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Communication Station 1


Without making any hand gestures, explain to the examiner how to tie a shoelace. Assume the examiner has no pre-existing knowledge
​​

​Average Candidate Response
In order to tie a shoelace, you need to initially cross the tips of the two laces and thereafter make two loops, inserting one loop through the other.

Excellent Candidate Response
  1. Introduction
  2. State the end objective(s)
  3. Empower the examiner/patient to ask questions (eg. Do you have any questions at the moment? If you have any questions at any time, feel free to interrupt me)
  4. Identify any relevant materials/terms
  5. Provide clear, specific instructions
  6. Summary (if appropriate)
 
Hello, my name is……………and today we are going to work together to tie a shoelace. On the table in front of us is a shoe with two flexible straw like projections which are known as laces, and we will use these laces in order to ‘tie a shoelace’. Do you have any questions before we start? If you think of any questions at any time, feel free to interrupt me, and I would be happy to answer your questions wherever possible.
 
To start with, if you grasp the shoelace on your left, two-thirds of the way towards the end tip, between the thumb and index finger of your right hand, using your middle finger to support the lace. Similarly, if you now grasp the shoelace on your right, two-thirds of the way towards the tip between the thumb and index finger of your left hand, with your middle finger providing additional support.
​
Next, if you bring over the lace from your right hand towards your left hand, anchoring the lace between the index and middle finger of your left hand. With your right middles finger lower the tip of the lace initially held by your left hand below the lace currently held by your right hand. Release the lace grasped between your right thumb and index finger and instead grasp and pull the tip of the lace which had been lowered by your right middle finger. This completes the first part of tying a shoelace. The next step involves……

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