Practice Your AI Note Review Skills
Listen to five simulated GP consultations, read the AI-generated clinical note, and use the four-point review framework (Structure, Accuracy, Safety-netting, Sign-off) to spot any errors — or confirm the note is correct.
How it works
- Listen to the consultation audio (or read the transcript)
- Read the AI-generated clinical note carefully
- Decide: is the note accurate, or does it contain an error?
- Click “Check Your Review” to see the answer and explanation
Not every note contains an error. Some are accurate — part of the skill is knowing when to trust the output.
Knee Pain Follow-up
Margaret, 62, attending for follow-up of right knee pain
Listen to the consultation
Presenting Complaint
Follow-up for right knee pain — known osteoarthritis.
History
Patient reports improvement since last visit. Pain reduced from 7-8/10 to 4/10. Morning stiffness present but eases with activity. Functional improvement — now able to walk to shops. Difficulty descending stairs but managing. No swelling, locking, or giving way. Regular paracetamol 1g QDS helping. Continuing physiotherapy exercises.
Examination
Right knee: no effusion, no warmth, no erythema. Good range of movement. Crepitus noted on flexion/extension. Stable joint, no ligamentous laxity.
Assessment
Right knee osteoarthritis — improving with conservative management.
Plan
1. Continue paracetamol 1g QDS 2. Continue physiotherapy exercises 3. Review in 6 weeks 4. Advised to return sooner if symptoms worsen
Chest Pain Presentation
Diane, 54, presenting with new chest pain
Listen to the consultation
Presenting Complaint
New onset chest pain — 3 days' duration.
History
Central chest tightness brought on by exertion (walking uphill, carrying shopping), relieved by rest within 5-10 minutes. Associated exertional breathlessness — new symptom. No nausea, sweating, or pre-syncope. Smoker — 10/day. Family history: father had MI at 62, brother on statins.
Examination
BP 148/92. Heart sounds normal, no murmurs.
Assessment
Suspected stable angina. Significant cardiovascular risk factors (smoking, hypertension, family history).
Plan
1. Urgent bloods including lipid profile and HbA1c 2. Urgent 12-lead ECG 3. Rapid-access chest pain clinic referral 4. Safety-netting: call 999 if pain at rest, lasting >15 minutes, or if feels very unwell
Diabetes Annual Review
Sarah, 48, attending for type 2 diabetes annual review
Listen to the consultation
Presenting Complaint
Type 2 diabetes mellitus — annual review.
History
Patient reports dietary improvements, though finds adherence challenging. No visual symptoms — retinal screening October, normal. No peripheral neuropathy symptoms (numbness, tingling). Tolerating metformin well — initial GI side effects resolved. No family history of diabetes.
Examination
BP 128/78. Foot examination: peripheral pulses present bilaterally, sensation intact.
Assessment
Type 2 diabetes — good control. HbA1c improved from 58 to 52 mmol/mol. Renal function and lipids satisfactory. No microvascular complications detected.
Plan
1. Continue metformin 500mg BD 2. Continue atorvastatin 3. Dietary advice reinforced 4. Annual review in 12 months 5. Continue retinal screening
Anxiety Consultation
Emma, 32, presenting with worsening anxiety symptoms
Listen to the consultation
Presenting Complaint
Worsening anxiety symptoms — several months' duration.
History
Patient describes persistent anxiety with physical symptoms: palpitations, insomnia, difficulty concentrating. Panic attack during work meeting last week. Functional impairment — increased sickness absence, relationship strain at home, irritability. Denies suicidal ideation or self-harm thoughts. Feels overwhelmed but no risk to self identified.
Examination
Mental state: anxious affect, appropriate engagement, no psychomotor agitation. Speech normal rate and volume. Denies hallucinations or thought disorder.
Assessment
Generalised anxiety disorder with panic attacks. No current risk to self.
Plan
1. Refer to IAPT for CBT 2. Recommend NHS-approved self-help app (Feeling Good) 3. Encourage regular exercise (20 minutes daily) 4. Review in 3 weeks — assess response and consider pharmacotherapy if needed
Medication Review
Patricia, 71, attending for a routine medication review
Listen to the consultation
Presenting Complaint
Routine medication review.
History
Patient reports good compliance with medications using a weekly pill organiser. No missed doses. Previous ACE inhibitor cough — now resolved. No current side effects. Current medications: ramipril 5mg OD, atorvastatin 20mg ON, metformin 500mg BD, amlodipine 5mg OD.
Examination
BP 132/76.
Assessment
Stable on current medication regimen. BP at target. HbA1c 54 mmol/mol — satisfactory. Lipids at target. Renal function stable.
Plan
1. Continue all current medications unchanged 2. Repeat bloods in 10 months 3. Medication review in 12 months
Exercise Complete
Well done for working through all five scenarios. The more you practise reviewing AI notes, the faster and more confident you'll become at spotting errors.
Back to Module 4