Simulated Office Orals (SOOs)
The oral examination is comprised of five simulated office orals (SOOs) each 15 minutes in length.
SOOs are designed to duplicate, insofar as possible, the actual "setting" in which the family physician conducts a practice. Family physicians are trained to role-play patients presenting with specific complaints. The physician playing the role of the patient notes the management of the case by the candidate, and he or she will score the candidate according to predefined criteria. This examination will assess both the definition and management of health problems. The scoring system has been devised to focus on the candidate's approach to dealing with patients—including their ability to understand the patient's unique experience and to establish a positive doctor-patient relationship. Getting the "right diagnosis" plays only a minor role in the scoring. There are no hidden agendas.
The College believes that physicians who use a patient-centered approach best meet their patients' needs. The patient-centered clinical method is explained in detail in the book Patient-centered medicine: transforming the clinical method. 3rd ed. Stewart M, Brown JB, Weston W, McWhinney I, McWilliam C, Freeman T, eds. London: Radcliffe Publishing, 2014. ISBN 978-846-19566-2
Please take a moment to read the Introduction, Instructions to the Candidate, Instructions to the Examiner and the Marking Scheme to familiarize yourself with the process and the case presented before viewing the demonstration video.
The CFPC SOO Videos Library serves as a resource representative of the Simulated Office Oral encounter. A more meaningful viewing experience rewards the viewer who abides by the College’s recommendation to study the SOO Video Viewing and Scoring protocol outlined in the following document, prior to the actual viewing of the featured SOO video.
Guidelines on the Optimum Viewing and Scoring of SOO Video.
SOO Videos Library
This video features the case of a 42-year-old male patient, Mr. Bill Snook, presenting with the problems of gastroesophageal reflux disease (GERD) and a gambling addiction.
Dr. Jenny Clement conducts the patient interview.
SOO Scripts Library
|Ann Brown||1. A flare-up of rheumatoid arthritis|
1. Symptoms of polycystic ovarian syndrome (PCOS) and fertility questions
2. Acute recurrent sinusitis
1. A need for post-myocardial infarction medical management
2. Depression following a cardiac event
1. Gastroesophageal reflux disease
2. A gambling addiction
1. Wants to bank his sperm because of an abnormal prostate-specific antigen test result
2. Has parents who have dementia and whose health is deteriorating
2. Post-concussion syndrome
1. Body dysmorphic disorder
1. Anogenital warts (condylomata acuminate)
2. Been a victim of sexual assault
|Sample 9||Gary Mcnicholl |
2. Plantar fasciitis
|Sample 10||Helen Pereira||1. Caregiver burnout|
|Sample 11||Henry Brooks||1. Cluster headaches|
2. Undiagnosed paranoid schizophrenia
|Sample 12|| Irene Bouchard||1. Suffering from chronic obstructive pulmonary disease, COPD|
2.Being financially abused by her daughter
|Sample 13||Jane Webber||1. Grief secondary to her husband’s death|
|Sample 14|| Jeffrey Dalmazian||1. A new diagnosis of hepatitis infection|
2. An anal fissure
|Sample 15|| Jeffrey Hope||1. Manage chronic disease as it presents in diabetes|
2. Recognize and manage post-traumatic stress disorder (PTSD) in a culturally sensitive manner.
|Sample 16||Lilliane Lawrence||1. A need for help with smoking cessation |
2. Memory loss
|Sample 17|| Maria Fournier||1. Postpartum depression |
2. A breast mass
|Sample 18|| Mark Leeves||1. Experiencing hypertension secondary to a stressful work environment|
2. Suffering from symptoms of chronic prostatitis
|Sample 19||Michael Sears||1. A concern about headaches in his son |
2. A concern about possible post-traumatic stress disorder
|Sample 20|| Mona Raymondo||1. Has musculoskeletal pain|
2. Is using methylphenidate (Ritalin) for undiagnosed adult attention deficit disorder
|Sample 22|| Paul Lambert||1. Malaria |
2. Concerns about a sexually transmitted infection
|Sample 23|| Richard Grandon||1. Ulcerative colitis |
2. Anxiety attacks
|Sample 24|| Robert Martin||1. A child with atypical behaviours|
2. Polyarthritis secondary to ulcerative colitis
|Sample 25|| Sheena Murdoch||1. Rectal bleeding of unknown etiology |
2. Headaches following a concussion
|Sample 26|| Sunrise Barrister||1. A dying father for whom she feels some responsibility |
2. Nausea of pregnancy
|Sample 27||Victor Mcallister||1. A thyroid mass |
2. A conflict with his wife because of parenting issues
|Sample 28|| Wendy Frontenac||1. is pregnant. |
2. has post-traumatic stress disorder