Uncertainty Communication Toolkit

Curriculum Materials

This education curriculum is designed to establish competency in communication of diagnostic uncertainty. This curriculum includes immediate feedback, online educational modules, a smart-phone based application, and telehealth deliberate practice with standardized patients. If the curriculum is being used in a mastery-learning format, start with a baseline assessment before providing any training. Then, provide the learners with access to the curriculum materials listed below. Provide the opportunity for the learners to sign up for deliberate practice sessions, where they can develop their skills through simulated encounters with SPs. Then, bring the learners back for re-assessment. In a mastery-learning curriculum, if the learner does not meet the passing score then additional opportunities for practice and testing will be provided.

An online interactive module that introduces the concept of diagnostic uncertainty and explains each item of the UCC.

This shortened version of the checklist can be used by the SPs as quick reference guide during the simulation encounter. Provide multiple blank copies for the SP so they can use them during the simulated encounters. 

A smart-phone based mobile application (app), developed by Jump Simulation-OSF HealthCare, that allows learners to practice applying the UCC concepts through a series of discharge scenarios.

Explains the variations in SP and clinical scenarios across the simulation cases, should be used to facilitate SP case assignment. Please use the details provided for each case to match the case with an SP. You may need to alter some of the case details (i.e. age, conditions, etc) in order to better fit the assigned SP. Any changes applied to the SP Simulation Instructions will need to be carried over to the corresponding Resident Simulation Instructions. We suggest assigning no more than three cases per SP, to ensure that the SP is able to accurately portray each case and does not confuse the details between cases.

Resident Simulation Instructions

Case by case resident instructions that provide background clinical and testing information for the SP (note – these go along with the SP Simulation Instructions for the simulation cases). Any changes applied to the SP Simulation Instructions will need to be carried over to the corresponding Resident Simulation Instructions, and vice versa. Review the Clinical Scenarios Spreadsheet to see suggested cases to use for assessment versus deliberate practice purposes.



Case1a / Case1b
Case4a / Case4b
Case7a / Case7b
Case10a / Case10b  


Case2a / Case2b
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Case13a / Case13b
Case16a / Case16b


Case3a / Case3b
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Case11a / Case11b
Case15a / Case15b



Case5a / Case5b
Case8a / Case8b
Case12a / Case12b
Case14a / Case14b