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USMLE Step 2 CS Communication Skills Step 2 CS Communication, Spoken English Proficiency, Language and Interpersonal Skills Discussion forum. CIS and SEP components of the USMLE Step 2 CS Exam.


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Old 05-27-2013
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Question Naming the procedure before doing it

During physical examination , Should I name the test before doing it like (spurling ,kernig ...etc ) -or just explain to the SP what I am going to do ?

I want to be sure the SP will mark right on his checklist - as they don't have a checklist of Qs asked asked anymore , they will only correct the SEP , CIS and DG checklist for physical exam .
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Old 05-27-2013
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No, just explain to the SP what you are going to do before doing it.
Not in great detail but just minimum in lay terms. For example, for knee exam just say--I am looking at you knee (Inspection)...........now i am going to press around your knee (palpation)...........now I am going to move, pull, push your leg in various directions (Ant/Post drawer, McMurray, Valgus/Varus tests)
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Old 05-27-2013
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totally agree with Novobiocin....no need to name and just explain in simple words. Just warn the patients that it may hurt a little bit and in case it does, he/she should let you know.
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Old 05-27-2013
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Quote:
Originally Posted by kdm0101 View Post
Just warn the patients that it may hurt a little bit and in case it does, he/she should let you know.
Also, for any painful maneuver(s), just do them all first and then say " I understand that these special tests caused you pain but they were essential for me to reach an accurate diagnosis to provide you with the best treatment". I will not do it again.
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