Mr. Delgado Module
Hector Delgado is a 57-year-old Hispanic man who comes to the Family Medicine clinic
at the academic health center because he has a new job with a trucking company. The
company requires that Mr. Delgado get a health physical before he can drive long-haul
routes. Mr. Delgado has been scheduled into a Continuity Clinic appointment with
a third-year medical student, Heather Price. Over the course of four podcasts, which
cover about 8 months, you'll meet Mr. Delgado and his wife Sylvia. You'll also meet
Heather, her attending physician Dr. Andrews, and the clinic nurse, Vicki.
- Episode 1: Mr. Delgado arrives on August 1 for his first appointment with Heather Price in
the Continuity Clinic. As you listen to this episode, pay attention to Heather's interviewing
style and the types of questions she asks. Listen for any attempts that Heather makes
to build a respectful relationship with her new patient.
- Episode 2 : Mr. Delgado has returned to the Continuity Clinic on August 15 because his potential
employer is concerned about sugar in his urine. As you listen to this episode, pay
attention to the techniques that Heather, Dr. Andrews, and Mr. Delgado all use to
build relationships and determine a plan for diagnosing and treating Mr. Delgado's
- Episode 3 : Mr. Delgado has returned to the Continuity Clinic on November 15 for a follow-up
visit. As you listen to this episode, consider the Stages of Change model, which
is often used to describe how behavior change occurs. The stages of change are precontemplation, contemplation, preparation, action and maintenance. Listen for clues to Mr. Delgado's stages and to Heather's understanding of where
he is on that continuum.
- Episode 4 : Mr. Delgado, accompanied by his wife Sylvia, has returned to the Continuity Clinic
on May 15 for a follow-up visit. It has been 6 months since our last episode, but
three months since his last visit. As you listen to this episode, continue to consider
techniques for helping patients with behavior change. Listen for Heather's use of
the CAGE technique in assessing Mr. Delgado's use of alcohol. CAGE is a mnemonic
device that can be used to help ask questions about whether a patient is concerned about alcohol use or has tried to cut-down, is angry when people ask about drinking, ever feels guilt about drinking, and ever uses alcohol as eye-opener the next morning.
Mr. Delgado: German Nunez, PhD
Heather Price: Marbella Zumaya, MD
Dr. Andrews: Mike Ragain, MD
Nurse Vicki: Shelley Stevens, LVN
Mrs. Delgado: Yolanda Sanchez