Grazie
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Hi,
I am taking 2 full months to prepare for my CS Exam. I am full time student so I hope 2m is enough time to nail this test. Anybody in the same boat? Join me! This will be my 
I will make use of Kaplan CS Handout and Red Book and UW. I also like the tips from this website: http://csprotocol.blogspot.com/ Take a look if you can.
Good luck to everybody.
Grazie.
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| Grazie
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Getting Ready for my 1st Week 
Tomorrow Monday I will start with a fresh reading in the morning from Kaplan 5 Days Handout and Red Book & First Aid for the Step 2 CS 2007. (Introductory and First Chapters from those books). I hope to be done with the initial theory in 3 days.
 
Wish me Good Luck !
Edited by Grazie on 05/17/08 - 07:58 PM
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| grechita12
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hi grazie: when is your test? i'm starting to study,mine is also in chicago and in june......good luck
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| Lainie
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First Aid is all you need!
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| Grazie
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Hey,
Grechita, maybe we can practice before you take your test? How is that?
Lainie, thanks for the advice but I took kaplan course 5d sometime ago and I will just review what I already studied; FA to practice the cases definitely and UW for cases not presented in FA.
Taking it slow 
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| Grazie
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Well, back to Business here 
Somebody told me that patients (SP) make you fail or pass and that is almost true, because if we see:
(CIS) Communication and Interpersonal Skills ----- Evaluated by the patient (SP)
(SEP) Spoken English Proficiency ----- Evaluated by the patient (SP)
(ICE) Integrated Clinical Encounter, which contains: History (20%) Physical (20%) Patient Note (60%) ----- History & Physical are evaluated by the patient SP & Patient Note is evaluated by a physician.
It doesn't look that bad huh?, we don't have to be perfect, we just need to passsss... 
Ok, Let's get this started ...... 
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| Grazie
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Clinical Skills Exam
Each Case: 25 min
Outside the Room: (X seconds)
- Patient Doorway Information (Read it and make some notes in your blue sheet)
Inside the room: (15min - X seconds)
- Introduce yourself
- Bedside manners (CIS)
- Take relevant medical history
- Wash your hands
- Focused physical exam
- Closing or summary
Outside the room: (10min)
- Write Patien Note (10min)
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"We aim above the mark to hit the mark."
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| Grazie
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Time Management:
15min in SP Room
"Examinees, this encounter may now begin" 
- Doorway Information: 30sec
- Introduction & History: 7min
- Physical Exam: 5min
"There are 5 min remaining" (You better be in the middle or ending your PE, if not, start already!)
- Summary and Closing 2min
"This encounter is now over"
10 min for PN
Leave the room and start your PN: 10min for Patient Note
"Pencils down" (Stop! they really mean it)
That's it!
Edited by Grazie on 05/17/08 - 08:16 PM
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| Ivonne
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Good luck grazie in your prep.
San fernandina de corazon!!!
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If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)
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| grechita12
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grazie: of course we can practice.......that's the key.......i'm making PN
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| sahashra
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hi,
can you pls give me a link to 5 day course book
i haagove got exam in june in chic
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| Grazie
Forum Newbie
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Grechita, let me know when you are in chicago, we could do live practice I just hope you are staying close to the test center.
Sahashra, I don't have the link for the book if that's what you mean, a soft copy, sorry about that  and I got mine when I took the 5d course.
Ivonne BomBom I got the best teacher for my CS Exam  .... You! I am looking forward to follow your steps my friend ...
Edited by Grazie on 05/17/08 - 10:27 AM
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| Grazie
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OMG somedays I feel so sick that I wish I could shut myself down for 4 more months  but I can't afford it, so I better get this going...
Ok I am planning on doing my repertories from today...
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| Grazie
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Starting the Repertory...
Doorway Information 
I like this model to organize my blue sheet ...
Age, sex, NAME, vital signs, chief complaint
What tasks you need to complete (sometimes they don't ask for PE)
Write your Diff Diagnoses
It's "Showtime", smile 
Knock, Knock. Enter...
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| Grazie
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Self Introduction
"Mr/Mrs ..... ?"
"Hi, I am Dr. House" Handshake if SP is not in distress.
"I am the physician on duty here today"
Drape the pt. "let me make you more comfortable"
"I hope you don't mind If I sit, while I ask you some questions"
Straight to Business... Collecting SP's information.
"HISTORY OF PRESENT ILLNESS"
Start with an Open - Ended Question : "How can I help you today?"
Pay attention to the patient, make eye contact, remember "clipboard is not more important than the patient"
Focus on the Chief Complaint (CC)
Mnemonic for HPI:
S : Site / Symptom
I : Intensity / quantity
Q : Quality of the symptom
O : Onset
R : Radiation
A : Aggravating factors
A : Alleviating factors
A : Associated symptoms
PAST MEDICAL HISTORY:
Mnemonic for PMH:
P : Previous episodes of CC
A : Allergies
M : Medications
HITS : Hospitalizations, Illnesses, Trauma, Surgery
RUGS : Review of systems (Urinary, GI, Sleep.
F : Family History
O : Ob/Gyn
S : Sexual history
S : Social history, habits
Don't forget Transition Sentences before: Past Medical History, Family History, Ob/Gyn, Sexual and Social History; very important.
When done collecting all this information, Transition sentence before doing the Physical Exam: "Thanks for answering all these questions. Now I’ll need to do the physical exam, So I’ll just wash my hands first."
Now, straight to the cases  ...
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| target
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Grazie,
Your journal is like a cartoon book for CS - I love it ! Thanks for putting it all down!!
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