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Correction Feedback: (Add A Line)
Correction Feedback: (Add A Line)
22\08\2015
[add a line]
Dr Penny Clifton
Department of Cardiothoracic
Surgery Central Hospital
Main Street Stillwater
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Dear Dr Clifton,
Re: Mrs Mary Clarke,
DOB: 17\08\2015
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I am writing to request an urgent assessment and follow up investigations for Mrs Clarke, who Commented [ms1]: follow-up
presented today manifesting signs and symptoms suggestive of bronchogenic carcinoma. [avoid
one-sentence paragraph]
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Today, Mrs Clarke presented complaining of a dry non-productive cough over the last seven weeks,
and it was associated with a mild shortness of breath, especially at night, and a strange sensation in
the chest. Her cough started with flu-like symptoms, which was cleared by Augmentin. Her
respiratory exam revealed signs of consolidation that were associated with monophonic wheeze in Commented [ms2]: examination
the right mid-zone. Her chest X-ray and CT showed a right middle lobe atelectasis accompanied by
an enlarged right hilum. Bronchogenic carcinoma was suspected as a provisional diagnosis.
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Regarding Mrs Clarke ‘s family history, her mother died at the age of 66 due to laryngeal
carcinoma. Please note, she smokes heavily. [avoid ultrashort sentence]
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Based on the above-mentioned data, your immediate evaluation and investigations for Mrs Clarke
to confirm this provisional diagnosis would be greatly acknowledged. [one-sentence paragraph]
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If you require any further clarification, please do not hesitate to get in contact.
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Yours sincerely,
Doctor
Report
Color coding:
[Color code sample] Not wrong but can be written in a better style
What Next:
Score Details:
1. Purpose
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Description Grade
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Purpose of document is immediately apparent and sufficiently expanded as
3
required
Purpose of document is not immediately apparent and may show very limited
1
3
expansion
2. Content
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Content is appropriate to intended reader and addresses what is needed
to continue care (key information is included; no important details 7
missing); content from case notes is accurately represented
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Length of document is appropriate to case and reader (no irrelevant
information included); information is summarised effectively and 7
presented clearly
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Writing is clinical/factual and appropriate to genre and reader (discipline
and knowledge); technical language, abbreviations and polite language 7
are used appropriately for document and recipient
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Organisation and paragraphing are appropriate, logical and clear; key
information is highlighted and sub-sections are well organised; document 7
is well laid out
Organisation and paragraphing are not always logical, creating strain for 4
the reader; key information may not be highlighted; layout is mostly 3
appropriate with some lapses
6. Language
Your
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Language features (spelling/punctuation/vocabulary/ grammar/sentence
7
structure) are accurate and do not interfere with meaning
Inaccuracies in language cause considerable strain for the reader and may
1
interfere with meaning