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.
- You
- Medical Intern (general medicine OPD posting)
- Across the table
- Manoj Patil, Patient — came in for a routine loan medical, Patil Roadways (owner-driver, small transport business)
He speaks first.
Everything fine, right doctor? The report is okay? I just need the fitness paper for the bank, that's all.
My driver is double-parked outside and I have a load to move by two, so if you can just sign it, I'll get out of your hair.
The brief comes after you sign in.
The situation
He came in sure he was fine.
Manoj Patil is here for a routine loan medical. He thinks the visit is a formality. The numbers say Type 2 diabetes. He wants the word borderline. His truck is outside.
You are the medical intern on a crowded OPD desk. The morning does not slow down for a careful sentence.
- He is hoping for a softer label.
- The labs do not support the label he wants.
- He is in a hurry, and the queue is not.
The session
About twenty minutes.
You sign in with your email, read the brief, and have the conversation. A short reflection comes first. Then the coaching debrief, on what you did. The transcript stays with the session. You do not see a score.
- Email sign-in
- Coaching debrief
- Up to 20 turns
Before you start
What 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.
What do I leave with?
A transcript of what you actually said, and a coaching debrief on what it cost you. You answer a short reflection before that debrief appears. You do not see a score.
Can a team run the same scenario?
Yes. Each person gets their own conversation. A pilot is how a cohort starts: same brief, separate transcripts, one place for the programme lead to read them.