OET

FUTURE LAND

NOTES

The rapid way to pass OET exam

12/2018

1
:tada: To All New Future Land's Members :tada:

:rotating_light: Please, Please, please read every word written here to understand how
and from where to start.
:vertical_traffic_light: If you do every thinks written here, you will save a lot of time
:watch: and effort :wrench: and avoid a lot of confusion:jack_o_lantern: and
delusion:ghost: .

This Future land's YouTube Channel:

https://www.youtube.com/channel/UCZQZqjMNeZZKHZhC5ol5NEA/playlists?disable_polym
er=1

:hatched_chick: For writing:memo: , please watch those 3 videos on youtube first

1- -
OUe9aQ1YBqAcyZrgTe&t=1397s
2- -
OUe9aQ1YBqAcyZrgTe&t=1594s
3- -
OUe9aQ1YBqAcyZrgTe&t=17s
;then do any task from the recalls and watch the video for its correction on YouTube. You
can also discuss with your college here. You can correct your letter with any organization
that you feel suitable for you.( we will aa ched leer s corr ect ed by 5 differ ent
organizations, see which one you feel the best for you).

The goal is writing as much as you can. DON'T FORGET ALL THE TIME WRITE IN THE OFFICAL
OET Papers to get the sense of 180-220words where it is should be finished.

:balloon: For the doctor whom is not good enough in Grammars: read and watch those 6
Videos from Oetonline web site.( download the PDF solve it THEN watch the videos.)Also, it

If you are too busy, please watch Course2 grammar lectures 2&3).
https://drive.google.com/drive/folders/1L0XTQemzQepyKYYHQ-
tItPMZHWjrGk8G

:whale: For speaking:microphone:: watch the last 5 videos for the new criteria (Speaking
criteria from A-E) on future land channel and the one on E2language YouTube site then,
attend the speaking sessions on the group( ‫ ﺳﺎﻋﺔ‬١٢ ‫ﻓﻲ أﻏﻠب اﻻوﻗﺎت ﻧﻌﻠن ﻋن ﻣوﻋد أي اﻟﻠﻘﺎء ﻗﺑﻠﺔ ﺑـ‬
‫ﺗﻘرﯾﺑﺎ وﯾﻛون ﻋﻠﻰ ﻣوﻗﻊ‬WWW.ZOOM.us Practice :mountain_bicyclist::surfer::swimmer:
with your colleges daily for 1 hour. Never stop taking.
:dart:
( we have 3 PDF books called:
1- OET Future Land Full Book Final Edition December 2018.
2- Speaking-OET-futureland-new
3- (4- WRITING ALL NEEDED NOTES)
you will find all the speaking cards :black_joker: and writing tasks:golf: in these both
books. You will find them in the next links.

:hatching_chick: For reading and listening, you should do them by yourself. The links for
the material are attached to this announcement. (Do not forget to watch the E2 language
tips regarding the listening and reading part only.) Don't waste your time with the writing
videos parts.
https://www.youtube.com/channel/UCN9T41BdSxRqeab4sg_ezzg/videos

:shell: Those are the recommended material and their links;

‫دي اﻻﻣﺗﺣﺎﻧﺎت اﻟﻘرﯾﺑﺔ ﻣن اﻻﻣﺗﺣﺎن‬:
1- 2 Free Sample tests from the OET official web site
2- one test (official web site Pracc e test 4)
3- 3 tests from E2language
4- 3 tests from OET pracc e book
5- 1 test from Kaplan
6- most of the OET-online.com test if not all of them( 7 tests)

:smirk: So we have 17 recommend tests which are more than enough:boom::sparkles:

If you finished those books you can try this material :

6- OET-Preparation-Book_-Reading-Sub-Test_-Volume-1-Anna-Hartford ( reading only)
7- 3 test from ADEL's OET Pracc e Book
8- 25 test from (28 set OET 2.0 Reading)( reading only)
1-
hp s : //dr i ve. googl e. com/ dr i ve/ fol der s/1j 3UQk nSi 2dGr gJ RaMN E gf W
d s a6Hi 4kxL?us p=s har i n
g
OR ‫او‬
2-
https://mega.nz/?fbclid=IwAR1Tr3SyHo1fBJpuYzykGAx7xi2OanfE8rDfrmK-
re_BC92n1xE6gJJ1dE0#F!6PBkDKoQ!BrnfVQpI4m93ftam1IeVZg

:rotating_light:( please note that:

1- We have 1discharge lee r in the E2 samp l es and anot her 2 in the Kapl an book.
2- Don’t wasting your time on British academic or Medcity material there useless.
3- Don't wasting your time looking for another material or groups unless you finished all this
material. )
4- ‫ﻟو راح ﺗﺷﺗرك ﻣﻊ ﻣوﻗﻊ ﺗﺻﻠﯾﺢ ﻛﺗﺎﺑﺎت اﺑدء ﻗﺑل اﻹﻣﺗﺣﺎن ﺑﺷﮭر او ﺷﮭرﯾن‬
:barber:

NO PAIN :grimacing: NO GAIN:muscle:

:checkered_flag::tada::crossed_flags::balloon:

All the best

‫ﻛل اﻟﺷﻛر ﻟﻛل ﻣن ﺳﺎھم ﺑرﻓﻊ او ﺗﺟﻣﯾﻊ اﻟﻣواد اﻟﻣوﺟودة ھﻧﺎ و ﺑﺎرك ﷲ ﻓﯾﮭم وﻓﯾﻛم ﺟﻣﯾﻌﺎ‬.

‫ﷲَ ﱠ ُ ﻟَﮫ ُ ﺑِﮫِ ط َر ِ ﯾﻘًﺎ إﻟَﻰ‬

‫ و َ ﻣ َن ْ ﺳ َ ﻠَك َ ط َر ِ ﯾﻘًﺎ ﯾ َ ﻠْﺗ َ ﻣ ِس ُ ﻓِﯾﮫِﻋ ِ ﻠْﻣ ًﺎ ﺳ َ ﮭﱠل‬،ِ‫ و َ ﷲ َ ﱠ ُ ﻓِﻲ ﻋ َو ْ ن ِ اﻟْﻌ َ ﺑ ْ د ِ ﻣ َﺎ ﻛ َﺎن َ اﻟْﻌ َ ﺑ ْ د ُ ﻓِﻲ ﻋ َو ْ ن ِ أَﺧِﯾﮫ‬: ‫ﻗﺎل اﻟرﺳول‬
ِ‫اﻟْﺟ َ ﻧ ﱠ ﺔ‬
‫ﻻ ﺗﻧﺳوﻧﺎ ﻣن ﺻﺎﻟﺢ دﻋﺎﺋﻛم‬
‫ﺑﺎﻟﺗوﻓﯾق ﻟﻠﺣﻣﯾﻊ‬.
:‫ﻷاي ﺗﻌﻠﯾق او اﻗﺗراح اﻟرﺟﺎء اﻟﺗواﺻل ﻣﻊ اﻷﻣﯾل اﻟﺗﺎﻟﻲ‬
oetfutureland@gmail.com
 Table of content
1.OET Future Land Notes
2.Speaking
Official book cards
Recalls 2014 cards
Recalls 2015 cards

3.Writing

Writing grammar
Samples of official book
Recalls of 2014
1.2014
2.2014
3.2014
5.2014
6.2014
7.2014
8.2014
9.2014
10.2014
11.2014

Recalls of 2015
1.2015
2.2015
3.2015
4.2015
5.2015
6.2015
7.2015
8.2015
9.2015
10.2015

2
 ‫‪3. Writing‬‬
‫وهو عبارة عن طلب خطاب تحويل (غالبا) أو خطاب خروج أو إرشادات لمقدمي الرعاية للمريض مثل دار‬
‫المسنين يتكون من ‪ 200-180‬كلمة ‪ 10 ±‬كلمات والزمن المتاح لقراءة ‪ notes‬هو ‪ 5‬دقائق ثم ‪ 40‬دقيقة‬
‫لكتابة الخطاب‬
‫مالحظات هامة‪:‬‬
‫‪ .1‬يجب أن تختار ‪ template‬للخطاب وتتدرب عليه كثيرا وسأذكر هنا ال ‪template‬الذي ذكرته أ‪ .‬نسمة‬
‫وفي البداية يجب مذاكرة ‪ template‬جيدا ووضعها أمامك قبل كتابة أي خطاب ثم التدريب على كتابة‬
‫الخطابات بقراءة ‪ notes‬أوال ثم قراءة بعض كتابات الزمالء الذين نجحوا في االختبار ثم تكتب أنت الخطاب‬
‫بنفسك وهناك مذكرة مرفقة بها نماذج اختبارات ‪ 2015 &2014‬مع أمثلة من إجابات الزمالء طبعا هي‬
‫ليست نموذجية ولكنها مفيدة للغاية‪.‬‬
‫‪ .2‬يجب أن تختار من ‪ notes‬ما يتعلق بتخصص الطبيب الذي تحول له المريض وتتجاهل باقي ‪notes‬‬
‫‪ .3‬كل ‪ paragraph‬يجب أن يشتمل على أكثر من جملة و‪ sentence passive‬أكثر من ‪ active‬مثل‬
‫… ‪blood tests were ordered, she was instructed to commence‬‬
‫‪ .4‬لو الخطاب يحتوي على ثالثة أخطاء ‪ punctuation‬أو ثالثة أخطاء ‪ grammar‬أو أربعة أخطاء متنوعة‬
‫يرسب الممتحن قبل أن يتم قراءة الخطاب فيجب مالحظة أخطاء ‪ grammar‬الصغيرة مثل أوات التعريف‬
‫ومتى تكتب ‪ a‬ومتى ال تكتبها فمثال ‪ family‬تكتب قبلها ‪ a‬اذا كنت تريد العائلة الصغيرة وال تكتبها اذا كنت‬
‫تقصد العائلة الكبيرة وكذلك األزمنة ونفيها فال تنسى اضافة ‪ s‬للفعل في المضارع البسيط مع ‪he, she, it‬‬
‫مثال وتذكر أن نفي ‪ I have‬اذا كان في الماضي البسيط يكون ‪ did not have‬أما اذا كانت الجملة الماضي‬
‫التام فتكون ‪ had not had‬وكذلك اذا عطفت كلمتين فال بد أن تكون من نفس النوع فال يصح عطف ‪noun‬‬
‫‪ and adjective‬مثال وهكذا وهناك مذكرة مرفقة لجزء الكتابة بكورس ‪ OET‬ممتازة خاصة في توضيح‬
‫األخطاء الشائعة وكيفية تجنبها‪.‬‬
‫‪ .5‬يبدأ حساب الكلمات من بداية الخطاب نفسه مثل … ‪ Thank you for seeing‬والعنوان ال يحسب‬
‫وكذلك ‪ Yours sincerely‬التي تكتب في النهاية أيضا ال تحسب وثالثة كلمات أو أكثر يمكن كتابتهم‬
‫كاختصار مثل ‪ URTI‬ويحسب كلمة واحدة والتاريخ مثل ‪ 2017/12/15‬يحسب كلمة واحدة أيضا وحروف‬
‫التعريف مثل ‪ a, an‬يحسبون كلمة كذلك‬
‫‪ .6‬ينبغي استخدام ‪ formal vocabulary‬مثل ‪: inform‬بدال من ‪ tell‬وكذلك ‪ commence‬بال من ‪start‬‬
‫‪ .7‬في ‪ introduction & conclusion‬يفضل عدم ذكر أي تفاصيل‪.‬‬
‫‪ .8‬ال تنسى أن تترك سطر فارغ من الكلمات بعد كل ‪ paragraph‬وقبل وبعد تاريخ اليوم وأول سطر في‬
‫الخطاب تترك فراغ يسير على يسار السطر‬
‫‪ .9‬مهم جدا ‪ punctuation‬ومتى تضع (‪ (; or , or .‬ومتى تكتب الحرف كبير ‪ A‬أو صغير‪ a‬فمثال أي كلمة‬
‫تبدأها بعد (‪ ).‬تكون بحرف كبير ‪ A‬وكلمة ‪ but‬يأتي قبلها ‪ ,‬وبعدها جملة تامة بينما ‪ and‬ال يكتب قبلها ‪,‬‬

‫‪8‬‬
 :‫ التدريب على أدوات الربط وأهمها التالي‬writing ‫ من األشياء الهامة في‬10.
1. Fortunately, unfortunately, luckily, unluckily, regrettably, unexpectedly
),( ‫ بدون‬verb to be ‫) أو قبل الفعل الرئيسي وبعد‬comma ,( ‫وهذه الكلمات تأتي في بداية الكالم وبعدها‬
2. In addition to, beside, together with, along with
noun or gerund ‫) قبلها أو بعدها والذي يأتي بعدها إما‬,( ‫وهذه الكلمات تأتي بدون‬
3. (Moreover, furthermore=and) (However, nevertheless=but) (Thus, therefore=so)
‫) بخالف بعض‬,( ‫) وبعدها‬semicolon ;( ‫) وفي وسط الكالم قبلها‬,( ‫هذه الكلمات في بداية الكالم بعدها‬
:‫الكلمات التي تستخدم في الربط أيضا مثل‬
Please note,... It is important to… Please ensure that… It is worth mentioning that..
‫ المذكور هناك خيارات عدة توضع بين قوسين ( ) كبديل للجملة األولى وذلك لتختار‬template ‫ في‬11.
‫ كلمة على األقل أما إذا كانت‬180 ‫قليلة فتختار الجملة الطويلة لتصل الى‬notes ‫بينها في حالة إذا كانت‬
‫ كلمة وهذان مثاالن‬200 ‫ كثيرة وهو األغلب فتختار الجمل الصغيرة لتختصر الكلمات وال تزيد عن‬notes
:‫للجملة الصغيرة والكبيرة‬
Your further management is highly appreciated/ I would be grateful if you could
manage her condition as you think appropriate.
‫ كلمة وكالهما يؤدي نفس المعني‬14 ‫ كلمات فقط أما الثانية بها‬6 ‫فالجملة األولى بها‬
For any queries, please contact me. / please do not hesitate to contact me for any
assistance you require regarding this patient.
‫ كلمة‬15 ‫ كلمات والجملة الثانية بها‬6 ‫وهنا أيضا الجملة األولى بها‬
:‫وكذلك عند ذكر عالجات كثيرة لألمراض التي يعاني منها المريض ممكن تكتب بعد ذكر األمراض‬
Which have been managed accordingly/ for which she has been taking….
‫فالجملة األولى مختصرة والثانية تطويل ألنك ستذكر األدوية بالتفصيل‬
:‫ طريقة حساب الدرجة كما هو مذكور بالموقع الرسمي‬.12

Your performance is scored against five criteria and receives a band score for each criterion:

• Overall Task Fulfillment

• Appropriateness of Language
• Comprehension of Stimulus
• Linguistic Features (grammar and cohesion)
• Presentation Features (spelling, punctuation, layout).

9
 OET writing template
Dr Lisa Smith Doctor’s name/Admitting officer
(if doctor’s name not given)
1. Address Endocrinologist specialty
City Hospital address
New town
10/02/2018 Today’s date
Dear Dr Smith Dear (doctor’s name)
Re: Mrs. Priya Sharma DOB Re:(patient’s name) DOB/age (if
08/05/1952 (or aged 35 years) DOB not present)
2. Introduction 1. Thank you for seeing Mrs. Sharma (family name) (I am writing this
Mainly 2 letter to refer you Mrs…), 2. a/an 42-year-old accountant,
sentences
(25-30 words)
3. whose features are consistent with (whose features are suggestive of)
(who has recently developed) (who is presenting with symptoms and signs
suggestive of).
4. Your further management would be highly appreciated (I would be
grateful if you could manage her condition as you think appropriate).
3. Body 1 1. Mrs Sharma is married (widowed) with two children, 2. Regarding
Social and her medical history she suffers from (she has medical history of) (whose
medical history medical records show that she has a long history of) (her past medical
(45-50 words) history reveal that) (her past medical is unremarkable apart from
Mainly present 3. for which she has been taking (Which has been managed accordingly)
. Please note, (It is worth mentioning that) the patient has an allergy to...
4. Body 2 1. On 15/01/2018, 2. the patient attended my surgery with (presented
In between with) (came complaining of) a two days history of… 3. ;thus (therefore),
visits …….one month later, he developed…. later on, ...
(45-50words)
Mainly past
5. Body 3 Today, Ms Sharma came complaining of ….. Her examination
Final visit revealed ….. Thus, ….
(today)
(45-50 words)
Mainly past
6. Conclusion 1. In view of the above, (My provisional diagnosis is)… ; therefore,
2. I am referring this patient for further management of her condition.
3. For any queries, please contact me. (please do not hesitate to contact
me for any assistance you require regarding this patient).
Yours sincerely,
Doctor …… .

10
 ‫‪4. Speaking‬‬
‫في البداية هناك تمهيد في خمسة دقائق وهو يعتبر تهيئة نفسية لك لالختبار وغير محسوب في الدرجة وهو‬
‫دردشة عادية مع الممتحن عن تخصصك واألشياء التي تحبها فيه ولماذا تدخل االختبار ‪ ...‬الخ أما االختبار‬
‫نفسه فهو حالتين ‪ role play‬كل حالة تقرأ ‪ notes‬في ثالثة دقائق ومعك قلم رصاص تعلم به على األشياء‬
‫الهامة أو تكتب أي شيء تريد تذكره أثناء المحادثة وكذلك يمكنك سؤال الممتحن عن أي استفسار في الورقة‬
‫ثم االختبار نفسه ويفترض أن تنهي كل ‪ notes‬في وقت ال يقل عن ‪ 4‬دقائق وال يزيد عن ‪5‬دقائق ونصف‪.‬‬
‫مالحظات هامة‪:‬‬
‫‪ .1‬الممتحن ليس هو من يضع الدرجة بل يتم تسجيل االختبار وارساله ألستراليا ويتم وضع الدرجة من اثنين‬
‫مقيمين على حدة هناك فيمكنك أن تنظر في الورقة المكتوب فيها ‪ notes‬طوال االختبار وعدم االنشغال‬
‫بالممتحن والمهم هو انهاء ‪ notes‬خالل الوقت المتاح مع األخذ في الحذر أن الوقت غالبا يكون قليل وممكن‬
‫ينتهي قبل أن تنهي ‪.task‬‬
‫‪ .2‬المريض نوعان‪ :‬مريض تلقاه للمرة األولى وهذا هو األغلب ونادرا ما يأتي مريض للمتابعة والفرق‬
‫الوحيد بينهما في طريقة تقديم نفسك له في مقدمة المحادثة وكذلك هناك مريض صعب وكثير االعتراض‬
‫‪ reluctant‬وهذا هو األكثر ومريض عادي يستجيب لكالمك بسالسة وهذا األقل وفي حالة المريض الصعب‬
‫يجب أن تحتويه وتظهر تفهمك له وممكن تعيد صياغة الكالم بشكل مختلف وتبين مخاوفك لو لم يستجب‬
‫للعالج كما سيأتي في ‪ speaking template‬وفي الغالب االعتراض سيستمر ألربعة أو خمسة مرات على‬
‫األكثر ثم يستجيب ألنه أيضا محكم بالوقت‪.‬‬
‫‪ .3‬ابدأ بتقديم نفسك ثم أخذ ‪ history‬بشكل مختصر ال يزيد عن ثالثة أسئلة ثم تتبع النقاط المذكورة في‬
‫الكارت وأهم شيء تنهي كامل النقاط الموجودة في الكارت خالل الوقت وفي جملة التشخيص الزم تشرح أي‬
‫مصطلح طبي وتظهر نفسك طبيعي ولست تحفظ بعض الجمل وتسمعها في االختبار ومن حين ال خر البد من‬
‫استخدام أحد جمل اختبار فهم المريض ومتابعته لك وطمأنته إذا أظهر التخوف من التشخيص‪.‬‬
‫‪ .4‬الممارسة هي كلمة السر في النجاح فحاول أن تدريب كثيرا مع الزمالء على ‪ role play‬ومرفق بالمذكرة‬
‫‪ 75 cards‬للتدريب عليها هي عبارة عن ‪.cards of recalls of 2014&2015 and official book‬‬
‫‪ .5‬ال يهم ‪ accent‬بريطاني أو أمريكي أو استرالي المهم نطق الكلمة بشكل صحيح‬
‫‪ .6‬نموذج المحادثة ‪ speaking template‬سيكون مفيدا جدا في البداية لصياغة كل ‪ task‬بشكل جيد‪.‬‬
‫‪ .7‬تقييم المحادثة يكون على خمسة أشياء رئيسية لذا ال تحاول التوسع في الكالم والشرح خارج نطاق الكارت‬
‫ألنه ال يقيس معلوماتك بل هذه األشياء الخمسة وهذا النص التالي نقال من الموقع الرسمي لالختبار‪:‬‬

‫‪Your performance on each of the two role-plays is scored against five criteria and‬‬
‫‪receives a band score for each criterion:‬‬

‫& ‪(1. Overall Communicative Effectiveness, 2.Intelligibility, 3.Fluency, 4.Appropriateness‬‬

‫)‪5.Resources of Grammar and Expression.‬‬

‫‪11‬‬
 Speaking introduction
1. Why are you taking the OET exam?

Actually, I am taking the OET exam to complete the Australian Medical Council registration process.

2. How long have you been working as a physician?

I am working as a physician for 12 years now. 6 years in Egypt and the other 6 years in Saudi Arabia.

3. What about your working hours?

Well, I am working for 8 hours every day from Sunday to Thursday every week.

4. Why did you choose medicine as a career?

A lot of reasons really. Medicine is a very respectful job and it gives you the chance to help
people. From the economic view, it earns good money.

5. What about your specialty? And why?

Well, it was a big conflict for me. I like all parts of medicine. I was hesitated to choose one
specialty and leave the others. At last, I found my target on family medicine as on family
medicine you practice all.

6. What is your advice for fresh graduates?

Oooh, the most important advice is to choose their specialty carefully and to choose what they
actually like to do as they will spend the rest of their life doing it. To be always update
themselves with the recent guidelines, science and education will not stop with graduation.

7. How to be a successful physician?

It is an important question. From my point of view, I think this need a lot of efforts and much
contributing factors. For example, you need to do fewer mistakes in your practice, the fewer
mistake you do the better you will be. A well-established relationship with your patients is
mandatory also. And you need to understand your patient’s needs and concern and always pay
sympathy for their suffers. Last but not least, be always familiar with recent updates guidelines.

8. What was the last training you had?

Let me see. On academic, I passed the Australian Medical Council exam part one on June 2017.
On practical side, I got the ACLS Advanced Cardiopulmonary Life Support Course on October
2017.

9. What is the recent medical advance you heard about?

12
 Speaking Role Play Template
1. Introduction ► 2. Sympathy &History ► 3. Diagnosis ► 4. Management► 5. Reassurance 6. Reluctant patient
► 7. Checking understanding Ending ►8. Sign posting ► 9. Ending & 10. Special cases

1. Introduction: E. End of history:

Good afternoon, my name is doctor …. , I am * Have you tried/taken any medication for it?
the treating doctor for today. How can I help * Is there anything else that is bothering you?
you?
FU visit: Good afternoon, nice to meet you 3. Diagnosis:
again. How are you so far? //How can I help
you? A. Well, based on your symptoms and
after examination, I believe that you have
2. Sympathy & History: what is called …. , and let me explain ….
* You are suffering from a condition
A. Starting: known as… have you ever heared of that?
Oh, I am really sorry to hear that, it must * The X ray indicates that you have ….. //
have been very painful/ it must be the tests show that it is probably a
stressful for you but can I ask you some condition known as ….. and let me
questions first if you don’t mind? explain….
all right Mr. … I appreciate your (fears, B. It is a condition caused by …. The
worries, concern, etc.) symptoms include ….. the best treatment
would you mind if I ask you a few further is...
questions regarding this situation?
B. Clarify: 4. Management:
* What about appetite? Are you eating
well? A. I think we would start with …
* Do you have // Have you had any I will give you a prescription for ...
symptoms like …? I’ll write a referral letter to …
Could you describe the pain? Does it We will run some tests to see …
occur all the time or just now and again? B. First of all …… it is also important to
* Does anything special make it worse or …. do you think you can do it?
relieve it? C. There are some very effective
Does anything seem to bring it on or strategies to cope with …… I would like
aggravate it? to explain them for you Is that okay?
C. Site: D. I see that must be a very difficult
* Which part of your body is affected? situation for you but the good news is that
* Could you tell me where the pain is? there are several options available which
* Can you tell me where it hurts? will help you. Would you like to hear
D. Duration: When did it start? more about that?
How long have you had it// been suffering D. It is a good time to start …. , in terms
from this problem// been feeling like that? of ……. , it will be necessary for you to…

13
5. Reassurance: Finally, after agreement: I’m pleased to
hear that. Now …
* Rest assured, this is quite a common It is
nothing to get alarmed about… 7. Checking understanding:
* Let me reassure you that eczema is self-
limited. 1. Is that clear // am I clear so far? // How
* Don’t worry, if you can follow my does that sound// Am I clear till now?
advice you will get much better soon. 2. Do you think you can do that // Do you
* Don’t worry it will go away by itself in a feel comfortable about my advice?
few days with some rest. 3. Do you have any question so far //
* I know it sounds difficult at first but would you like me to tell you more about
with practice, I am sure you will be able to that?
* I am sure you won’t have any more
trouble 8. Signposting:
* The staff here are very experienced and
will take good care of you. A. First of all …
* as I said before // as I told you earlier …
6. Reluctant Patient: B. I’m concerned about your smoking
habit. It is important to // necessary to stop
A. I really appreciate your concern smoking
* I can understand your worries * I have to highlight/ emphasize the
* I know how you feel but let me … importance of … it is very beneficial for
B. I completely understand your busy you.
time, but your health is my priority, what * I recommend that // I strongly advice
is more important your health or your job? that you should lose weight.
so I think you should find some time to… C. For this reason … therefore..., so…
What is more important the risk of …or… however…, in addition... also..., now…
C. Let me assure you, if you follow my D. that is a good question and let me
advice the risk of heart attack will be explain to you that …
greatly reduced; however, if you do not * It is a good idea to…
follow my advice and continue to smoke
then the risk of heart attack is much 9. Ending:
higher.
you don’t want that to happen, do you? A. Do you have any more question?
D. Let me explain to you why the insulin
therapy is necessary for you. * Hope you feel better soon.
E. Of course you will need to continue…
However, I don’t think …. will be helpful * Wish you a speed recovery.
in your situation. I would prefer
alternatives. B. I would like to see you in a week, don’t
*I understand … but let me explain to you hesitate to call me if you have any
why it is not a good choice for you to … concerns.

14
 10. Special Cases
1. Breaking bad news: 4. Quit smoking:
Now in order to quit smoking, I
A. June, we have the test results back recommend that you attend our
and I’m sorry to tell you that the cause hospital’s quit smoking program. They
of your symptoms could be more run regular classes and I can tell you
serious than you think and that is a risk that it has helped many patients
that …. succeed in giving up smoking. Would
B. I realize that this come as a shock to you like to do that?
you (pause) 5. Alcohol addiction:
C. It is a very important that we do a Is quite a serious condition, and you
few further investigations including … really need some outside support to
D. Fortunately, we caught it early and help you overcome this. Therefore, I
there are some treatment options such recommend that you contact alcoholics
as chemotherapy. anonymous, or I can contact them on
E. We will keep a close on you and be your behalf, and arrange an
sure you are in very good hands. appointment. How does that sound?5.
F. It may be a good idea to talk to 6. Starting insulin:
someone about this. Do you have any I understand that self-injecting insulin
relative or close friend who can help can be challenging at first, but at our
you and provide support? clinic we run weekly training programs
which are run by our nurses. They can
2. Refer to a dietician: take you through the process step by
Now regarding your diet, I can refer step and help you gain confidence.
you to a dietician and they can provide Would you like me to make an
really good guidelines and healthy food appointment for you?
options.
3. refer to physiotherapy: 7. Exercise:
One way to speed up the recovery You need to start an exercise program,
process and to increase mobility is to and I recommend joining a local gym
visit a physiotherapist. They will be or sports Centre. They will be able to
able to design a rehabilitation program create a fitness program that can help
based on your needs and it can make a you lose weight and feel healthier. Do
big difference. Would you like to try you think you can do that?
that?

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