
  • BMAT Section 2 Physics Questions
  • BMAT Section 2 Maths Questions
  • BMAT Section 2 Biology Questions
  • BMAT Section 2 Chemistry Questions
Main Menu
Sentry Page Protection
Please Wait...

MMI Scenario 16


You are the pharmacist working in a GP Practice. Your morning clinic consists of medication reviews. One patient, Jacqueline Shaw, 80 years old, has sensory impairment and suffers from poor sight owing to advanced cataracts in both eyes. She can see an outline from her eyes, but mentions she is unable to safely identify her medicines and has come in to see you this morning for discussion about this and to review her medicines. What are the important points to consider in this consultation? How can we support Jacqueline with her visual impairment in this situation?​


Example Answer

Communication: It would be important to call Mrs Shaw from waiting room in person and help her identify me as the (pre-registration) pharmacist ‘Hello, my name is…’ and chaperone her into the consultation room, given her visual impairment.

Environment: It would be important to consider the room layout, and setup beforehand, i.e. space, chair location, lighting to ensure the room is conducive to the needs of a patient with visual impairment. Could we arrange a carer to accompany Mrs Shaw? Consider this before the appointment is made.

Shared agenda: Before commencing the consultation, and introducing myself, it would be a good idea to explore Jacqueline’s perception of her medicines, illness, and current lifestyle. It is important to determine what matters to her and what is the most important point she wishes to get out of the consultation, and this may help align our intentions as the clinician.

Explore patients LICEF: As part of person-centred care, it is important to consider Jacqueline’s perception of her condition, how does the medicines, or indeed eyesight affect her lifestyle? Is it impacting on her quality of life? How could we support her to improve this through medicines use? What are her ideas for solutions? As mentioned, what concerns her the most about her medicines, is it her sight or indeed a side effect of one of the tablets – use this to angle and guide conversation. What does she hope to achieve by the end of consultation? How can we do this by touching on her feelings.

Barriers to patient safety: If it is indeed her vision which acts as a barrier to safe medicines taking, it is important to consider a compliance aid, big labels, brail (if she can read this), large font/colour/bold label or administration charts, big tablets pictures printed to support Jacqueline in identifying her pills. Consider living circumstance, does Jacqueline get support at home? Can we involve them in her medicines administration and educate them on her tablets as an additional safety step?

Polypharmacy: Use this opportunity to align with Jacqueline’s perceptions and concerns, to perhaps reduce the complexity of her treatment plan, by reviewing ongoing needs and indications, deprescribing where appropriate, and devising a simpler system for her to identify and take her medicines. Less tablets reduces pill burden and alongside visual impairment improve her compliance.

Social support: Consider Jacqueline’s social welfare, how can we better support her more holistically other than medicines related optimisation. Does she live alone? Is there a carer involved? Does she struggle to look after herself, is there a potential safeguarding/welfare concern?  How can we support her socially in order to meet the goals of her consultation. Can we refer her to a social worker/prescriber who may be able to signpost/guide Jacqueline onto further support groups aid her home life.

Signposting: Can we refer Jacqueline onto Citizens Advice Bureau, Age UK, specialist low-vision clinic liaison, registration with RNIB, community pharmacy to support with home delivery of medicines, large print labels and tailored medicines use review to go through the dosette box setup to ensure Jacqueline has confidence in safely taking her tablets.  Support can be found via the visionary website which allows local postcode searches. 


Previous Scenario
Next Scenario