Clinical domain
Clinical Decision-Making
These scenarios test how you choose and change a course of treatment: what to do when an intervention is not working, when a client wants something different from what the evidence recommends, or when new information changes the formulation.
What makes these scenarios hard
The evidence base against the individual in front of you. Protocol fidelity and responsiveness both matter, and the strongest answers usually revise the formulation rather than defending it.
What a strong answer usually does
- Non-response is information. Revisit the formulation before changing the model.
- A formulation is a hypothesis. New information is a reason to update it.
- Shared decisions beat unilateral ones, including decisions to stop.
- Stay inside your competence, and be honest with the client about where its edge is.
The standards behind it
- HCPC 3.1 — practise only within your knowledge and skills
- HCPC 3.3 — refer on where care falls outside your scope
- HCPC 1.2 — work in partnership with service users
- HCPC 1.4 — valid, informed and ongoing consent
10 scenarios in this domain.
Practise Clinical Decision-Making