Medicine · Referral letter · Intermediate

Medicine — Referral to Gastroenterology

A doctor receives case notes for a 62-year-old man with two months of rectal bleeding and weight loss, and must refer him urgently to gastroenterology. This is a classic Purpose-led referral: the suspected diagnosis and red-flag symptoms must lead, and most of the social history must be cut.

Letter type

Referral

Write to

Gastroenterologist

Target length

180–200 words

The case notes

Patient: Mr Colin Hartley, 62 years old, retired teacher

Presenting complaint: 8-week history of fresh rectal bleeding mixed with stool; looser, more frequent motions

Associated: Unintentional weight loss 6 kg over 3 months; fatigue

Examination: Pale conjunctivae; soft abdomen, no mass; PR: no haemorrhoids, trace fresh blood

Investigations: Hb 9.8 g/dL (microcytic); ferritin low; faecal immunochemical test positive

Medical history: Type 2 diabetes (diet-controlled), osteoarthritis (knees)

Family history: Father — bowel cancer, diagnosed age 70

Medication: Paracetamol PRN; no anticoagulants

Social: Ex-smoker (quit 10 years ago), lives with wife, gardens daily

Task: Write a referral letter to Dr Anita Rao, Gastroenterologist, requesting urgent assessment and colonoscopy for suspected colorectal malignancy.

Writing task

Write a referral letter to Dr Anita Rao, Gastroenterologist, requesting urgent assessment and colonoscopy for suspected colorectal malignancy.

What to include, what to cut

The hardest mark to win is selection. The same case notes contain decision-relevant facts and distractors. Here is what an examiner expects to see in a Grade B letter for this scenario, and what should be left out.

Include

  • Suspected colorectal cancer, stated up front

    Purpose is graded first. The recipient must know in the opening sentence why this referral is urgent.

  • Red-flag triad: rectal bleeding, weight loss, iron-deficiency anaemia

    These are the findings that justify an urgent (not routine) referral. Content marks reward clinically decisive selection.

  • Positive FIT and the low Hb / ferritin

    Objective evidence that moves the recipient to act; far more relevant than the examination of the knees.

  • Father's bowel cancer at 70

    Family history changes pre-test probability — a genuine reason to escalate, so it earns its place.

Leave out

  • Osteoarthritis and paracetamol use

    No bearing on the colorectal referral. Including it dilutes the purpose and costs Conciseness & Clarity marks.

  • Occupation, gardening, ex-smoker status

    Background colour, not decision-relevant. The single biggest Grade B blocker is over-inclusion of this kind of detail.

Criterion in focus · Purpose

Under the 2026 stricter scoring, a referral that buries the suspected diagnosis below background history loses Purpose marks even when every fact is present. Lead with why you are writing.

Now write the letter — and find out what is blocking your Grade B

Write a 180–200 words referral letter from these notes, paste it into the free checker for an instant read, then submit it for a human grade against all six criteria. Dr Mariam's team returns line-by-line feedback, from $12.

Questions about this case note

What letter type are OET medicine referral case notes asking for?
A referral letter to a named specialist. Your job is to convince the recipient to accept and prioritise the patient, so the opening must state who the patient is, the suspected problem, and the level of urgency. The body provides only the findings that support that request.
Should I include family history in an OET referral?
Only when it changes the clinical decision. Here the father's bowel cancer raises the patient's risk and supports urgent referral, so it belongs. A family history unrelated to the presenting problem should be left out.

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