By George Adlam • August 09, 2026 • Last reviewed: 09/08/2026 •

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In this scenario, the student must navigate an ethically complex situation in which a parent is refusing a prescribed antibiotic for their 4-year-old child who has been diagnosed with otitis media. The scenario tests the student's ability to balance respect for parental autonomy with their professional duty of care to a vulnerable paediatric patient, including safeguarding considerations and evidence based counselling. 

Please ensure that this scenario and mark scheme align with the most up-to-date guidelines from UK NICE and the BNF when using it for your OSCE assessment.

You will need a student pharmacist and an actor for this scenario.