Design mock-up with synthetic example data for one invented learner. Case titles and the nine feedback domains come from the system; the attempts, scores and dates are made up. No learner outcomes are reported.
!Cue not followed up: he said his daughter tells him everything is fine
Patientडॉक्टर बाबू, report आ गई है ना? मेरी बेटी कह रही है सब ठीक है... पर मुझे सच जानना है।Doctor, the report has come, hasn't it? My daughter says everything is fine... but I want to know the truth.
You · 05:31Yes, the CT report is here. Before we look at it, what is your understanding of how things have been going?Asked what he understands
Patientमुझे लगता है बीमारी बढ़ गई है शायद।I think the illness may have grown.
You · 05:58The scan does show the cancer has spread to the liver and the bones.News given before asking how much he wants to know
Patient(long pause, looks at his daughter)
Listening… speak your next line
Station checklist
Updates as you speak. Items stay grey until there is evidence.
Set up privacy and who is present
Asked what he already understands
Asked how much he wants to know
Shared the CT result in plain words
Responded to emotion before moving on
Explored what matters most to him now
Agreed a plan and who else is told
Checked understanding and safety-netted
Practice: cues shown liveExam: cues held for debrief
Debrief · Station 3 · ended 08:00
Ready 41 seconds after you finished
Feedback is built from the encounter record as the station runs, so most of it is ready when you stop talking.
Station score 68 Pass 75 · not yet
Live cuesduring the station
Checklist and cue counts0–5 s after
Domain triage with turn citations41 s after
Faculty review of flagged momentsqueued, asynchronous
Already strong 3
Asked what he understands05:31 "what is your understanding of how things have been going?"
Plain language05:58 named liver and bones, no jargon
Set-up00:20 asked if he wanted his daughter in the room
Getting there 2
Asking permission05:58 shared the result before asking how much he wanted to knowTry: "Would you like me to go through the details, or start with the main point?"
Involving family with consent06:40 spoke to the daughter about him while he was present
Work on next 2
Responding to emotion06:05 long pause, then you moved to treatment optionsTry naming it: "This is a lot to take in. What is going through your mind?"
Following up cues00:04 "my daughter says everything is fine" was not explored
2 skills added to your hill climbShort drills start now and come back at increasing gaps.
Re-test · Station 3 · day 15 · Exam mode, no live cues
Followed up111Missed
Patient(long pause, looks at his daughter)
You · 05:40That is a lot to take in. What is going through your mind right now?
PatientI am worried about her, more than about me.
✓Passed
You stayed with his worry before talking about treatment. That is the skill you drilled twice this week, and today it held without any cues.
Cues followed up11 ✓
Station score81 pass 75
Your time7:42
+13 on your last attempt at this stationClimb complete: Responding to emotionFirst unassisted pass in Palliative care5-day practice streak
Next on your climb: Ask about family dynamics, due in 3 days
What earns a reward
Rewards follow what you did: cues followed up, questions asked, safety-netting, and passing without hints.
Nothing rewards the patient agreeing, calming down or accepting a plan. A hard conversation can go well and still end in tears.
Streaks count days you practised, not days you scored well, so a bad day never breaks one.
Personal bests compare you with your own earlier attempts. There is no leaderboard.
Hill climb · built from your last 4 stations
Responding to emotion
Short drills on one skill, spaced out so it sticks. The full station comes back once the drills pass.
3 of 7 steps on this climb
Drill score by spaced rep
Example data
Drill repFull station, no cuesScheduledPass line
Responding to emotion
3 drills
✓Notice the pauseDay 0 · 82
✓Name the emotionDay 2 · 78
3Stay with it before factsDue today
Following up cues
2 drills
✓Catch the hidden worryDay 1 · 76
5Ask about family dynamicsDue in 3 days
Re-test
1 station, no live cues
6Full station, new surface detailsDue in 9 days
◆Climb completeThen a check-in at 30 days
Where you stand on this case
Practice score over time
Unassisted attemptAttempt with hintsDelayed re-test, no hintsPassing line (faculty-set, draft)
Nine domains, attempt by attempt
Each column is one attempt in this track, oldest on the left