So tell me about that patient. >> Okay so, Miss Smith she's 59 year old lady. She came in complaining of belly pain that started about two days ago. She first noticed it when she was eating dinner two nights ago. And she said that it, you know? It's not like reflux, it seems to be a little bit lower down which she has that sometimes. And she, you know when I palped on her belly, I don't really feel any particular area that she seems is worse. Sometimes I can get a little bit more on the right side, but it's not all the time. And she said that, drinking water seemed to make it better one time. But, you know, I'm not really exactly sure she was eating when I was in there and that didn't seem to bother anything. And she has, someone in her family had lymphoma, and so, she was worried that maybe that could be what's causing this trouble in her. >> Mm-hm. Belly, and I think she's just really paranoid about it. But I'd like to at least check an x-ray on her and see what's going on. She does sometimes, she's been passing gas, but she hasn't had a bowel movement in a couple of days so it may be something related to that. And she did say that she felt a little warm last night. Oh, and she did have a temperature when she came in too, here, it was around 38.2 so. >> Let me see. So I actually went and saw her, and she seemed to be really tender in the right lower quadrant. I just wondered if you'd mind if I give you some feedback about this case? >> Sure. >> Great, thank you. >> That was interesting to watch. I think she was kind of at a reporter level, don't you think? >> I would agree that she was at the reporter level, right. >> Yeah, let's think about what kind of feedback we would provide to her that would both kind of document reporter level, but also try to help her get better at, reporting better in managing and interpreting. >> Sure. So again, using the language in rhyme is really important so that everybody gets familiar with it. So I think you could say that, that that was a decent job at trying to be a reporter. That she was able to answer some of the what questions that you were looking for. But that you need her to take a little bit more ownership of the patient, in that you expected her to come in and present to you a very organized presentation. >> Mm-hm. >> Going through, the entire history and the physical exam in an organized framework, >> Mm-hm. >> And that she could use some improvement on that. >> Mm-hm. Yeah, I noticed that she put, like, physical exam findings in the middle of the, in the middle of her history. And then she also just kind of took these tangents about what the patient said, as opposed to trying to give you a complete story about what the patient was coming in with. >> Right. And I think that's exactly the kind of feedback you'd want to give to her. >> Mm-hm. >> And depending on what level she's at. So if she's a beginning third year student this may be actually probably pretty reasonable and expected, and so you want to give her some information on how to get to be a good reporter so she can move on to be an interpreter. >> That's helpful, thank you.
