Edna Grayson was developed as part of a multi-station, standardized patient assessment. The student's performance is measured by checklists filled out by the standardized patient and by the evaluation of responses to written questions on the interstation exercise. This patient is a 70 year old female who comes to the outpatient clinic with sudden onset of mid-back pain after losing her balance standing on a stool. She has localized spine tenderness but no other abnormal physical findings. The examinee's task is to obtain a focused history and perform a focused physical examination. A complete set of student instructions, checklists, standardized patient training materials, written exercises and a grading key are included. The associated documents are available to faculty members only.