Simulated Office Orals (SOOs)

The oral examination is comprised of five simulated office orals (SOOs) each 15 minutes in length.

SOOs

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

Video
Summary

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

SOO
Character
Topics

Sample 1                  

Ann Brown1. A flare-up of rheumatoid arthritis
2. Hypertension

Sample 2

Aurora Enderby-Smith

1. Symptoms of polycystic ovarian syndrome (PCOS) and fertility questions
2. Acute recurrent sinusitis

Sample 3

Bill Evans

1.  A need for post-myocardial infarction medical management
2.  Depression following a cardiac event

Sample 4

Bill Snook

1.  Gastroesophageal reflux disease
2.  A gambling addiction

Sample 5

Bruce Crothers

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

Sample 6

Charles Potvin

1.  Thyroiditis
2.  Post-concussion syndrome

Sample 7

Danica Williams

1.  Body dysmorphic disorder
2.  Hyperhidrosis

Sample 8

Florence Bruneau

1.  Anogenital warts (condylomata acuminate)
2.  Been a victim of sexual assault

Sample 9Gary Mcnicholl                           

1.  Hypertension 
2.  Plantar fasciitis

Sample 10Helen Pereira1. Caregiver burnout
2. Headaches
Sample 11Henry Brooks1. Cluster headaches
2. Undiagnosed paranoid schizophrenia
Sample 12 Irene Bouchard1. Suffering from chronic obstructive pulmonary disease, COPD
2.Being financially abused by her daughter
Sample 13Jane Webber1. Grief secondary to her husband’s death
2. Diabetes
Sample 14 Jeffrey Dalmazian1. A new diagnosis of hepatitis infection
2. An anal fissure
Sample 15 Jeffrey Hope1. Manage chronic disease as it presents in diabetes
2. Recognize and manage post-traumatic stress disorder (PTSD) in a culturally sensitive manner.
Sample 16Lilliane Lawrence1. A need for help with smoking cessation
2. Memory loss
Sample 17 Maria Fournier1. Postpartum depression
2. A breast mass
Sample 18 Mark Leeves1. Experiencing hypertension secondary to a stressful work environment
2. Suffering from symptoms of chronic prostatitis
Sample 19Michael Sears1. A concern about headaches in his son
2. A concern about possible post-traumatic stress disorder
Sample 20 Mona Raymondo1. Has musculoskeletal pain
2. Is using methylphenidate (Ritalin) for undiagnosed adult attention deficit disorder
Sample 22 Paul Lambert1. Malaria
2. Concerns about a sexually transmitted infection
Sample 23 Richard Grandon1. Ulcerative colitis
2. Anxiety attacks
Sample 24 Robert Martin1. A child with atypical behaviours
2. Polyarthritis secondary to ulcerative colitis
Sample 25 Sheena Murdoch1. Rectal bleeding of unknown etiology
2. Headaches following a concussion
Sample 26 Sunrise Barrister1. A dying father for whom she feels some responsibility
2. Nausea of pregnancy
Sample 27Victor Mcallister1. A thyroid mass
2. A conflict with his wife because of parenting issues
Sample 28 Wendy Frontenac1. is pregnant.
2. has post-traumatic stress disorder

 

                                                      SOO Documents and Links Library

Distinguishing a "Certificant" from a "Superior Certificant": Exploration of the Illness Experience
This document features evaluation tools to assess a candidate's performance with an emphasis on communication skills.

Guidelines on the Optimum Viewing and Scoring of a SOO Video
This document outlines the CFPC recommended protocol to create the optimum SOO video viewing and scoring environment.

Copyright © 1996-2016 The College of Family Physicians of Canada