How would you counsel a 55-year-old man who requests a PSA test, balancing his concerns about cancer with the risks of overdiagnosis and overtreatment?

Specialty-Specific

Purpose

This question checks if you can handle complex conversations about patient care, especially around the controversial topic of PSA testing for prostate cancer. Interviewers want to see if you can explain the pros and cons clearly while respecting the patient's choices.

Tips

  • Start by acknowledging the patient's worries about cancer to show empathy.
  • Clearly explain both the benefits of PSA testing and the risks, like overdiagnosis and overtreatment.
  • Encourage shared decision-making by asking the patient about their values and preferences.

Common mistakes

  • Don't just recommend or dismiss the test without discussing the risks and benefits.
  • Avoid using medical jargon that might confuse the patient; keep it simple.
  • Don't forget to invite questions and make sure the patient feels comfortable with their decision.