Medical Council of Canada

Case 1: 14-minute station – Ken Scott

Case 1: 14-minute station - Ken Scott

Objectives
  • Expert: Back Pain and Related Symptoms (e.g., Sciatica)
Candidate instructions

Ken Scott, 40 years old, presents to your office complaining of severe pain in his left leg. Ken works as a carpenter. Three weeks ago, he felt severe lower back pain while lifting a bag of cement out of the back of his truck. The attending physician at the Emergency Department recommended time off work and provided a note for his employer and told him to progressively increase his physical activities. The physician gave him your name for follow‐up.

IN THE NEXT 13 MINUTES:
• OBTAIN A FOCUSED AND RELEVANT HISTORY.
• CONDUCT A FOCUSED AND RELEVANT PHYSICAL EXAMINATION.

As you proceed with the physical examination, EXPLAIN what you are doing and DESCRIBE ANY FINDINGS.
After the 13‐minute warning signal, the examiner will ask you for A WORKING DIAGNOSIS.

GIVE ONE (1) LABEL TO THE EXAMINER.


Please note that the length of the video is less than 14 minutes.

Examiner checklist

Examiner oral questions

What is your diagnosis?
[EXAMINER: If the candidate mentions either herniated disc or sciatic nerve involvement, please ask “At what level?”] [Score as many items as applicable]

– L‐5 nerve root involvement
– Herniated disc

Interaction Rating Scale