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MRCS Preparation

Common Mistakes Candidates Make in MRCS Communication Stations

May 2026 · 6 min read · Dr. Ali Heidari

Communication stations are where MRCS Part B is most consistently failed by otherwise strong candidates. The clinical knowledge is rarely the problem. Here are the seven most common mistakes drawn from candidate feedback and examiner reports.

2. Using medical jargon

"You have a malignancy with possible metastases" loses marks. "There is a cancer, and we think it may have spread" is the same information in language the patient understands. Examiners specifically watch for jargon translation.

High-Yield Tip

Practice translating the 20 most common surgical terms into patient language out loud. Anastomosis, stoma, laparoscopy, biopsy, malignancy, metastasis — each needs a plain-English equivalent ready without thinking.

3. Not establishing what the patient knows

The first question after introduction should be: "Can you tell me what you already know about your condition?" Candidates who skip this start at the wrong level.

4. Failing to signpost

"I am going to talk about three things: what we found, what it means, and what happens next." This demonstrates structure and helps the patient process what follows.

5. Talking over the silence

When a patient receives bad news, pause, acknowledge it, and let them lead the next part of the conversation.

6. Not summarising

"So to recap, we have discussed the diagnosis, the surgery, and the main risks. Is there anything you would like me to go over again?" This is the highest-value sentence in any communication station.

7. Defending rather than apologising

In complaint scenarios, apologise sincerely first, then explore concerns. Defensive language scores poorly even when factually correct. The SurgAtlas communication suite covers 30 simulated scenarios — free at surgatlas.com.

Written by
Dr. Ali Heidari
Physician · Surgical Educator · Founder of SurgAtlas
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