pinkfloyd
Forum Newbie
Topics: 9
Posts: 28
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dear friendS
thank god i passed csa with just 3 days of studying+1 day practising myself day before exam
this is for guys/gals who have got less time to prepare
i have got UK experience which did helped me
BUT____________________________
BE YOURSELF
make sure do review of systems and cover every aspect of history including travel and psychiatry h/o.so that u wont miss anything i didnt followed pamhugfoss
practice with common people i mean non medicos which will really help u. i even practised with a nice afro american guy which i met in amtrack.
dont get embrassed with the constipated serious looks of simulators .(they r suppossed 2 be like that)
believe me this shit test doesnt test u r knowledge
make sure to make patient comfortable.
draw foot rest and rise the head rest of the bed
greet ,shake the hands,maintain good eyecontact ALWAYS ,smile always.
i summarised the presenting complaint while washing hands so that i can save time
drape, do only relevant examination.while palpating abdomen maintain eye contact.help to hook and unhook the gown.DONT STOP TALKING WITH A PLEASANT FACE
before u examine the patient touch his fingers and ask whether u r hands are cold or not.
always seek permission before any exam,before putting stethoscope make sure u rub it and again make sure u ask the patient whether its cold or not.
relevant counselling make sure u r here to help him/her.
challenging Qs-dont say straight cut yes/no.instead yeah may be may not be .i am not sure need to run blah blah but i will definetely clarify u r concerns.
u can address pts as mr miss sir dear etc etc.
last not the least DONT FORGET 2 include negative finding also in the paper.eg no h/o headache.no h/o dyspnoea.
i finished DD AND INVESTIGATION stuff in the first instance so that i can manage time and can play on the paper with the h/o and PE part
best of luck friends.i hope this will help u guys
as i said BE YOURSELF.
IMAGINATION IS MORE IMPORTANT THAN KNOWLEDGE
ALBERT EINSTEIN
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| azirikani
Forum Elite
Topics: 61
Posts: 189
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Dear pinkfloyd
Congradualtions.
I am confused about summerizing the case ,do we have to summerize bothPHI and past history or only PHI?? which format for writting PN do you recommend?
thanks.
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| pinkfloyd
Forum Newbie
Topics: 9
Posts: 28
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i summarised every relevant aspects of h/o while washing hands so that u will get more time to do physical exam and most important ;counselling.also the announcement before 5 mins wont panic you.
sorry friend i didnt get u regarding the format .can u please describe it.
as i mentioned the SP is supposed to be a normal person u wont get anything abnormal.
include everything eventhough its just 1 sheet.
it reflects that u r good in documentation and confident
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| pinkfloyd
Forum Newbie
Topics: 9
Posts: 28
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if u r mentioning about the format in first aid ;yeah thats good.elaborate it a little bit .underline the headings
presenting complaint in detail
review of systems
past medical h/o
past surgical h/o
drug h/o including OTC and complementary medicines
allergic h/o
social and personal h/o (smoke,alcohol,sex,drugs,housing single/married, kids)
occupational h/o
psychiatry h/o just ask about mood ,stress @home+job place
travel h/o
in women DONT forget to document menstrual h/o and LMP
advantage is that whoever who goes thru your notes will be impressed i suppose
THINK DIFFERENT
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| sackatdoc
Forum Guru
Topics: 8
Posts: 605
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thanks yours post gave few good points like keep talking while washing hands,utilising the time, assuring SP that you care for their discomfort by displaying it evidently,you seriously know the drill, i'll follow your tricks, they are really innovative thanks again!!
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