Scenario 1, Part 2 of 2

After the second exam, Dr. Balfour speaks with Ms. Morgan about a mammogram (and gives her a referral). Dr. Balfour reassures her that the lump is likely not a serious concern, and informs her that mammograms on patients under 40 are frequently not reliable diagnostic tools (read dialog).

In the subsequent months, Ms. Morgan makes two more office visits—not with Dr. Balfour—for URI complaints.

What did Dr. Balfour do to enhance this patient's care?

After the second exam, he discussed performing a mammogram with Ms. Morgan without causing her undue fear.
He saw the patient again when her symptoms changed.
He informed the patient of the unreliability of mammography.

What should Dr. Balfour do to enhance this patient's care?

Check for the test results.
Be alerted every time Ms. Morgan visited the office.
Discuss the risks of not having the mammogram.