TKEX The Knowledge Exchange

Clinical Communication Course · practice tool

The Encounter

Here are your simulated consultations. You can interact with the patients, try new things, and be provided with detailed feedback at the end of your consultation.

Once the consultation starts, try to reply conversationally, at the pace you normally would.

1. Pick the level

Each level focuses on a different part of the encounter. The capstone brings them together and removes the supports.

2. Pick who you are seeing

3. Set yourself a constraint, if you want one

Optional. Nobody sees this but you. Choose a difficult one if it gives you something useful to practise.

4. Set up your voice and your connection

Kept in this browser only (localStorage), never sent anywhere except the Anthropic API. For a cohort, deploy the included proxy instead and leave this blank.

Length is recorded but never scored. Set it to your real clinic slot if the time constraint helps, or turn it off and focus on the skill first.

Each patient has their own voice. Select the tick box above to enable this option.

If you would rather talk than type

There are three ways you can do this:

  • Click the mic button below the text box.
  • Use your operating system's dictation.
  • If you have a voice-to-text app like Wispr, you can usually hold down the function key while you talk.

They will all type text into the same box. Each option may send your audio outside of your computer to whoever provides them, so if you'd prefer that not happen, you can just use the text by typing instead.

When you are finished with your response, click the send button.

Advanced settings
Open a saved encounter

Load a .json exported from a previous encounter and see its debrief again. Nothing is sent anywhere and no key is needed. This is also how a second human marker reads a transcript alongside the scores it was given.

Mark one blind instead. For the reliability study: you score the transcript against the anchors without seeing what the model gave it, then compare and export the pair as CSV.

Content pack. The patients, levels, anchors and questionnaire items can all be replaced with a JSON file. This lets you edit and version the content without touching the code. The tool stamps the active pack onto every record, so any change during a cohort remains visible in the data.

Study export. One file containing consent, participant ID, tool and content versions, every encounter, and the engagement record.

The Encounter. Simulated patients are teaching artefacts, not people, and give no clinical advice. Download your transcript from the debrief screen if you want to keep it.