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Summary of CS talk by lovelypony (group discussion)
作者:USMedEdu
发表时间:2011-03-13
更新时间:2011-03-13
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发信人: meganli1998 (megan), 信区: MedicalCareer
标 题: Summary of CS talk by lovelypony
发信站: BBS 未名空间站 (Sat Mar 12 11:51:48 2011, 美东)

首先感谢pony百忙之中为我们精心准备的CS talk. 我还没开始准备CS, 可能有些地方
不得要领, 错误和疏漏之处请指正.

Spoken English: Practice more. Be confident.
Time management: history taking (7min)+ physical examination(3-4min)+closure
(2min).
Show empathy: appropriate expression & movement instead of just saying “I
am very sorry”.
History taking: chief complaint (2-3min. Repeat ~ 3 major points)+
differential diagnosis (FA mini-case is more than enough). You must be very
proficient. No pause, no thinking.
Physical examination(3-4min): Don't try to cover all the systems. ~2 systems
. Don't touch patient's gown. Respect privacy. Don't tell the patient the
result. Just say "OK" instead of "it looks normal to me".
Closure (2min): 1)show appreciation: thank you... 2)summarize: 3-4 points.
No numbers (You may recall wrong). Usually don't summarize physical. 3)give
patient an impression, usually the simplest one. Don't use medical
terminology.
4)Next step: for example: Take a picture of your chest.
5)Consultation: quit smoking, etc.
6)Do you have any more questions for me?

Test center doesn’t really matter.
Make sure no spelling error on patient note.
Brief family history taking is still required for emergency case.
Practice history taking & PE for 3 weeks before taking (New Jersey) Kaplan
Course. Then practice 1-2 more weeks. Ready for test.
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 99.92.]


发信人: mei5 (mei), 信区: MedicalCareer
标 题: Lovelypony cs talk SUMMARY
发信站: BBS 未名空间站 (Sat Mar 12 11:33:17 2011, 美东)

First thank you lovelypony gave us the talk and it is very valuable.

I summarize as the following\; If it is not correct, correct me. It is my
understanding.

1. time management is the key. When u do practise, try to have it done by
14 min.

2. SPE: don’t look down urself. Be confident and try to practise as much
as can and make the ur own protocol and talk it with smooth way.

3. Empathy: very important and try as sincere as possible. Don’t just
say \”I am sorry” u need to add real content with the appropriate
situation. For example: don’t ask \’how can I help you’ when u see SP is
in the pain state, u may say ‘I can see you are in the pain, …..’

4. Questions of history: focus on HPI, c/o with details. DDX :ask 3-4.
then pam hugs foss. FHx:quick ask if it is not related to c/o. Oby:ask last
period if it is not related to c/o.

5. PE:focus 3-4 min. one system related to c/o, another related system.

6. Closure:very important. Include:thank you for answering my qs, brief
summary, (try to avoid numbers as details), your impression(simple better),
next step(use lay language).counselling. Do u have any question.
Add more info if you can recall. Good luck .

--

※ 修改:·mei5 於 Mar 12 11:35:56 2011 修改本文·[FROM: 172.129.]


发信人: jenny2006 (jenny2006), 信区: MedicalCareer
标 题: Pony CS talk undetailed summery,请同学们补充
发信站: BBS 未名空间站 (Sat Mar 12 11:42:44 2011, 美东)

Time management 最重要

练习时用timer7,10,14, after taking history7,after PE10,after closure14.

Show sympathy,根据病人需要表示关心

急诊:如呻吟,咆哮病人,sense of emergency

Do physical examination as fast as possible,动作表情配合语言
HPI 问得细一些,CC问2-3分钟。额外3-4个问题鉴别诊断。
PAMHUGSFOSS要很熟练,由潜意识出来,不要有1秒钟停顿。
查体:至少2个系统.

Closure:现感谢一下,3-4points,复述时尽量避免数字,怕记错。尽量避免
terminology,必须用就接着解释。

Consultations smoking,alcohol 先写在右上角,以免忘了

最好问Do you have any more Qs for me? (重要!)

鉴别诊断:4-5个。

不好意思,两个孩子醒了,请同学们补充。
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 76.231.]


发信人: autumn33 (cici), 信区: MedicalCareer
标 题: Re: Pony cs talk summary(by mei,meganli,jenny)欢迎补充
发信站: BBS 未名空间站 (Sat Mar 12 17:01:24 2011, 美东)

非常感谢Pony!
我补充一点,就是不要主动去碰病人的gown,最多在PE开始时帮病人解开,而且先要征
得pt的同意。以后就请病人自己拉下或者撩起gown配合你的检查,不要像国内医生一样
直接就帮病人撩起衣服。
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 68.48.]


发信人: felicitypumc (睡眼惺忪), 信区: MedicalCareer
标 题: Re: Lovelypony cs talk SUMMARY
发信站: BBS 未名空间站 (Sat Mar 12 17:03:42 2011, 美东)



非常感谢pony百忙之中抽空帮助我们~~
继续小小补充:

FA minicase 不错,DDx部分尤其利于CS比CK先考的同学学习;
FA closure 不太理想,最好勤加练习,与Partner互相总结;

partner找个非中国人挺好,利于互相学习;

去CS辅导班之前最好对CS初步有个底,才能吸收到更多东西;

CS 可以去网上熟悉PN界面,似乎还有地方提供mock exam

【 在 lovelypony (pony) 的大作中提到: 】
: 我把meganli和jenny的summary都贴在这啦,大家有什么要补充的来补充啊~
: 多谢了~~非常感谢同学们这面踊跃~



--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 74.70.]


发信人: springstep (春天的脚步........), 信区: MedicalCareer
标 题: Re: Lovelypony cs talk SUMMARY
发信站: BBS 未名空间站 (Sat Mar 12 12:48:04 2011, 美东)

Pony,

Your Points, for my understanding:

平常苦练,掌握好FA和UW的东西。到时候:象一个医生一样掌握好时间,掌握好主动权
,尊重病人、关爱病人、和病人说话的时候字正腔圆......注意到训练有素的病人时时
都在观察你象不象一个医生,自己就得充满自信,象个医生一样进入角色,象医生一样
在关爱自己病人的前提下,抓住重点......——CS,Pass!


--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 71.71.]


发信人: lovelypony (pony), 信区: MedicalCareer
标 题: Re: Lovelypony cs talk SUMMARY
发信站: BBS 未名空间站 (Sat Mar 12 12:55:20 2011, 美东)

谢谢step,you got the point。
刚才因为时间的原因,忘记强调这个了,考试的时候,YOU ARE the doctor, not an
examinee to be evaluated by the SP. YOU ARE supposed to take charge of the
room, not the SP.
嘻嘻,还要补充什么都来补充啊~


发信人: sillybird (笨笨鸟), 信区: MedicalCareer
标 题: Re: Pony cs talk summary(by mei,meganli,jenny)欢迎补充
发信站: BBS 未名空间站 (Sat Mar 12 13:50:35 2011, 美东)

刚回来,谢谢pony, 声音好甜,呵呵。多谢各位总结,真的很全了。
就补充一点---

好像pony提到关于negative finding的问题,如果检查结果全部正常,是什么就是什么
,不要试图按自己的诊断去make fake positive.

哦,还有关于考试当天的化妆和着装,长头发的最好扎起来或盘起来显得干练些。妆容只要干净大方就可以了,切忌浓妆艳抹的,不是去选美 :>D

--

※ 修改:·sillybird 於 Mar 12 14:00:45 2011 修改本文·[FROM: 108.76.]


发信人: autumn33 (cici), 信区: MedicalCareer
标 题: Re: Pony cs talk summary(by mei,meganli,jenny)欢迎补充
发信站: BBS 未名空间站 (Sat Mar 12 17:01:24 2011, 美东)

非常感谢Pony!
我补充一点,就是不要主动去碰病人的gown,最多在PE开始时帮病人解开,而且先要征
得pt的同意。以后就请病人自己拉下或者撩起gown配合你的检查,不要像国内医生一样
直接就帮病人撩起衣服。
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 68.48.]


发信人: felicitypumc (睡眼惺忪), 信区: MedicalCareer
标 题: Re: Lovelypony cs talk SUMMARY
发信站: BBS 未名空间站 (Sat Mar 12 17:03:42 2011, 美东)



非常感谢pony百忙之中抽空帮助我们~~
继续小小补充:

FA minicase 不错,DDx部分尤其利于CS比CK先考的同学学习;
FA closure 不太理想,最好勤加练习,与Partner互相总结;

partner找个非中国人挺好,利于互相学习;

去CS辅导班之前最好对CS初步有个底,才能吸收到更多东西;

CS 可以去网上熟悉PN界面,似乎还有地方提供mock exam


发信人: DavidMG (Nevergiveup), 信区: MedicalCareer
标 题: Re: Pony cs talk summary(by mei,meganli,jenny)欢迎补充
发信站: BBS 未名空间站 (Sat Mar 12 17:17:29 2011, 美东)

Addition to item 5. When you do PE on sencond system, you just need to do "
half". For example, if cardiovascular system is the second one, you only
need to do auscultation rather than inspection, auscultation, percussion and
palpation. I learned this from a 2-day cs class and did this way in my cs
test.

【 在 mei5 (mei) 的大作中提到: 】
: First thank you lovelypony gave us the talk and it is very valuable. I

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