Did we really see the problem?
Medical focus and GP agenda
There is little acknowledgement of the patient's fear that her libido might cause her husband to go elsewhere. The GP's facial expression, hand gestures and lack of acknowledgement before proceeding to talk about hormonal changes can be seen as lacking sensitivity. The patient alludes to her sense of insecurity about the issue but this is not explicitly recognised in this version.
A verbal acknowledgement that this has been noted and understood, with possible clarifications. A better strategy would then be demonstrating understanding of the impact this insecurity would have on her relationship.
SCA Feedback Statements
Respect and or sensitivity shown to the person was inadequate or inappropriate
The examiner felt that you failed to treat the patient with sufficient respect or sensitivity. This may involve a sufficient introduction, consent where needed or assurance of privacy or confidentiality. Being sensitive to the patient involves noticing distress and responding sensitively. Or approaching emotionally charged areas carefully and/or seeking permission before proceeding to explore areas that are difficult or intrusive for the patient.
For consultations with children or patients with cognitive impairment, respect can be shown by engaging with the patient rather than entirely relying on their carer.
Insufficient respect may include excessive familiarity with the patient, dismissive body language and/or patronising behaviour.
Suggestions
You can check that you are being respectful by sharing your consultations with experienced colleagues in the practice. Ask whether you are being sufficiently respectful/sensitive to the patient? Notice the times when sensitivity is more challenging, perhaps when you are under time pressure or for certain patient groups.
Watch others consult and notice times when they are being sensitive and times when they could be more so.