Case Details

Patient Information: A lactating patient is calling you for a telehealth visit. Her milk just “came in” this morning. Her son is fussy at the breast and refusing to latch.

Setting: Telehealth consultation

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Individual Telesimulation Tasks

Team Telesimulation Tasks

Learner 1

1. Obtain a focused history relevant to the presenting concerns (eg. medical, surgical, family, social, pregnancy, peripartum, breastfeeding)

2. Obtain a focused medical history of a neonate whose mother has delayed lactogenesis II

3. Perform a focused breast examination for a lactating patient presenting with breast engorgement (Note: the standardized patient will be wearing a realistic breast model)

4. Teach a lactating patient appropriate breast massage techniques to resolve breast engorgement

5. Teach a lactating patient how to hand express her breast milk

6. Communicate a management plan to lactating patient with breast engorgement caused by lactogenesis II

Learner 1

  1. Obtain a focused history relevant to the presenting concerns (eg. medical, surgical, family, social, pregnancy, peripartum, breastfeeding)
  2. Obtain a focused medical history of a neonate whose mother has delayed lactogenesis II

Learner 2

  1. Perform a focused breast examination for a lactating patient presenting with breast engorgement (Note: the standardized patient will be wearing a realistic breast model)
  2. Teach a lactating patient appropriate breast massage techniques to resolve breast engorgement

Learner 3

  1. Teach a lactating patient how to hand express her breast milk
  2. Communicate a management plan to lactating patient with breast engorgement caused by lactogenesis II
  1. Obtain a focused history of a lactating patient presenting with breast engorgement
  2. Obtain a focused history of a neonate whose mother has delayed lactogenesis II
  3. Perform a focused breast exam for a lactating patient presenting with breast engorgement
  4. Formulate a management plan for a lactating patient with breast engorgement
  5. Teach a lactating patient techniques to resolve breast engorgement
  6. Communicate a management plan to a lactating patient with breast engorgement caused by lactogenesis II

Question Example:

Dyad summary. Who is this dyad?
Provide the most important points of the maternal history, pediatric history, and breast assessment in a concise fashion.

Do not include unnecessary demographic information (eg. appointment date)

Pretend you are trying to convey the most important information in a limited amount of time to a member of this dyad’s healthcare team.

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