ABFAS Patient Communication Skills 3

Question 1

A patient asks why the surgeon recommends a total ankle replacement instead of ankle fusion. The patient read online that fusion has better long-term outcomes. What is the ideal response?

Accepted Answer

Acknowledge the patient's research, discuss the evidence for both options, and tailor the recommendation to the patient's specific situation

Answer

Acknowledging patient research and engaging in a shared discussion about evidence supports informed decision-making and the therapeutic relationship.

Question 2

Prior to a calcaneal osteotomy, a patient asks about the surgeon's personal complication rate. What is the best response?

Accepted Answer

Share your personal outcome data honestly and place it in context with published benchmarks

Answer

Transparency about personal outcomes, placed in appropriate context, is an ethical obligation and strengthens the trust required for informed consent.

Question 3

A patient appears visibly distressed after receiving the diagnosis of Charcot neuroarthropathy. Which communication technique is most appropriate at this moment?

Accepted Answer

Allow a moment of silence, acknowledge the patient's emotional reaction, and ask if they want to continue the discussion

Answer

Pausing to acknowledge emotional distress before proceeding with clinical information demonstrates empathy and allows the patient to process the diagnosis.

Question 4

During a pre-operative discussion, a surgeon uses terms such as 'dorsiflexory wedge osteotomy' and 'peroneal spastic flatfoot.' The patient nods throughout. What should the surgeon do?

Accepted Answer

Ask the patient to explain the planned procedure in their own words to confirm understanding

Answer

Using teach-back confirms actual comprehension, since nodding or silence does not reliably indicate understanding of technical medical terminology.

Question 5

A parent brings their 16-year-old for evaluation of a bunion and insists on discussing diagnosis and treatment without the teenager present. What is the most appropriate approach?

Accepted Answer

Examine and counsel the adolescent patient directly, then include the parent in a summary discussion

Answer

Adolescents should be engaged directly in their care; while parental involvement is appropriate, the patient's autonomy and understanding must be fostered.

(ABFAS) American Board of Foot and Ankle Surgery Practice Test

(ABFAS) American Board of Foot and Ankle Surgery Practice Test

ABFAS Patient Communication Skills 3