Step 1: Combine ground round, onion, rice, pepper, salt, and egg white in a bowl; stir well.
Step 2: Divide mixture into 4 equal portions, shaping each into a 1/2-inch-thick patty.
Step 3: Coat a large nonstick skillet with cooking spray; place over medium-high heat until hot.
Step 4: Add patties, and cook 5 minutes on each side or until browned.
Step 5: Remove patties from skillet; set aside, and keep warm.
Step 6: Re-coat skillet with cooking spray.
Step 7: Add mushrooms; saute' over medium-high heat 3 minutes.
Step 8: Add consomme and Worcestershire sauce; cook 10 minutes.
Step 9: Return patties to skillet.
Step 10: Cover; reduce heat; and simmer 15 minutes.
Step 11: Remove patties from skillet; set aside, and keep warm.
Step 12: Combine water and cornstarch; stir well.
Step 13: Stir cornstarch mixture into broth mixture in skillet; bring to a boil, and cook 1 minute or until thick, stirring constantly.
Step 14: Spoon gravy over patties.
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