Marked station
Station: Abdominal pain
marked line by line.
Surgical admissions unit · conversation station · 8:00 station · finished at 7:42
PASScomputed in code
16 / 19
criteria met · pass mark 14
6 / 6
essential criteria met
0 / 12
red flags triggered / monitored
PASS
by rule, not by opinion
PASS requires: score ≥ 14 of 19, every essential criterion met, and no red flags triggered. The rule is arithmetic — the model never decides the verdict.
Domains
- History & data gathering4 / 6
- Clinical reasoning5 / 5
- Communication3 / 4
- Safety4 / 4
Timeline — what happened when
- 0:08Introduces self — name and role
- 0:52Pain history begins
- 1:34Red-flag screen — fever, vomiting essential
- 2:41Requests observations essential
- 2:58Escalates raised heart rate
- 3:22Requests focused examination
- 4:10Examiner question — chosen by code
- 4:31Differential stated essential
- 5:10Investigations ordered
- 6:12Surgical referral essential
- 6:30Nil by mouth essential
- 7:05Safety-netting essential
- 7:42Candidate ends the station — 18s remaining
Every criterion, judged with evidence
metnot metessential
History & data gathering
Clinical reasoning
Communication
Safety
Criterion 14 · CommunicationNOT MET
Acknowledges the patient’s worry before proceeding
When the patient said “I’m really scared it’s something serious”, the next turn moved straight to examination. A single acknowledging sentence was available and not taken.
What went well
- You opened by introducing yourself by name and role, which oriented the patient from the start (0:08).
- You asked for the observations rather than waiting to be given them, noticed the raised heart rate, and escalated it with a concrete plan (2:41–2:58).
- Your differential was structured and ranked, and the referral decision was explicit about urgency: “tonight, not tomorrow” (6:12).
What to do differently — exactly
- You did not establish the last menstrual period. In right-sided abdominal pain in a woman of child-bearing age, say: “When was your last period?” — ectopic pregnancy has to be excluded, not assumed away.
- When the patient said she was scared, the next turn moved straight to examination. Acknowledge first: “I can hear this is frightening — let me examine you and then I’ll explain exactly what I’m thinking.”
- Fasting status was never established. One question — “When did you last eat or drink?” — and the surgical team’s options stay open.
This is the report every simulated station produces — each judgement anchored to a quote, each verdict computed by rule. How the engine behind it works, and what we measured when we tried to trust it, is written up in full.