SJT: Medical Honesty & the Duty of Candour (passthemsra.com) - Free MSRA revision

This episode gives you a complete, high-yield breakdown of the professional duty of candour — one of the most heavily tested themes in the MSRA SJT. You’ll learn exactly how to act when you realise you’ve made an error, how to disclose safely, how to apologise without admitting legal liability, and how to handle hierarchy pressure. A crystal-clear walkthrough of safety-first actions, GMC requirements, organisational reporting, and the OASIS mnemonic. 0:00 Why candour is the bedrock of professionalism00:22 Human instinct vs professional duty00:55 The prescribing error scenario01:25 Honesty vs candour — key legal difference01:55 What triggers the duty of candour02:40 Why delaying disclosure scores so poorly03:10 Patient trust as the central principle03:55 Stepwise high-yield approach04:20 Step 1: Safety first05:00 Step 2: Prompt disclosure + sincere apology05:40 Why apology ≠ legal liability06:20 Step 3: Explain facts + action plan06:55 Step 4: Involve seniors early07:35 Step 5: Record + incident reporting08:10 OASIS mnemonic08:45 Decoy detection: delay vs disclosure09:20 Hierarchy pressure and how to respond10:05 Fatal low-scoring traps10:40 Near misses — when to disclose11:20 Why incident reporting always matters12:00 Final three takeaways12:40 Closing reflections on professional integrity• Candour = openness when something goes wrong, even potential harm• Safety first → disclosure second → documentation third• A sincere apology is required and not a legal admission• Involve seniors immediately — never manage alone• Explain facts only, avoid speculation, promise updates• LFPSC/PSIRF reporting is mandatory for learning• Never hide, delay, downplay, or shift blame• Trust is non-renewable — act early and transparentlyOASIS mnemonic:O – Open disclosureA – Apologise sincerelyS – Senior supportI – Informed next stepsS – Safeguard by documentingLinks:• passthemsra.com – Complete MSRA revision, notes, mocks, flashcards• freemsra.com – Free podcasts, threads and rapid-learning guides• msra.io – Smart MSRA Qbank with analytics#MSRA #SJT #MedicalRevision #UKDoctors #MedEd #passthemsra #freemsra #msraio #GMCStandards #DutyOfCandour #PatientSafety