Communication and bedside manner
Real-time practice with virtual patients lets you work through difficult conversations.
Objective Structured Clinical Resource
OSCR is your nurse, your patient, and your attending.
Try it for free today.
Alicia Brooks, 24. Burning when she passes urine and a fever since yesterday. Uncomfortable, but talking in full sentences.
BP 112/68 · HR 106 · RR 18 · Temp 38.4°C · SpO₂ 99% RA
Can you send a urinalysis and a set of cultures?
Already collected. I'll bring it over when it's back.
Tell me what's been going on since yesterday.
It burns every time I go, and I'm going constantly. Last night I started shivering so hard the bed was shaking.
Has the pain moved anywhere?
It's in my back now, this side. Is that normal? My mum had something with her kidneys.
24-year-old woman, dysuria and frequency for two days, now febrile to 38.4 with flank pain and costovertebral tenderness.
So why does the flank pain change anything for you?
Real-time practice with virtual patients lets you work through difficult conversations.
Work on your differentials, workup plans and results interpretation throughout the encounter.
Communicate more effectively with your nurse and attending while juggling the patient encounter.
Further your thinking and prepare for your clerkships by stepping beyond the patient interview.
Clinical reasoning
You narrowed to urinary tract infection early and stayed there. The rigors and flank pain were in front of you by minute six.
Communication
You let her finish, and you answered the question about her mother's kidneys instead of deferring it.
Open question to start, no interruption for 40 seconds. You told the attending the diagnosis before the narrative, which is the right order under time pressure.
Pyelonephritis versus uncomplicated cystitis: what moves a patient from oral to admitted. IDSA criteria are the short read.
Disclaimer
OSCR is a large language model, not a clinician and not a person. The medicine it produces is convincing and sometimes wrong, so treat it the way you'd treat a confident classmate rather than a textbook. Good practice, not a source.