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RTT Medical Module — Teacher’s Key

Instructor‑Facing • RTT/1‑Aligned • Zero Drift • Structural • Patient‑Safe#

1. Purpose of This Teacher’s Key#

This document provides all correct answers, structural reasoning, and operator‑aligned explanations for every student‑facing component of the medical module:

  • Worksheet
  • Printable Worksheet
  • Cheat Sheet
  • Operator Quick Reference
  • Mini‑Quiz
  • Extended Quiz
  • Mastery Exam
  • Scenario Gauntlet

It ensures:

  • zero drift
  • regime literacy
  • substrate literacy
  • drift awareness
  • continuity kernel correctness
  • patient‑safe synthesis

Students never produce medical advice.
They produce structural clarity.

2. Canonical Regime Profiles (Instructor Reference)#

These profiles anchor all correct answers.

Cleveland Clinic (US Clinical Regime)#

  • stable html
  • low noise
  • conservative framing
  • explicit escalation logic
  • high continuity

Ping An Good Doctor (China AI‑Augmented Regime)#

  • mobile_html
  • high noise
  • translation drift
  • AI triage overlays
  • commercial layers
  • template drift
  • regime shifts

NHS.uk (UK Public‑Health Regime)#

  • clarity‑first
  • standardized escalation rules
  • very low drift
  • population‑level framing

These three regimes form the tri‑regime triangulation used in all answer keys.

3. Operator Keys (All Six Operators)#

Below are the correct outputs and reasoning patterns for each operator.

3.1 MEDICAL_METADATA_OPERATOR — Teacher’s Key#

Correct metadata patterns:

Regime Substrate Noise Translation AI Commercial
US html low stable absent absent
China mobile_html high high drift present present
UK html low stable absent absent

Correct reasoning:

  • Identify substrate type
  • Identify noise layers
  • Identify translation layers
  • Identify AI overlays
  • Identify commercial overlays
  • Identify accessibility stability
  • Assign regime hint

Common student errors:

  • Missing translation drift (China)
  • Missing AI overlays (China)
  • Treating mobile_html as html
  • Missing accessibility stability

3.2 MEDICAL_DRIFT_OPERATOR — Teacher’s Key#

Correct drift patterns:

Regime Template Semantic Translation AI Commercial Regime Drift
US low low none none none low
China high medium high high medium high
UK very low low none none none low

Correct reasoning:

  • Compare snapshots
  • Identify template drift
  • Identify translation drift
  • Identify AI drift
  • Identify commercial drift
  • Identify regime shifts

Common student errors:

  • Underestimating Ping An drift
  • Missing translation drift
  • Missing AI drift
  • Treating NHS as “no drift” instead of “very low drift”

3.3 MEDICAL_SUBSTRATE_OPERATOR — Teacher’s Key#

Correct substrate patterns:

Regime Stability Noise Interference Accessibility
US high low absent high
China medium high present low
UK very high low absent very high

Correct reasoning:

  • Identify substrate type
  • Identify interference layers
  • Identify accessibility stability
  • Identify translation/commercial/AI layers
  • Compute substrate score

Common student errors:

  • Missing interference layers
  • Ignoring accessibility
  • Treating mobile_html as stable

3.4 MEDICAL_REGIME_OPERATOR — Teacher’s Key#

Correct regime classifications:

  • US → clinical_regime
  • China → ai_augmented_regime
  • UK → public_health_regime

Correct regime signals:

Clinical#

  • clinical anchors
  • risk‑first framing
  • symptom → cause → treatment

AI‑Augmented#

  • AI triage overlays
  • translation drift
  • commercial prompts
  • mobile‑first structure

Public‑Health#

  • clarity‑first
  • standardized escalation rules
  • population‑level framing

Common student errors:

  • Misclassifying Ping An as clinical
  • Missing regime shifts
  • Missing public‑health framing

3.5 MEDICAL_CONTINUITY_OPERATOR — Teacher’s Key#

Correct continuity kernel (regime‑invariant):

Stable Symptoms#

  • discomfort
  • pressure/tightness
  • shortness of breath
  • fever/systemic symptoms

Stable Risk Factors#

  • age
  • chronic illness
  • hypertension
  • diabetes
  • smoking
  • family history

Stable Red Flags#

  • severe chest pain
  • difficulty breathing
  • fainting
  • confusion
  • rapid deterioration

Stable Actions#

  • emergency escalation for red flags
  • follow‑up for persistent symptoms

Stable Differentials#

  • cardiac
  • pulmonary
  • musculoskeletal
  • infection
  • gastrointestinal

Common student errors:

  • Including AI suggestions
  • Including commercial prompts
  • Including translation artifacts
  • Including regime‑specific framing

3.6 MEDICAL_SYNTHESIS_OPERATOR — Teacher’s Key#

Correct synthesis structure:

Stable Elements#

  • continuity kernel
  • regime‑invariant symptoms
  • regime‑invariant red flags

Unstable Elements#

  • translation‑variant phrasing
  • AI‑generated suggestions
  • commercial prompts
  • template‑dependent ordering

Regime‑Specific Elements#

  • US: clinical framing
  • China: AI overlays, commercial layers
  • UK: public‑health escalation rules

Drift‑Sensitive Elements#

  • translation variance
  • AI phrasing
  • template drift

Substrate Risks#

  • mobile_html interference
  • OCR risk
  • accessibility gaps

Uncertainty Flags#

  • translation instability
  • AI instability
  • substrate instability

Escalation Indicators#

  • presence of red flags
  • rapid deterioration

Patient‑Safe Summary Requirements#

  • structural, not prescriptive
  • uncertainty disclosed
  • escalation indicators included
  • no medical advice

Common student errors:

  • collapsing regimes
  • producing advice
  • missing uncertainty
  • missing substrate risks

4. Worksheet + Printable Worksheet — Answer Key#

Students must:

  • identify substrate
  • identify drift
  • classify regimes
  • extract continuity kernel
  • identify red flags
  • identify substrate risks
  • identify drift sources

Correct answers follow the operator keys above.

5. Cheat Sheet — Teacher’s Key#

The cheat sheet must include:

  • regime profiles
  • drift types
  • substrate types
  • continuity kernel
  • escalation indicators
  • uncertainty markers

All values must match the operator keys.

6. Operator Quick Reference — Teacher’s Key#

Correct quick‑reference items:

  • metadata → substrate/noise/overlays
  • drift → template/semantic/translation/AI/commercial
  • substrate → stability/interference/accessibility
  • regime → signals/coherence/shifts
  • continuity → stable symptoms/risks/red flags/actions
  • synthesis → stable/unstable/regime‑specific/drift‑sensitive

7. Mini‑Quiz — Answer Key#

Sample correct answers:

  1. Ping An substrate type → mobile_html
  2. NHS drift level → very low
  3. Translation drift present in → China snapshots
  4. Clinical regime signal → symptom → cause → treatment
  5. Stable red flag → difficulty breathing

8. Extended Quiz — Answer Key#

Students must correctly:

  • classify regimes
  • identify drift types
  • identify substrate risks
  • extract continuity kernel elements
  • identify regime‑specific differences

All answers follow the operator keys.

9. Mastery Exam (25 Questions) — Answer Key#

The exam covers:

  • metadata
  • drift
  • substrate
  • regime
  • continuity
  • synthesis

Correct answers follow the operator keys exactly.

10. Scenario Gauntlet — Instructor Key#

The correct outputs for all scenarios are the same as in:

/docs/medicine/instructor_materials/scenario_gauntlet_instructor.md

Students must:

  • identify drift
  • identify substrate risks
  • classify regimes
  • extract continuity kernel
  • produce patient‑safe synthesis

Teacher’s Key Complete#

Updated

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