A first-year gastroenterology fellow comes to his weekly continuity clinic staffed by a senior gastroenterologist. The senior gastroenterologist pulls up on the computer screen the first patient’s referral paperwork sent by her primary care provider before the patient’s scheduled appointment.A 21-year-old female college student with a 6-month history of progressive abdominal cramping and loose stools has been referred to the gastroenterology clinic for evaluation of new-onset bloody diarrhea, tenesmus, weight loss, and fatigue.