priyagrove
Forum Elite
Topics: 34
Posts: 428
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Dont worry
CS is plain presence of mind.
Even if u read 2 -4 books but don't practice You'll flunk!!!
PRACTICE A LOT!!!!!
PRACTICE WRITING
PRACTICE TAKING HISTORY
PRACTICE DOING EXAM
DON't forget to wash your hands before examining &Knock on the door before entering room...
feel free to ask questions I understand.. as I have been through that stage.
usually SPs speak in a manner so that you can undersatnd the, one of the SP was realy beyond my comprehension. so I had to ask him things again & again.
No thats not considered rude. ask politely. If you don't mind can U pls repeat what u just said.. even the 3rd time you could ask them. thats allowed. Even if you ask them to repeat I'll prefer NOT TO tell the patient that "speak slowly"... cos that will mean Your communication skills are'nt that good! I mean they are there to comment on your spoken english language skills too!
YES TIME MANAGEMENT IS really IMPORTANT
Time management I had to practice a lot! Initially when I used to practice I used to take 15 min of history Gradually I improved,, yes in the exam I could finish all my cases in time but that was after I practised a lot
PeoPLe say that CS is a kid's play!!!It' not so.. its just that u need to practice more!!! then its easy
Also When they sak you challenging questions you have to give a spontaneous answer as well be firm n polite.
regarding notes I had prepared a list which I used to ask from sps
HOPI
ROS(review of systems)
Med h/o
Surg h/o
Medications
Allergy
Family h/o
Social h/o
Sexual
Menstrual
obs h/o
diet h/o
excercise
while writing try to write legibly but you dont need to impress them with your hand-writing skills, but it should be legible! I met a guy there who had failed last time and his score report mentioned that he scored xtremely low in writing patient notes.
Yes Cases in xam were very similar to the cases mentioned in FA. I did practice some standard lines. Like I prepared a few lines to introduce myself to the patient. a few lines to close the encounter. I practiced some common lines for the challenging questions. I used to speak them repeatedly during practising an encounter. also remember to say sorry, x-cuse me, thanks you at the drop of the hat!
Dont palpate again if a pt winced the first time you touched a body area. Always say sorry whenevr you elicit tenderness. take patients permission before tying, untying gown, palpating body areas, doing any examination like fundoscopy. remember to switch off the lights doing fundoscopy/light reaction.. I made it a point to wash hands before touching the patient during practising, if I didn't do that my friend who was acting as a patient used to pinch me, so In real exam before touching the patient I used to be scared being pinched by the patient that I reflexly washed my hands.. these are the common mistakes which are only mastered once you practice.
I made it a Point to enact the whole interview scene each time i discussed a case with my friend! this helps you improve upon common unpredicatble mistakes!
ALL THE BEST TO EVRYONE!!
come fwd & ask me questions if you have any
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"Experience is the name every one gives to their mistakes." Oscar Wilde
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| lily111
Forum Senior
Topics: 25
Posts: 75
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good stuff ,thanx. how did you mannage your time on a neurology case, i just can't do the neuro exam and history on time. let's say a headache case??
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| priyagrove
Forum Elite
Topics: 34
Posts: 428
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Practice to be in time! Doing a diabetes case is difficult tooo! as there is lot of relevant history & Cardio & neuro examn is important in the case. In neurology You don't need to test every set of muscles. I did motor, snsory & reflexes examination in a limited set of muscles. Dont forget to do fundoscopy & remember to switch off the lights!!! If u practise well u can manage to do it in time.
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"Experience is the name every one gives to their mistakes." Oscar Wilde
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| egomez2001
Forum Guru
Topics: 51
Posts: 930
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To do a quick lung exam, do you have to auscultate on ant and post chest?..., and if yes in how many points 2 or it has to be 3 moving from side to side?...
Thanks
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| priyagrove
Forum Elite
Topics: 34
Posts: 428
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dear egomez
frankly telling there is no set rule, I did it very fast just barely touching the stethoscope on the chest in the cases which didn't really need a respi examn like osteoarthritis, In cases of cough or any case which was primarily of respiratory system I did the examination thoroughly examining 3 or more points bilaterally & anteriorly & posteriorly.
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"Experience is the name every one gives to their mistakes." Oscar Wilde
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| egomez2001
Forum Guru
Topics: 51
Posts: 930
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Thanks so much for your response Priyagrove, found it very helpful ,
Best wishes
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| drapurva
Forum Newbie
Topics: 5
Posts: 14
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where u took yr exam?
i m having mine in LA
if you have taken in LA can u mail me the case list?
mine is on 26th of jan
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| priyagrove
Forum Elite
Topics: 34
Posts: 428
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drapurva wrote:
where u took yr exam?
i m having mine in LA
if you have taken in LA can u mail me the case list?
mine is on 26th of jan
I took it at houston!
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"Experience is the name every one gives to their mistakes." Oscar Wilde
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| hanwin
Forum Senior
Topics: 6
Posts: 157
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Hi Priyagrove,
Very good advice. I really appreciate your kind advice.
many thanks,
HW
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| dr_neonatology
Forum Senior
Topics: 11
Posts: 66
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Thanks priyagrove
Please, let me know if the DD in FA is that in practical cases or minicases?
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| priyagrove
Forum Elite
Topics: 34
Posts: 428
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there's a seperate section of DD's in FA , also its written behind each sample case given for practise in the end.
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"Experience is the name every one gives to their mistakes." Oscar Wilde
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