18 - Communicate with a specialist colleague - Exercises
Exercise 1: Match a word
Instruction: Match the items that have a related meaning.
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Exercise 2:
Exam preparation 
Instruction: Read the text, fill in the gaps with the missing words, and answer the questions below
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Nota de derivación a Traumatología
Centro de Salud La Ribera. Nota de a Traumatología.
Paciente con dolor en la rodilla derecha desde hace 3 semanas, sin antecedente de golpe. En la consulta se revisaron antecedentes: y . Hay inflamación leve y dolor al subir escaleras. provisional: tendinitis. de la remisión: valorar imagen y plan de tratamiento. Adjunto el médico y solicito segunda opinión. Por favor, recepción y programar una cita.La Ribera Health Center. Referral note to Traumatology.
Patient with pain in the right knee for 3 weeks, with no history of a blow. During the appointment, medical history was reviewed: hypertension and overweight. There is mild swelling and pain when going up stairs. Provisional diagnosis: tendinitis. Reason for the referral: to assess imaging and treatment plan. I attach the medical report and request a second opinion. Please confirm receipt and schedule an appointment.
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¿Qué antecedentes presenta el paciente y qué se solicita en la nota de derivación?
(What medical history does the patient have and what is requested in the referral note?)
Exercise 3:
Listening
Instruction: Listen to the audio and answer the questions.
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| True | False | |
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(The person is going to refer the patient to a dermatology specialist.) |
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(The message says that the patient has improved with the usual cream.) |
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(The sender has the informed consent and plans to send photos and documents.) |
Exercise 4: Verb conjugations
Instruction: Choose the correct solution
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1. Le escribo para ___ al paciente a su consulta y adjunto el informe médico.
(I am writing to ___ the patient to your office and I am attaching the medical report.)2. En el historial clínico, el paciente ___ que desde ayer tiene dolor abdominal.
(In the medical history, the patient ___ that since yesterday they have abdominal pain.)3. Ahora ___ los antecedentes y preparo la remisión con el diagnóstico provisional.
(Now I ___ the medical history and prepare the referral with the provisional diagnosis.)
Exercise 5:
Dialogue comprehension
Instruction: Practice the conversation with your teacher or fellow students.
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Derivación al traumatólogo
Dra. Martín (Médica de familia): Show Hola, Dr. Rivas, soy la Dra. Martín de Atención Primaria. Le llamo para derivar a un paciente por dolor en el hombro derecho.
(Hello, Dr. Rivas, this is Dr. Martín from Primary Care. I'm calling to refer a patient for pain in the right shoulder.)
Dr. Rivas (Traumatólogo): Show Hola, dígame. ¿Cuál es el motivo de consulta y desde cuándo tiene dolor?
(Hello, go ahead. What is the reason for the visit and how long has he had pain?)
Dra. Martín (Médica de familia): Show Hace tres semanas y empeora al levantar el brazo. He revisado los antecedentes y no hay cirugías previas; mi diagnóstico provisional es tendinitis.
(For three weeks and it worsens when he raises his arm. I've reviewed the medical history and there are no previous surgeries; my provisional diagnosis is tendinitis.)
Dr. Rivas (Traumatólogo): Show Perfecto. Envíeme la remisión con el informe médico y un resumen del historial clínico y lo valoramos en consulta.
(Perfect. Send me the referral with the medical report and a summary of the clinical history and we'll assess it in consultation.)
Dra. Martín (Médica de familia): Show De acuerdo. Adjuntaré la documentación hoy y programamos la cita. ¿Me confirma recepción cuando lo reciba, por favor?
(Alright. I'll attach the documentation today and we'll schedule the appointment. Could you please confirm receipt when you receive it?)
Open questions:
1. ¿Cuál es el motivo de consulta del paciente y qué síntomas describe la doctora?
What is the patient's reason for the visit and what symptoms does the doctor describe?
Exercise 6: Discussion questions
Instruction: Speaking: translate and respond
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Useful expressions:
Quisiera derivar a un paciente porque… / Según el historial clínico, presenta… / Adjunto el informe médico; agradecería que confirmara recepción.
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Has atendido a un paciente y necesitas derivarlo a un especialista: ¿qué información básica incluyes en el informe y cuál es el motivo de la derivación?
You have seen a patient and need to refer them to a specialist: what basic information do you include in the report and what is the reason for the referral?
__________________________________________________________________________________________________________
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Llamas o escribes a un colega especialista para coordinar una cita: ¿qué le pides y cómo confirmas que ha recibido la documentación?
You call or write to a specialist colleague to coordinate an appointment: what do you ask for and how do you confirm that they have received the documentation?
__________________________________________________________________________________________________________
Exercise 7: Writing correspondence
Instruction: Write a reply to the following message appropriate to the situation
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Asunto: Derivación a Traumatología - dolor de muñeca
Hola Dr. López:
Le escribo para derivar a un paciente, Javier Martín (45). Motivo de consulta: dolor en la muñeca derecha desde hace 3 semanas, que empeora al moverla. No recuerda un golpe. En la exploración hay leve hinchazón y dolor a la presión. Le hemos dado ibuprofeno y una muñequera, pero sigue igual.
¿Puede valorar y decir si hace falta una prueba o una intervención? Adjunto un breve informe y su historial.
Gracias, Dra. Marta Ruiz (Centro de Salud Norte)
Subject: Referral to Orthopedics - wrist pain
Hello Dr. López:
I am writing to refer a patient, Javier Martín (45). Reason for consultation: pain in the right wrist for 3 weeks, which worsens when moving it. He does not recall an injury. On examination there is mild swelling and tenderness on pressure. We have given him ibuprofen and a wrist brace, but he is still the same.
Could you assess him and say whether a test or an intervention is needed? I am attaching a brief report and his medical history.
Thank you, Dr. Marta Ruiz (North Health Center)
Useful phrases:
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Confirmo la recepción de la derivación y la documentación.
(I confirm receipt of the referral and the documentation.)
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Según el informe, el paciente presenta dolor en la muñeca desde hace...
(According to the report, the patient has had wrist pain since...)
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¿Podemos programar una cita el jueves a las 10:30 o el viernes a las 12:00?
(Can we schedule an appointment on Thursday at 10:30 or Friday at 12:00?)
Hola Dra. Ruiz:
Gracias por su mensaje. Confirmo la recepción de la derivación y de la documentación adjunta. Según el informe, Javier Martín (45) tiene dolor en la muñeca derecha desde hace 3 semanas, con leve hinchazón y dolor a la presión, y no mejora con ibuprofeno ni con la muñequera.
Puedo verlo en consulta esta semana. ¿Le va bien el jueves a las 10:30 o el viernes a las 12:00? En la visita revisaremos los antecedentes y decidiremos si necesita radiografía o ecografía. Mientras tanto, que continúe con reposo relativo y la muñequera.
Un saludo,
Dr. Carlos López
Traumatología
Subject: Re: Referral to Orthopedics - wrist pain
Hello Dr. Ruiz:
Thank you for your message. I confirm receipt of the referral and the attached documentation. According to the report, Javier Martín (45) has had pain in the right wrist for 3 weeks, with mild swelling and tenderness on pressure, and it does not improve with ibuprofen or with the wrist brace.
I can see him in clinic this week. Would Thursday at 10:30 or Friday at 12:00 work for you? At the visit we will review his history and decide whether he needs an X-ray or an ultrasound. In the meantime, he should continue with relative rest and the wrist brace.
Kind regards,
Dr. Carlos López
Orthopedics
