59 Speaking

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Speaking

OET
Coaching
With
Ghazouly

Ghazouly
1
Speaking
Twenty minutes: 4 mins ice breaking
(avoid taboo RPS), 8 mins a cue card and 8
mins a cue card.

Each cue card= 8 mins= 3 mins to prepare


and 5 mins to talk.

Physical illness= 90%, psychiatric


5% card and ethical 5% = MPOA Medical
certificate Marijuana son

Ghazouly
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Marks:
35% language functions…. Word stress,
pronunciation…etc

65% = communicative skills:

Ghazouly
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1- language functions. 35% of marks

Pronunciations:
Th> ‫ ث‬think thought thigh through throw
month

Th> ‫ ذ‬these then that those though….

Ths> s final positions. Months/ mons


breaths= bres?

Thes> z clothes kloz.


Breathes> Z

P> is always aspirated = a puffy sound

Poor pair pills impaired pain

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Ed ending, when it comes at the end of
words, it has three different
pronunciations:

After k, p sh, f ch, s = /t/.


worked
stopped stooped coughed washed
watched.. /t/
Missed =mist experienced advanced. .
stiffed attacked Mr x has a diminished
patellar reflex.

Ed= id after T and D. ? added, wanted


edited needed id.

After any other sound, it is pronounced as


d.

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Pulled organized waved……..

Mr x, can you tell me why you have


stopped/t/ taking the medications?

/ s
/ ending is pronounced as /s/ when it
comes after?

After /K/ works picks attacks smokes ….


After /t/ pets starts cats…
/P/ lips caps stops cups…

After /f/. > coughs puffs sniffs….

/Z/ after m n l r b d g > Z


EX: seems sons pills murmurs jobs hands
friends bands brands dogs hugs bugs

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Iz= after the sibilant sounds:

Sh ch g X s z
Washes crashes boxes reflexes garages
watches misses buzzes

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Word stress?
In nouns, the stress falls on the first syllable
of the words.

Department. Hospital oncologist


physiotherapist specialist. Gynecologist.

Diabetologist

Shall I Compare thee(you) to Summer’s day!

Orange

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Noun and verb pairs:

One word that has the same spelling, but it


has more than one pronunciation:

Record addict conduct.


Record addict conduct. V
Increase increase
Decrease Decrease
A misleading conduct! N
You conducted badly
A referral to an endocrinologist
is recommended now.

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An addict has a risk factor of
destroying his brain cells.
He is addicted to marijuana.

Parked parkt smoked picked = t


Experienced advanced missed
blessed = t
Worked workt =t
You need to take 3 months off
from work.
Mr Adams, you should change
your lifestyle not to experience
a stroke. So, you ought to

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decrease alcohol. ……Have you
experienced any chest pain
recently?

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2- Communicative skills: 65%
marks

1- You should read the card for 3 mins.


2- Proudly, raise your hand and ask
about any discrepancies in the card!

3- Build up a relation with the patient!=


never say /no/ to the patient.
(yes/but) “I wish I could…, but I can’t”

4- Your medical knowledge is your

weapon/ your power. ‫ﻓﻲ‬ ‫أي ھﺑد‬


‫اﻟطب وﻟﻛن ﻓﻲ اﻟﺳﯾﺎق ھﯾﺑﻘﻲ ﺻﺣﯾﺢ‬

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Discuss how Zoloft is working?

Discuss how DEXA scan is working?


How insulin is working?
Explain to the mother tibial
hemimelia.

Causes of sleepwalking and give the


mother some precautious
measurements:

Tell the mother the benefits of


steroid?

Explain the effects of


cannabis/marijuana on the brain.

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Give the patient some strategies to
help him end constipation.

Explain to the pt what meniscus tear


is.

5- How can I deal with a reluctant


patient?

- stick to the card information

- Get other extra ‫اھﺑد‬


information outside the card
- Threaten him/her.

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6- Explain medical jargon by using
laymen English.

7- Check understanding! Never speak as


if you are in a monologue! = patient’s
engagement….

8- Break bad news gently!

9- Sympathize with the patient.

10- In breaking bad news, you can offer a

drive to the patient! ( option)


11- Never utter/say any Arabic word!

12- Confidence! = 100%

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13- Never correct any medical
information.

14- You should be the dominant!


15- Guide him to the right path, begin,
end the card= the manipulative…

16- Never end the card suddenly. =


closing!

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17- You should know whether the patient
is yours or not.

Your patient:
Your patient twice.
Discharge card
Ethical card
Follow-up

Thank you for visiting me once again Mr x.


How have you been Mr x.

New patient.

Good morning/evening/afternoon, this is


Dr x, one of the treating physicians here at

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the surgery. How may I help you? Or what
seems to be the problem today?

Useful phrases:
Honestly speaking, To be honest with
Well,
Let me explain this to you,
Sir, I see that you are worried about your
condition. However, ….
Mr X, actually, it is a good question?
Pardon me,
I beg your pardon,
Excuse me,
Would you mind repeating what you’ve
just said?
Please be seated.

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Ok. Before proceeding further, would you
mind asking you some questions?
Mr x, at this stage, I’d like to examine
you…your ear… mouth……. open your
mouth…..Please Mr X, I need you to lie on
your back here on this couch.

End of the text!

Ghazouly
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