lily111
Forum Senior
Topics: 25
Posts: 75
|
in the encounter how are you going to write the information the patient tells you and keep looking at him or should you pause every time and let him wait for you till you're done writing, that takes a long time.
no one anwered my previous question , please do
|
| Irish
Forum Newbie
Topics: 1
Posts: 10
|
Hello Lily111,
One would assume that you have had experience with real patients during Medical School where you had to take a history and make notes.
If you have not, or at least you're not sure what to do for the exam, then just make sure to listen to what is said, keep eye contact, and write down things that are said in a short-hand manner, i.e. don't write the patient note then and there. For example, if you have a patient with a headache, write down stuff like:
started four months ago
Twice per month
global
8/10 pain
no rad
pain killer for relief
lights make it worse
no halo around lights
no ringing in ears
no nasal drip
So you get the idea. Make short quick notes of points that you can expand on later.
This exam is not that bad. The Model patients are excellent.
Some good tips:
1. Use the gloves instead of washing your hands to save time
2. Before you enter the room, you will be given some info about the patient. Before entering the room, take 30 seconds and write down a quick list of differentials based on the presenting complaint so you can focus your history. You need to list the differentials in the notes later anyway so this saves you time then as well.
|
| lily111
Forum Senior
Topics: 25
Posts: 75
|
appretiate these usful information, so every time i write a short note , i let him wait for me ?
|
| Irish
Forum Newbie
Topics: 1
Posts: 10
|
Perhaps you should practice with a friend. Basically you maintain the conversation while jutting down quick notes. These notes will take just seconds to write down. A good technique is to read out-loud what you are writing so that the patient thinks that you are re-iterating the problem. For example, if you are writing down that the patient has chest pain that radiates to the shoulder blades, write down:
"rad to shoulder" and say out-loud, "So the pain radiates to the shoulders"
It's a balancing act between taking notes and listening. If the patient thinks that you are only focusing on writing, this will not bode well for you.
I strongly suggest that you get a study partner and practice practice practice as it seems that you may not have had much experience with patient contact.
|
| lily111
Forum Senior
Topics: 25
Posts: 75
|
yes irish ,it's been 10 years since my graduation ,but you gave me the information i need , thank you so much for the detailed reply , appreciate it.
|
|
| |
| | | | | |
