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bostonclear: My Preparation and Experience of CS
作者:USMedEdu
发表时间:2008-04-03
更新时间:2008-04-04
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发信人: bostonclear (li), 信区: MedicalCareer
标 题: Re: CS检查鼻腔是用那个耳镜略微放进鼻腔看还是就用小手电照一下鼻
发信站: BBS 未名空间站 (Thu Apr 3 18:50:50 2008)

Upon dok\'s request, let me share a little about my preparation of CS. But
they are just my personal understandings, dont assume they are right, after
all, USMLE havent proofread it :)

1. Time:
when pratice, time 12-13 mins, leave 2-3 mins as the time for entering door,
walking in, washing hands or recovering from panic et al ... 6 min history
taking, 1-2 min summerizing afterwards, 3-4 mins physical, 2-3 min closure.
Almost all ppl I know who failed CS have time management problem, you get to
practice to just KNOW it\'s time to move on to next step ...

2. History;
Dont ask too much, focus on C/O, many wasted too much time on this ...
routing Qs should be around C/O ... remember u only have 6 mins

3. Summarized after history and ask if pts want to add/correct anything u
got; many of them told me what I missed or got wrong ... they all looked at
note when I was writting ...

4.Physical:
Talk and explain what you are doing while examing, no need to do too much,
but do mention what u intend to do and the purpose, so u will get credit;

5. Closure:
Very important, u need to show u did learn something after all above; also
show ur person concern about pts general being; give general advices about
food/excise/offer help/offer useful info ... closure is also time to make up
ur mistakes .... this seems to be the weakest link for CMGs ... I practice
this by myself a lot

6. Pay attenion to details:
The way u walk, where u stand, how to make eye contact ... practice and look
other practice helps a lot ....

7. Mentally ready for unexpected:
Pts may challenge u with Qs/behavor u never prepared for, dont panic, be
honest (say u will check with attending and get back to them later, the
worst), pause a while to recollect and move on to next stage ... if u screw
up one case, dont panic when write pt, dont think about what u miss when
write, think about what u got ...


Hope it will be hepeful for others, good luck!
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 71.163.]


发信人: kickout (kickout), 信区: MedicalCareer
标 题: Re: CS检查鼻腔是用那个耳镜略微放进鼻腔看还是就用小手电照一
发信站: BBS 未名空间站 (Thu Apr 3 23:14:50 2008)

My two cents, unless you are ABSOLUTELY sure that you can handle the
computer format very well, don't use the keyboard, just use pen and paper.
You know, if you begin one case report with computer, you have to finish it
with computer, though you may change to pen and paper for next case. Do you
wanna take the risk while you are extremely nervous? My answer is no.

BTW, as I said previously, for CS, there are three most important tips:
speak everything clearly, do everything gently, and not forget wash your
hands seriously. Furthermore, before knocking on the door, make a deep,
deep breath, it does help. oh, one more thing, I recommend the Listerine
breath strips, the pocket size, take one slip before each case, it can
firstly fresh your breath, and secondly keep you cool in mind.

Good luck for everybody taking CS.


【 在 pokemon (poke) 的大作中提到: 】
: 问过来人一个小问题:
: 如果type PN,并采用第二个例子的格式,这样的话,每行字不多,但要写很多行,到
: 时候电脑上的表格让写这么多行吗?考试时的status bar只计字数,不计行数吗?
: 多谢!



--



发信人: Lancet2008 (麦叶刀), 信区: MedicalCareer
标 题: Re: CS检查鼻腔是用那个耳镜略微放进鼻腔看还是就用小手电照一
发信站: BBS 未名空间站 (Thu Apr 3 23:20:57 2008)

Only words, not lines, counted.

One suggestion when typing: using "Caps Lock" and typing all in capital
letters will save your time. I did so.

【 在 pokemon (poke) 的大作中提到: 】
: 问过来人一个小问题:
: 如果type PN,并采用第二个例子的格式,这样的话,每行字不多,但要写很多行,到
: 时候电脑上的表格让写这么多行吗?考试时的status bar只计字数,不计行数吗?
: 多谢!





发信人: bostonclear (li), 信区: MedicalCareer
标 题: Re: CS检查鼻腔是用那个耳镜略微放进鼻腔看还是就用小手电照一下鼻
发信站: BBS 未名空间站 (Fri Apr 4 00:25:38 2008)

pokemon: I dont know the answer, I never tried to use computer for pt ....

also, as kickout mentioned, I also spent 20-30 secs before entered the door.
List 3-4 differitials based on c/o, for each dignosis, list one or two
major dignosis citeria, list physical exams I should do for that ... do
these to avoid forget obverious, esp when unexpected happened and ur brain
just go blank, this will be very helpful to fell back on ....

another thing I want to mention is, when u really do the test (not when
pratice), once enter the door, trust ur instinct, dont go through list in ur
mind constantly (use the time when u wash hand to recollect if u ask all u
need, if u missed anything, ask during physical exam) .... the reason is, u
have to REACT to everything pts says, u wont do that if u r constantly
thinking, the pts will notice u r not listening with heart, just as we can
sense someone is 心不在蔫, I feel this is a big reason for failing in
communication --- dont u hate when someone look at u with an empty eye and u
know he is thinking about something else? I noticed this once when I
practiced with a friend and he said "I felt u r looking AT my eye, not INTO
my eye", dont do that ....
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 71.163.]



发信人: sweetie (甜饼饼), 信区: MedicalCareer


Can anybody please tell me where to practice PN on computer for CS?
I prefer computer notes because my handwriting is not so good.

Thanks!!
--


发信人: lewtin (麦地嘭嘭响), 信区: MedicalCareer
标 题: Re: CS检查鼻腔是用那个耳镜略微放进鼻腔看还是就用小手电照一下鼻
发信站: BBS 未名空间站 (Fri Apr 4 14:43:42 2008)

这--

http://www.usmle.org/Orientation/2008/PatientNote/EntryFrame.htm
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 129.59.]




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