What it does
Turns a lecture into a patient you can interview. You ask the questions, the patient answers in their own words, and when you say "end encounter" the same model steps out of character and coaches you on what you missed. Six steps can teach you the facts about a disease. None of them teach you to sit across from the person who has it.
What you need
- A ChatGPT account. Voice mode is the reason it was built there
- A lecture PDF, or just the name of a condition
Why this is different from a quiz
A practice question hands you the findings and asks for the diagnosis. A real patient hands you nothing. They tell you their ear hurts. Whether you ever learn about the rash, the facial weakness, or the hearing change depends entirely on what you think to ask. That gap between recognizing information and eliciting it is where most of the actual skill of medicine lives.
Step 1: Set the scene
This is one prompt, not four. Both roles are loaded at the start, and a keyword moves between them. Attach the lecture, or just name the condition:
Setup: Specialty [cardiology · pulmonology · neuro · OB...], patient age,
difficulty [beginner · intermediate · advanced], scope [history · +exam · +workup].
Role & Goal: You're a realistic standardized patient during the encounter,
and my coach afterward.
Ground Rules: Stay in character and talk like a real patient, not a textbook.
Never volunteer clues, reveal the diagnosis, or invent facts.
The Debrief: When I say "end encounter," step out and coach me: what to keep,
stop, and improve, the high-yield questions I missed, and a brief differential.
Start when I say I'm ready.
Two rules carry most of the weight. Never volunteer clues is what leaves you something to practice; without it the model hands you the full case in its first reply. Talk like a real patient, not a textbook is what makes you translate: a patient says their face feels heavy, not that they have unilateral facial paresis. The Setup line is what makes this reusable, since changing four values gives you a different encounter rather than a different disease.
Step 2: Take the history
Interview them. Ask open questions first, then narrow. Push on anything vague. You will feel the difference immediately: you have to decide what to ask. If you never ask about hearing, you never find out about the hearing change, and that omission is the lesson. When you are ready, state your diagnosis and your reasoning before asking for feedback. Committing first is what makes the feedback land.
Step 3: Say "end encounter"
end encounter
Two words. The model drops the patient and becomes your coach: what to keep, what to stop, what to improve, the high-yield questions you missed, and a brief differential.
The trigger is the design, not a convenience. Because both roles are loaded from the start, the switch happens on your command rather than the model's judgment, so it never breaks character early to reassure you. And because you choose when to end it, you have already committed to your own read of the case before any coaching arrives. Say your diagnosis and your reasoning out loud before the keyword.
Tips
- Interview out loud if you can. Typing lets you compose a careful question; speaking forces you to ask it the way you would in a room
- Do not peek. Asking "am I close?" mid-interview ruins it. Commit, then say "end encounter"
- Ask for the hard version: a patient who is a poor historian, is anxious, minimizes symptoms, or answers a different question than the one you asked
- Turn up the difficulty rather than changing the disease. The same condition at advanced is a different exercise
- Run the classic, then ask for the same condition atypical with no warning about how it differs
- Run the same disease three different ways to learn the range of how it shows up
Before you upload
Confirm with your course director or professor before uploading a lecture, and never upload anything containing patient identifiers. Ask for a generated patient rather than pasting in a real case. The simulated patient is also not a real patient: if a presentation does not hang together clinically, check your slides. This builds the habit of asking systematically, but it does not replace standardized patients, clinical skills coursework, or real patient contact.
Read the full guide →