Academic

Just Borderline

Manoj Patil came in for a routine loan medical, sure he was fine. His numbers say Type 2 diabetes. He wants to hear 'borderline'. Truck waiting outside.

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WHAT’S HARD

The brief is short. The conversation isn’t.

Manoj Patil came in sure he was fine. His numbers say Type 2 diabetes.

He wants to hear 'borderline.' The truck is waiting outside.

HOW A SESSION WORKS

Four steps. About twenty minutes.

  1. Read the brief

    The context, your role, and who you’re about to meet. No framework recap.

  2. Have the conversation

    The other person pushes back, holds things back, and reacts to how you actually behave.

  3. Get the coaching debrief

    What you did, what it cost you, and the specific move to change next time.

  4. Keep the evidence

    Transcripts and cohort patterns your programme can actually show a sponsor.

BEFORE YOU START

Two things people ask.

Who am I in this conversation?

You're the medical intern on a general medicine OPD posting. Manoj Patil is here for a routine loan medical and believes his results are a formality. You get the full brief after you sign in.

Do I need clinical experience to practise this?

No. The brief has his labs and context. You're practising how you deliver unwelcome news when the patient is rushing you and hoping for a softer label.

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