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xyyzm: CS experience
作者:USMedEdu
发表时间:2009-07-12
更新时间:2009-07-12
浏览:810次
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地址:24.
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发信人: xyyzm (xy), 信区: MedicalCareer
标 题: CS experience
发信站: BBS 未名空间站 (Sat Jul 11 23:44:57 2009, 美东)

Having get so much help from this forum, here is a little contribution I am
bold enough to make even though I don't know the result yet.

I failed CS in March. Failed both CIS and SEP badly; did the worst in data
gathering with star in the lower end, but good enough on PN so as to pass
ICE with one X above borderline performance shade. I retook the exam last
Wednesday. Feel much better than the first time, because I feel most of the
SP were satisfactory interacting with me, especially the first one, I felt
she tried hard not to give me a smile, but gave me one in the end. But this
doesn't mean I am sure about the final result due on August 19.

Here is some experience want to share.

There are a lot of good and thorough posts about this topic in the past one
to two month. They are very detailed and good. Reading them several times
helped me a lot. The most important message I got is to cut the PE to
minimum. I kind of feel I only spent around 2 min on PE, but 3-4 min on
closure, planning 2 min for closure is too rush for me.

The first time, I practiced FA once, and some cases in UW. Second time
, I developed my own protocol (not as complete as other people has posted,
so I won't post it here), practiced FA almost three times with a friend over
the phone and read MINI case carefully before exam. Practiced PN by copied
all the cases in FA.

Here is what I want to add which are not covered in the prior posts:

Most cases are still typical as in FA. But,

Chief complait won't necessarily be on the door way info. I met two cases
the chief complaint are different from the doorway info. So don't be too
surprised if you are in such a situation.

For some very simple cases, there is another thing hidden somewhere, I met
two cases have things hidden in PAMHUGFOSS part of the questioning. If you
miss this part, I believe it will only affect your ICE. But if you figure it
out, and cover it in the closure, the SP may be impressed, which can
strengthen your connection with him/her. So be careful about a relative
complete evaluation of the patients general health if you want to do better
in this aspect.

The review paper mentioned in Neeraj's notes is worth reading carefully.
Here is the link
http://xnet.kp.org/permanentejournal/fall99pj/habits.pdf

If you have no experience of seeing patient before, this exam won't be that
easy to pass. You need to PRACTICE, and PRACTICE to get familiar with the
questions you need to ask on different kinds of patient encounter. At the
same time, you need to develope your own protocol for the exam (Steps to
cover and transition questions).

As to center selection, both of the time, I took the exam in Philadelphia. I
didn't feel bad about that center even when I thought back about the SPs
after the first exam, during which I felt I would fail after the first 5
patient encounters and I failed badly. The message, if you are well prepared
, you should feel you will pass in any center. Otherwise, you may not be
confident enough with yourself.

Failing this exam added another piece to my still incomplete life. hehe

I will update this if I pass later in August.

--

※ 修改:·xyyzm 於 Jul 12 10:42:54 2009 修改本文·[FROM: 24.34.]
※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 24.34.]

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