Ideas, Concerns and Expectations (ICE)

Also known as: ICE

A consultation habit of exploring what the patient thinks is going on (ideas), what they are worried about (concerns), and what they hope you will do (expectations). It is a high-yield source of interpersonal marks in PLAB 2.

Eliciting ICE often uncovers the real reason a patient came — the hidden worry behind the symptom. Addressing that concern directly is what makes a consultation feel human rather than mechanical, and examiners reward it consistently.

More glossary terms

Advance decisionA legally binding decision made by a person with capacity to refuse a specified treatment in the future should they lose capacity — for example a refusal of blood products.
Aseptic Non-Touch TechniqueA standardised method for performing clinical procedures without contaminating key sites or parts, reducing infection risk. Often taught in practical-skill teaching stations.
Best interestsThe framework for making a decision for a patient who lacks capacity — weighing their past and present wishes, values and the views of those close to them, choosing the least restrictive option.
Calgary-Cambridge modelA widely taught framework for structuring a medical consultation — from initiating the session and gathering information through to explanation, planning and closing — while building the relationship throughout.

Put it into practice

Rehearse PLAB 2 stations with AI simulated patients and get structured feedback after every consultation.

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