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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 06-14-2013
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Question Opening Up with a Rape Case

What would be a good opening greeting in a rape case? What about:

"Hello, my nurse told me that you were the victim of a rape. I'm really sorry to hear that. My name is Dr. XY, I'l do everything I can to make you feel better. I'd like to ask you some Qs and do a PE, is that okay? I want to asure you that everything we discuss here will be completely confidential?"
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Old 06-14-2013
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dude i have never heard of any rape case, but if it is, like other cases.
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Old 06-14-2013
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Originally Posted by shima View Post
dude i have never heard of any rape case, but if it is, like other cases.
You mean: Hello, my name is Dr. XY. I'm the physician in the office. I'd like to ask you some Qs and do a PE. Is that okay? Tell me, how can I help you?
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Old 06-14-2013
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Originally Posted by Dr. Mexito View Post
What would be a good opening greeting in a rape case? What about:

"Hello, my nurse told me that you were the victim of a rape. I'm really sorry to hear that. My name is Dr. XY, I'l do everything I can to make you feel better. I'd like to ask you some Qs and do a PE, is that okay? I want to asure you that everything we discuss here will be completely confidential?"
There are rape cases. I think your opening is good!
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Old 06-14-2013
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Originally Posted by Dr. Mexito View Post
What would be a good opening greeting in a rape case? What about:

"Hello, my nurse told me that you were the victim of a rape. I'm really sorry to hear that. My name is Dr. XY, I'l do everything I can to make you feel better. I'd like to ask you some Qs and do a PE, is that okay? I want to asure you that everything we discuss here will be completely confidential?"
I dont think that opening like that is appropriate, sounds like there is gossip about the patient situation.

You never directly confront a patient about anything except maybe when third parties are in danger.

A good way to start is to say something like "Hello, my name is Dr. XY. after reading the chart I came to see something happened to you, could you please tell me more about it?

ON this particular case you would need to give a lot of reassurance and support.
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Old 06-14-2013
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i had one...the door info didn't mention. it only said "attacked". the SP wasn't ready to talk but after giving her confidentiality support, she broke into tears. also she was looking at the door again n again anxiously as if she was scared. I don't know how wrong or right i am but i would use "sexual attack" rather than "rape" while talking to SP in this kind of case.
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Originally Posted by Dr. Mexito View Post
What would be a good opening greeting in a rape case? What about:

"Hello, my nurse told me that you were the victim of a rape. I'm really sorry to hear that. My name is Dr. XY, I'l do everything I can to make you feel better. I'd like to ask you some Qs and do a PE, is that okay? I want to asure you that everything we discuss here will be completely confidential?"
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Originally Posted by kdm0101 View Post
i had one...the door info didn't mention. it only said "attacked". the SP wasn't ready to talk but after giving her confidentiality support, she broke into tears. also she was looking at the door again n again anxiously as if she was scared. I don't know how wrong or right i am but i would use "sexual attack" rather than "rape" while talking to SP in this kind of case.
Yup that is why I think the opening sentence shouldnt jump right into the conclusion the patient was raped.. a more general term + a lot of reassurance can make the patient talk and open to you.

It is one of the things Psychiatry emphasizes a lot, in delicate situations like this let the patient talk and open themselves up little by little (I know its timed.. they know that too)!
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