Case Details

Patient Information: A pregnant patient is in the clinic for a routine check up with her regular prenatal care provider. She is concerned about a rapidly enlarging growth on her left nipple. 

Setting: Outpatient clinic

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Individual Telesimulation Tasks

Team Telesimulation Tasks

Learner 1

1. Obtain a comprehensive history of the pregnant patient
2. Request to perform a breast assessment
3. Counsel the pregnant patient regarding the rapidly enlarging growth on her nipple-areolar complex
4. Provide a concrete follow up plan for a pregnant patient with a rapidly enlarging growth on her nipple-areolar complex
5. Provide anticipatory guidance regarding direct breastfeeding, general lactation, and breast pump use for a pregnant patient
6. Practice building a trusting patient-provider relationship that ensures the pregnant patient will seek continued care from you
7. (After the telesimulation experience, write in the Encounter Documentation) Describe a follow up plan to address any identified concerns/risks for intimate partner violence, sexual abuse, or verbal abuse

Learner 1. 

  1. Obtain a comprehensive history of the pregnant patient
  2. Request to perform a breast assessment

Learner 2:

  1. Counsel the pregnant patient regarding the rapidly enlarging growth on her nipple-areolar complex
  2. Provide a concrete follow up plan for a pregnant patient with a rapidly enlarging growth on her nipple-areolar complex

Learner 3:

  1. Provide anticipatory guidance regarding direct breastfeeding, general lactation, and breast pump use for a pregnant patient
  2. Practice building a trusting patient-provider relationship that ensures the pregnant patient will seek continued care from you

For all learners (After the telesimulation, write in the Encounter Documentation): Describe a follow up plan to address any identified concerns/risks for intimate partner violence, sexual abuse, or verbal abuse

  1. Obtain a comprehensive history of the pregnant patient
  2. Describe characteristics of benign and malignant lesions on the nipple-areolar complex that present during the peripartum period
  3. Discuss a follow up plan for a rapidly enlarging lesion on the nipple of a pregnant patient
  4. Provide anticipatory guidance regarding breastfeeding and lactation for a pregnant patient 
  5. Practice building a trusting patient-provider relationship that ensures the pregnant patient will seek continued care from you

Example Question:

Follow-up.

Describe the follow-up plan you provided to the patient during the telesimulation. Include when you would like to see (or check in) with this dyad (Eg. in the next 24 h, in two weeks).

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