rexutu
Forum Newbie
Topics: 3
Posts: 5
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I have been thinking and thinking over my failure in atlanta, this year in august and I have found only one thing ....RUSH.
I finished the exam very confident that it was a piece of cake......wrong!!!!!.I asked all the pertinent questions, I did the right brief physical, but the SPs didn't go for it;they gave me bad marks because I did it too quickly and went out too early.I got out of the rooms 4-5 minutes in advance , being convinced that I did well.
Bottom line: they expect from you to be nice, friendly and make a real human bond, NOT to be a diagnosis machine.
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| muxia
Forum Newbie
Topics: 1
Posts: 30
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on what part did u fail? somebody told me a rule: KISSS stands for keep it short, simple and slow
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| Doc750
transfer:step 3 prison
Topics: 52
Posts: 636
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there is no way you can do an entire pt history, a problem specific focused hx, a proper review of systems, a P.E. and deliver your diagnosis, and needed workup, and answer the pt's questions in 5 min.
You may have asked the specific questions, but you didn't ask ALL the questions. When I had my exam I found as I was going through the ROS questions, then all of a sudden the SP would mention some completely related/unrelated symptom that they didn't disclose in their initial complaint.
Also during a focused PE .. you still had to do all the basics, listen to heart, lung, palp abdomen, mini-mental, cage, etc. And you can't just place the steth on the pt for 2 sec and move on, expecting to be checked off for listening to heart and lungs.
also be sure to ask about pt's personal life .. ie family, work, sex. etc?
sorry you failed, I wish you better luck on the next one.
g'luck
EDIT: and don't forget to empathize with the pt. As soon as they tell what the problem is they're having ... you say "I'm so sorry to hear that" ... if they say "I also have trouble with ..." during the exam, stop and say "I can understand how difficult this can be for you" ... etc, etc, yack, yack, .. basically don't forget to show compassion.
Edited by Doc750 on 10/30/07 - 12:49 PM
___________________
Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| robin082006
Forum Hero
Topics: 471
Posts: 5,125
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sorry to hear that.
You left exam room early, that's the problem because you did not spend your time for counseling and closure, important part of the exam.
Spend at least 2 minute for closure
___________________
The Key to Succeed is Patience.
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| rexutu
Forum Newbie
Topics: 3
Posts: 5
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for muxia--I failed on data gathering from ICE(PN was borderline) and on CIS(I think they are related--data gathering results from asking the proper questions and performing the physical correctly, CIS results from counseling and closure).
for doc 750-you're right on the physical thing-I did it quickly and hoped it was enough, but it wasn't;as for the qustions,I asked PAMHUGHFOSS every time, but very quickly.It was wrong;I put myself in the SP's shoes, and I realized I wouldn't have wanted to be treated like that.
Overall, it was something I would never forget;my advice for all who failed in the first place-PATIENT IS FOCUS-KISSS!!!
Thanks
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| damselMD
Forum Senior
Topics: 8
Posts: 173
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i did finish a little early with a couple of cases, and i felt like i missed something. so i would ask them if they had any questions or if they had any other concerns. some would mention something else. or they would pause and say no that was it. and then i would smile and say something please feel free to call the office if you remember or if you have any questions.
good luck.
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| ronnie
Forum Newbie
Topics: 0
Posts: 2
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rexutu wrote:
I have been thinking and thinking over my failure in atlanta, this year in august and I have found only one thing ....RUSH.
I finished the exam very confident that it was a piece of cake......wrong!!!!!.I asked all the pertinent questions, I did the right brief physical, but the SPs didn't go for it;they gave me bad marks because I did it too quickly and went out too early.I got out of the rooms 4-5 minutes in advance , being convinced that I did well.
Bottom line: they expect from you to be nice, friendly and make a real human bond, NOT to be a diagnosis machine.
hi rexutu i think the same thin happened wit me too i finished my cases 5 min early but i don know wat ll i improve next time
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| ronnie
Forum Newbie
Topics: 0
Posts: 2
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hi i think the same thing happened to me too i finished every case 5 or 10 min early but i really don now wat to improve i think they made it a bit hard this time i know so many ppl who don even know english passed it few months ago
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