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You will participate in one standardized patient exercise near the end of the course. This test will consist of 3 simulated office visits with standardized patients (SP), some with direct observation by a faculty member. In each scenario, you will conduct an office visit, engaging in whatever interview and physical examination that you think is appropriate to the chief complaint. You may also be given ancillary data such as lab or X-ray results. You will reach the best diagnosis that you can and present your plan to the SP. The faculty observer and the SP will each fill out an evaluation checklist. There will also be a brief written quiz after each case. Your performance on this exercise will contribute toward your final grade.
Any students who are away from the Binghamton region at the time of the Primary Care standardized patient exercise will need to return for the exercise if they wish to participate.
(Representative from Grumman Aerospace, maker of the Apollo Lunar Module, discussing with NASA engineer Don Arabian the explosion of an onboard battery during the Apollo 13 mission)
``And we can make it back on the power we've got?''
``We should,'' Arabian said. . . .
``Then there wasn't an explosion?'' the Grumman man asked.
``Oh, there was an explosion,'' Arabian said.
``But nothing actually . . . blew up,'' the Grumman man amended.
``Sure it did,'' Arabian said, chewing pizza. ``The battery blew up.''
``But do we have to actually use that term? I mean, the battery's still operating. People get awfully excited when you say something blew up.''
``What term would you suggest?''
The Grumman man said nothing.
``Look,'' Arabian said after a pause, ``you know this is no problem and I know this is no problem. But if the battery screws up, I'm going to say so. And if a tank screws up, I'm going to say so. And if the crew screws up, I'm going to say so. Fellows, these are just systems, and if you're not honest with yourself about what went wrong, you ain't gonna be able to fix anything.''
Chris Ryan 2012-07-08