Table 6. Instructor Notes.

Presented here is an ideal scenario flow of the simulated patient encounter.

Instructor Notes - Changes and CASE Branch Points
Intervention/Time point	SP Script	Case Progression
Introduction (0-2 minutes)	Answer questions asked by the resident.	Warm engagement. Looks directly at the patient. Smiles. Introduces self. Assesses if the patient feels comfortable with an interpreter.
SP Concerns (2-6 minutes)	Introduction of community account of teen’s poor experience with a medical interpreter.	Support adolescents in this difficult event. The resident asking about what the adolescent thinks of this situation, and what the community thinks.
Discussion of Patient Confidentiality & Sexual Health (6-9 minutes)	Discussion of adolescent’s sexual health and other sensitive questions.	Ensures confidentiality of her answers and encourages open discussion of these topics.
10 minutes	Transition to another topic.	End scenario.