How to Approach Communication Stations in MRCP PACES (Step-by-Step Guide)

The Problem
Most candidates don’t fail PACES because they lack knowledge—they fail because they don’t structure communication properly.

Why This Matters
Communication stations are high scoring and predictable, yet many candidates:
• Ramble
• Miss structure
• Fail to address patient concerns

The Ideal Approach (Simple Framework)
Use this structure every time:
1. Introduction & Rapport
• Confirm patient identity
• Open with a neutral, calm tone
2. Understand Patient Perspective
• “What have you been told so far?”
• “What are your main concerns?”
3. Explain Clearly
• Use simple language
• Avoid jargon
• Break information into chunks
4. Acknowledge Emotions
• “I understand this can be worrying”
5. Management Plan
• Next steps
• Reassurance (if appropriate)
6. Check Understanding
• “Does that make sense?”

Common Mistakes
• Talking too much without checking understanding
• Ignoring patient emotions
• Overloading with medical terms

Key Takeaway:
A structured, calm, patient-focused approach will consistently score well.

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Join our PACES sessions at Astrocyte Academy.