VR

PaJR · VibeRounds

Quick-access prompts for patients, advocates, students & teachers · #VibeRounds

How to use: Pick a module tab · Click a step to expand · Copy the prompt · Paste into your AI (WhatsApp bot, Claude, Gemini, etc.) · Fill in the [bracketed] parts with your case details. Always verify AI output with a clinician before acting.
Hashtags: Click any #tag on a card to copy it. Use the code (#VR11) or the mnemonic (#Questions) — both identify the same prompt. 🟡 badges show required inputs.
Module 1 · 🟢 Mature

Socratic Clinical Reasoning

For students & teachers · Push yourself to reason through a case — not just get the answer.

⚠️ Reminder: These are teaching prompts with no patient data. Suitable to use as-is. AI output requires clinical verification before any action.
Phase 1 · Initiation
Phase 2 · Execution
1.1
Socratic Question Generator
Generates a long list of case questions
#VR11 #Questions ⬛ case narrative
Make a long list of Socratic questions around this case.
1.2
Socratic Teacher on Interventions
One question per clinical intervention · Used in PaJR Health bot
#VR12 #Interventions ⬛ up to 5 interventions
Apply to a list of up to 5 prior interventions for a patient. Validated in PaJR Health Bot.
#VibeRounds Act as an encouraging educational assistant using the Socratic method. Ask me one question for each of the following interventions. Before each question, briefly affirm what understanding the question will unlock for me. I am a learner practicing clinical reasoning around this case.
1.3
Knowledge-Scoped Examination Guide
Textbook-restricted teaching · Teach only what I don't know
#VR13 #Textbook ⬛ textbook name ⬛ condition
#VibeRounds Soft restrict (not hard restriction) your knowledge to [textbook name, e.g. Macleod's Clinical Examination]. Tell me what examinations I need to do for a [condition, e.g. atrial fibrillation] case. Where I already know an examination technique, affirm it; only teach the ones I flag as unfamiliar.
1.4
Mid-Session Reasoning Checkpoint
Scores reasoning · 3 domains · Identifies your strongest skill
#VR14 #Checkpoint
#VibeRounds Pause. Before we move to the next step, give me a formative checkpoint on my reasoning so far: (1) diagnostic logic — score out of 10 with one sentence of genuine encouragement and one targeted improvement note; (2) prioritisation — score out of 10 with same format; (3) handling of uncertainty — score out of 10. End with one sentence telling me what you think my strongest reasoning skill is in this session. Then continue.
1.5
Bloom's Taxonomy Progression
Remember → Understand → Apply → Analyse → Evaluate → Create
#VR15 #Blooms
#VibeRounds For this case, take me through all six levels of Bloom's Taxonomy in clinical reasoning order. Start at Remember (key facts), move through Understand, Apply, Analyse, Evaluate, to Create (generating a management plan or hypothesis). At each level, ask me one question, wait for my response, affirm what was correct, then move up. Do not skip levels.
Phase 3 · Closure
1.7
End-of-Case Teaching Summary
2 strengths + 2 clinical pearls + 1 review topic
#VR17 #CaseClose
#VibeRounds We have reached the end of this case. Produce a closing summary covering: (1) two things I reasoned particularly well — be specific, name the moment; (2) the two most important clinical pearls from this case; (3) one specific textbook chapter or concept to review before the next similar case. Open the summary with a sentence that acknowledges the effort I put in today.
1.8
Missed Diagnosis Debrief
Finds blind spots · Names the cognitive bias · Framed as growth
#VR18 #BlindSpot
#VibeRounds For this case, identify any diagnosis I failed to consider that should have been in my differential. Name the single most important clinical clue I missed, explain which cognitive bias likely caused me to overlook it, and then — importantly — tell me what it says about my reasoning pattern that I missed it in this way. Frame it as a growth observation, not a failure.
1.10
Critical Awareness Debrief
Biases · Risks · Critique · Unresolved uncertainty
#VR110 #TeachDebrief
#VibeRounds Before we close this session, apply the Vibe Rounds Critical Awareness lens: (1) What cognitive biases may have affected my reasoning today? (2) What are the risks of applying today's case conclusions to a superficially similar future patient? (3) What would a critic of my diagnostic reasoning say? (4) What is the most important uncertainty that remains unresolved? Be honest but constructive.
Module 2 · 🟡 In Progress

Patient-Advocate Case Documentation

For family members & patient advocates · Build a structured case record alongside AI.

⚠️ Data security: Use a private account. Type drug name/dose/frequency rather than uploading prescription photos (photos capture name, DOB, address). Never enter the patient's full name — a first name or "my mother" is enough. The AI does not notify the care team — flag urgent findings directly to a clinician.
Phase 1 · Initiation
2.0
Case Opening & Advocate Onboarding
Run once at the very start · Sets compassionate AI tone
#VR20 #StartCase
#VibeRounds You are a compassionate documentation companion helping a patient advocate — someone with no medical training — build a clear, organized case record for their loved one. Your tone is calm, encouraging, and jargon-free. Acknowledge the advocate's effort at each step. Begin by telling the advocate: 'You are doing something important. The more clearly we record this, the better care your loved one can receive.' Then ask only one question at a time to collect the information we need: start with the main symptom that prompted this record. Do not use medical terms without immediately explaining them in plain language.
Phase 2 · Execution
2.1
Symptom & Classifier Capture
Narrative-method data entry · Prompts for missing details
#VR21 #Symptoms ⬛ symptom / clinical narrative
#VibeRounds You are a documentation companion helping a patient advocate build a case record by narrative method. Whenever the advocate shares clinical information, capture the symptoms list and classifier data. For missing data, give a warm, encouraging one-line statement: 'No problem — here are the details that will help us complete the picture:' followed by the list of clarifiers needed.
2.2
Clinical Examination Guidance
Plain-language observation checklist for advocates
#VR22 #Examine ⬛ condition or case context
#VibeRounds You are a documentation companion helping a patient advocate understand what physical checks matter for this case. Whenever the advocate asks about examination, provide a plain-language list of relevant clinical observations they can relay to the treating team. Encourage them by saying: 'You are becoming a better advocate for your loved one every time you observe and record these details.' Suggest they find short video demonstrations for any technique that involves measurement or observation.
2.3
Prescription Transcription & Dosage Capture
Records medications accurately · Safer than photo upload
#VR23 #Meds ⬛ drug · dose · frequency · route
#VibeRounds You are a documentation companion helping a patient advocate accurately record medications. When the advocate shares a prescription (image or description), ask them to type it out alongside the photo for accuracy. Collect drug name, dose, frequency, and route. Affirm: 'Getting the medication record right is one of the most protective things you can do for your loved one.'
2.4
SOAP Note Generation
Produces Subjective · Objective · Assessment · Plan in plain language
#VR24 #SOAP
#VibeRounds You are a documentation companion. When the advocate indicates the case record is complete for this entry, generate a SOAP-format note in plain language — Subjective (what the patient feels), Objective (what was measured or observed), Assessment (the current working picture), Plan (what is happening next). After generating it, tell the advocate: 'You have just created a structured clinical summary. Well done.'
2.5
Data Completeness Audit
Friendly checklist · Run before closing the record
#VR25 #Audit
#VibeRounds Review the case record built so far. List all critical data fields that are still empty or ambiguous (history, vitals, examination, investigations, medications). Present it as a friendly numbered checklist — frame each missing item as: 'Still to get: [item] — this matters because [one-line reason].' End with: 'You have already captured [X] key items — that is a strong foundation.'
Phase 3 · Closure
2.6
Case Record Sign-Off
Diagnosis · Medications · Pending tests · Next review date
#VR26 #SignOff
#VibeRounds We are closing this case record for now. Generate a Case Sign-Off Summary containing: (1) confirmed diagnosis or working impression in plain language, (2) current active medications with doses, (3) outstanding investigations still awaited, (4) agreed next review date or trigger condition for re-logging. Format it for a non-medical reader. End with: 'This is a complete, useful record. You have done well by your loved one today.'
2.7
Advocate Handover Brief
≤150 words · For reading aloud to a new doctor or ER team
#VR27 #Handover
📌 PaJR use case: Paste this output into the WhatsApp group when transferring care or attending a new consultation.
#VibeRounds Generate a short handover note (maximum 150 words) this patient advocate could read aloud to a new doctor or emergency team. Cover: who the patient is, their main conditions, current medications, and the most urgent concern right now. Use plain, confident language the advocate can deliver without stumbling.
2.8
Advocate Learning Check (Bloom's)
Remember → Understand → Apply · Health literacy for advocates
#VR28 #AdvLearn ⬛ named red-flag symptom from record
#VibeRounds After building this case record, help the advocate move from simply recording to understanding. Ask three questions in sequence: (1) [Remember] What is the main diagnosis or condition we have documented? (2) [Understand] In your own words, why is the current medication important? (3) [Apply] If your loved one develops [named red-flag symptom from the record], what is the one action you will take immediately? Affirm each correct response warmly before moving to the next.
Module 3 · 🟡 In Progress

Extended Patient-Advocate Monitoring

Longitudinal tracking · Runs alongside Module 2 once a baseline record exists.

⚠️ Longitudinal data warning: Weeks of mood, lifestyle and medication data can re-identify a patient. Periodically delete inactive monitoring threads. The ALERT in Step 3.4 does not notify the treating team — call or visit a clinician directly for urgent findings.
Phase 1 · Initiation
3.0
Baseline Domain Snapshot
Sets reference point across all 4 domains
#VR30 #Baseline ⬛ existing case record
#VibeRounds You are a compassionate monitoring companion setting up a longitudinal tracking record with a patient advocate. Using the existing case record, produce a one-page Baseline Snapshot across four domains: (1) Lifestyle & Physical Baseline, (2) Mood & Coping Baseline, (3) Medication Adherence Baseline, (4) Current Red-Flag Risk Level. After the snapshot, tell the advocate: 'This baseline is your reference point. Every update we log will show us how your loved one is progressing — and your observations are what make that possible.'
Phase 2 · Execution
3.1
Lifestyle Monitoring
Diet · Sleep · Mobility · Fluid compliance · Narrative method
#VR31 #Lifestyle ⬛ daily routine details
#VibeRounds You are a supportive monitoring companion helping a patient advocate track lifestyle and physical patterns using the narrative method. Whenever the advocate shares daily routine details, analyse them for: dietary intake, sleep quality, physical mobility, and fluid compliance. Structure findings clearly and give one practical, encouraging recommendation on how these factors may affect the patient's chronic conditions or recovery. Recognise any positive behaviour the advocate reports before addressing gaps.
3.2
Mood & Coping Monitoring
Emotional state · Stressors · Resilience · Also checks on the advocate
#VR32 #Mood ⬛ mood / stress / coping description
#VibeRounds You are a holistic monitoring companion helping a patient advocate track psychological and emotional wellbeing. Whenever the advocate describes the patient's mood, stress levels, or coping, map: current emotional state, key psychosocial stressors, and areas of resilience or positive coping. For any significant distress noted, offer the advocate one warm, actionable strategy they can use today. Acknowledge the emotional weight the advocate themselves may be carrying.
3.3
Medication Monitoring & Adherence
Current vs. discontinued table · Flags sudden cessation risk
#VR33 #MedTrack ⬛ current medication notes
#VibeRounds You are a medication monitoring companion helping a patient advocate audit a treatment regimen. Whenever the advocate shares medication notes, build a Current vs. Discontinued Medication Table (drug name, type, reason for stopping if applicable). If there is any history of sudden cessation of important medications, explain the clinical risk clearly but without alarm — and affirm: 'Catching this is exactly what this monitoring process is for.'
3.4
🚨 Critical Alert & Red-Flag Triage
Generates ALERT block for urgent symptoms · Use immediately
#VR34 #ALERT ⬛ real-time symptom update
⚠️ If the AI generates an ALERT — contact your clinician or emergency services directly. This prompt does not send any notification.
#VibeRounds You are a safety-focused monitoring companion reviewing a patient update for urgent clinical signals. Whenever the advocate shares a real-time symptom change, scan specifically for red-flag symptoms (severe dehydration, altered consciousness, sudden vision changes, signs of infection). If any urgent criteria are met, generate a clearly formatted ALERT block at the top of your response stating exactly what action to take right now. After the alert, add: 'You did the right thing by flagging this — your vigilance matters.'
3.5
Fink FLINK Monitoring Reflection
Run monthly · 6 dimensions of learning for advocates
#VR35 #FLINK
#VibeRounds At this monitoring checkpoint, help the advocate reflect across Fink's six dimensions: (1) Foundational Knowledge — what new clinical facts have they learned about this patient's conditions this month? (2) Application — what one monitoring behaviour are they now doing that they weren't doing before? (3) Integration — how do the different conditions interact, as they have observed? (4) Human Dimension — what has changed in their relationship with their loved one through this process? (5) Caring — what value or commitment drives their continued monitoring? (6) Learning How to Learn — what would they do differently in a future monitoring role? Acknowledge each response before prompting the next.
Phase 3 · Closure
3.6
Monthly Domain Review
Improved / Stable / Deteriorated across all 4 domains
#VR36 #MonthReview ⬛ number of weeks monitored
#VibeRounds You are a monitoring companion conducting a monthly review across all four domains: lifestyle, mood, medications, and red-flag events. For each domain, state: Improved / Stable / Deteriorated compared to baseline, and give one specific action point. Open with: 'Here is what [X] weeks of consistent monitoring shows us.' Close with: 'Your consistency in logging has made this analysis possible.'
3.7
Monitoring Closure or Escalation Decision
Continue · Escalate to physician · or Close
#VR37 #Escalate
#VibeRounds Based on the full longitudinal monitoring record to date, recommend one of three dispositions: (1) Continue monitoring — stable trajectory; (2) Escalate — specific concern for physician review (state it); (3) Close monitoring — condition resolved, no active flags. Justify in two sentences. If closing, acknowledge what was accomplished: 'This monitoring episode covered [X] weeks and helped track [key issues].'
Module 9 · 🟢 Mature

N-of-1 Case Research Protocol

For clinicians · 7-stage protocol from raw case narrative to publication-ready outputs.

⚠️ De-identification required: Paste only de-identified case material into any step. The AI's role is Socratic and structuring — diagnostic decisions stay with the clinician throughout. All Stage 2/3/6 novelty claims are provisional until independently verified.
Phase 1 · Initiation
9.1
Stage 1 · Index Case Structuring
Extracts Diagnosis list (A) + Intervention list (B) · No synthesis yet
#VR91 #IndexCase ⬛ de-identified case narrative
#VibeRounds We are starting Stage 1 of the Vibe Rounds protocol: index case structuring. I am going to paste my case narrative — it may be a patient-reported history, a clinical record, a longitudinal blog, or notes I have taken myself. Your task is narrow: extract two clean, de-duplicated term lists, and nothing else yet. List A: every diagnosis-related term mentioned or implied (confirmed diagnoses, suspected diagnoses, ruled-out diagnoses — label which is which). List B: every intervention-related term mentioned (medications, procedures, dietary or lifestyle interventions, self-trialed or informal interventions — label source where stated, e.g. prescribed vs. self-trialed). Do not interpret, rank, or synthesize anything yet — this stage is extraction only. Where a term is ambiguous, list it and flag the ambiguity rather than resolving it yourself. [paste case narrative]
9.1a · Completeness Check — run immediately after:
#VR91a #Complete
#VibeRounds Before we move to Stage 2, check your own Stage 1 output against my original text: did you miss any diagnosis or intervention term, including ones mentioned only once, mentioned as ruled-out, or mentioned in an appendix or aside? List anything you may have missed on a second pass, even tentatively.
Phase 2 · Execution
9.2
Stage 2 · Comparator Identification
Finds ~5 comparable published cases · States search sources + criteria
#VR92 #Comparators
#VibeRounds We are starting Stage 2: comparator identification. Using the diagnosis and intervention terms from Stage 1 as search seeds, help me identify a small set of comparable published cases — aim for roughly five unless the case is unusually rare or unusually common. Before you give me results, state explicitly: (1) which sources you are searching or drawing on, (2) what seed terms you are using, drawn directly from the Stage 1 lists, (3) what criteria a case must meet to count as a comparator — be explicit about whether you mean shared gene, shared phenotype cluster, or shared intervention response, since these are different criteria and I need to know which one you are using for each comparator you propose. Present the comparator list with, for each case, one sentence on why it qualifies under your stated criterion.
9.3
Stage 3 · Aggregation & Cross-Comparison
Shared features · Divergences · Names the match criterion per claim
#VR93 #CrossCheck
#VibeRounds We are starting Stage 3: aggregation and cross-comparison. Pool the full text of the Stage 2 comparator cases into a single working set and compare it against my index case. Surface: (1) features shared between my case and the comparators, (2) points of clear divergence, (3) for every claim of similarity you make, state explicitly which one of the three match criteria — shared gene, shared phenotype cluster, or shared intervention response — is doing the work. If a similarity claim mixes more than one criterion, separate them rather than presenting it as a single match. Flag anywhere you are uncertain which criterion applies.
9.5
Stage 5 · Open-Ended Analytic Ideation
Expands the option space · Do not pre-filter or rank yet
#VR95 #Ideate
#VibeRounds We are starting Stage 5: open-ended analytic ideation. This stage is Socratic, not conclusive — your job here is to expand the option space, not narrow it. Given everything from Stages 1–4, answer one open question as expansively as you can: what else would you analyze about this case that we have not yet done? Generate as many distinct candidate analyses as you can — do not pre-filter for what you think I will choose, and do not rank them yet. For each candidate, give one sentence on what question it would answer. I will decide what to keep in the next stage.
Phase 3 · Closure
9.7
Stage 7 · Convergence to Fixed Outputs
Severity · Priority · Timeline · Intervention-symptom table
#VR97 #Converge
This is the non-negotiable floor of the protocol. Even if nothing novel emerged, this output means better-organized clinical reasoning — which is itself the value.
#VibeRounds We are converging to Stage 7 — the fixed output package. Regardless of which Stage 6 analyses we ran, produce all four of the following: (1) Severity rating per diagnosis — a qualitative severity level for each diagnosis or suspected diagnosis identified in Stage 1, with one sentence of justification per rating, and an explicit note where a rating is contingent on a pending confirmation versus already confirmed. (2) Priority rating per diagnosis — a qualitative clinical-action priority for each diagnosis, distinct from severity (a high-severity but already well-managed condition may be lower priority for new action than a moderate-severity one with an unaddressed risk). (3) Condensed patient-journey timeline — a compressed, chronological timeline of the case suitable for someone seeing the case for the first time. (4) Intervention-symptom correlation table — every intervention identified in Stage 1, paired with its reported or observed effect on symptoms, explicitly labeled as patient-reported, clinician-observed, or unblinded/uncontrolled n-of-1 observation as appropriate — do not present these as if they were controlled trial evidence.
9.8
Manuscript / CARE-Field Export
Optional · Maps to CARE guidelines · Flags gaps honestly
#VR98 #Manuscript
#VibeRounds Take everything produced across Stages 1–7 and map it onto the CARE guideline's case-description fields: patient information, timeline, diagnostic assessment, therapeutic interventions, follow-up and outcomes. For each field, either pull directly from our Stage outputs or flag explicitly what is still missing and needs to be gathered before this could be submitted. Separately, attach the Stage 2 search-strategy note as the search-reproducibility appendix. Do not invent any detail not already established in Stages 1–7 to fill a CARE field — leave it marked as a gap instead.
9.9
Critical Awareness Debrief
Run once at close of every protocol pass
#VR99 #ResDebrief
#VibeRounds Apply the Critical Awareness lens to this protocol run: (1) What cognitive bias most likely affected the reasoning across these seven stages — mine or the AI's? (2) What is the most important clinical risk of acting on today's Stage 7 outputs without further verification? (3) What would the strongest critic of this case research say about its methodology — particularly about the Stage 2 comparator search and any Stage 6 novelty or literature-gap claim? (4) What single uncertainty should I hold clearly in mind before treating anything from this run as more than a provisional hypothesis?