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- Jan 14, 2012
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Hey guys, took my CS exam earlier this week and like many of those who have taken it before...I am freaking out thinking I failed!
I won't go into specifics but here are things I am unsure about
1) For the note: I asked fmhx, pmhx, etc etc for every case, I never missed any of those because I drilled it into my head how to ask those....however I felt like when I was asking the ROS and pmhx, etc it was more a Q&A and not patient centered...but I have no clue how to NOT make it a Q&A. One of my patients said "doc you are not listening to me..." [he was in distress tho]. I did add transitional statements like "since its the first time we met/ I want to get to know you better... what do you do for a living, etc"
2) Misspelled a few words on the note, i.e odynophagia as odonophagia....I dont know how much weight this bears?
3) Some of the patients were just blank eyed...example: when I was counselling or when I was giving my impression and I was done saying my piece they just stood at me blankly until I said "ok?" or "is this ok?"...this really threw me off [I didnt use medical terminology and for even 1 patient I drew out some anatomy stuff for her/him so that she could understand what was going on".
4) I didnt put every workup for each case because honestly I just forgot/ under stress. For some I drew a blank and couldnt recall the specific test so I just wrote it out [ex (not on my test but just an ex): upper respiratory viral panel)].
5) I told one patient a possible diagnosis [told her/him 3] but didnt list it as my differential....dont ask me why....I dont know why...the stress of the test can do that and now I am worried!
6) one of my patient had pain, did a certain test and he said it was kind of tender. Wrote on the note, slight tenderness [the patient was a difficult one right from the start].
7) for 2 stations I answered the challenging questions via middle road path ["it depends on what we find/ we will work together once we have an accurate dx"] but after I said "so does that answer your question", they said "I guess so/kind of"...which then lead me to answer it again just rephrasing, idk sometimes I felt like they tried to trap you into saying some like "cancer", etc.
Overall I think my notes were OK...nothing spectacular but nothing terrible. I usually got 1-2dx that fit the bill/ plausible. I explained at least 1 of my impressions and at least 1-2 tests to dx.
Thoughts anyone? I am super nervous for this one!
I won't go into specifics but here are things I am unsure about
1) For the note: I asked fmhx, pmhx, etc etc for every case, I never missed any of those because I drilled it into my head how to ask those....however I felt like when I was asking the ROS and pmhx, etc it was more a Q&A and not patient centered...but I have no clue how to NOT make it a Q&A. One of my patients said "doc you are not listening to me..." [he was in distress tho]. I did add transitional statements like "since its the first time we met/ I want to get to know you better... what do you do for a living, etc"
2) Misspelled a few words on the note, i.e odynophagia as odonophagia....I dont know how much weight this bears?
3) Some of the patients were just blank eyed...example: when I was counselling or when I was giving my impression and I was done saying my piece they just stood at me blankly until I said "ok?" or "is this ok?"...this really threw me off [I didnt use medical terminology and for even 1 patient I drew out some anatomy stuff for her/him so that she could understand what was going on".
4) I didnt put every workup for each case because honestly I just forgot/ under stress. For some I drew a blank and couldnt recall the specific test so I just wrote it out [ex (not on my test but just an ex): upper respiratory viral panel)].
5) I told one patient a possible diagnosis [told her/him 3] but didnt list it as my differential....dont ask me why....I dont know why...the stress of the test can do that and now I am worried!
6) one of my patient had pain, did a certain test and he said it was kind of tender. Wrote on the note, slight tenderness [the patient was a difficult one right from the start].
7) for 2 stations I answered the challenging questions via middle road path ["it depends on what we find/ we will work together once we have an accurate dx"] but after I said "so does that answer your question", they said "I guess so/kind of"...which then lead me to answer it again just rephrasing, idk sometimes I felt like they tried to trap you into saying some like "cancer", etc.
Overall I think my notes were OK...nothing spectacular but nothing terrible. I usually got 1-2dx that fit the bill/ plausible. I explained at least 1 of my impressions and at least 1-2 tests to dx.
Thoughts anyone? I am super nervous for this one!
