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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 03-06-2014
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Default Physical exam question

Hi everyone,
I've just started studying for the 2cs exam. I've read all the instructions regarding how to perform a physical examination and have seen videos from a few websites. I'm a little confused about one thing. As we perform the exam should we be saying out loud what we are doing. For example, during palpation of the chest for a respiratory exam do we say outloud "I am now performing tactile vocal fremitus" so the examiner knows exactly what we are doing? It seems that some videos the physician talks through all the steps and others just perform the exam without saying anything. I know that my med school OSCEs always required to talk through all the steps, it was more of a theatrical approach where they expected us to use medical terms so the examiner would know exactly what we were doing. Any advice would be very helpful
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Old 05-10-2014
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Quote:
Originally Posted by Dani026 View Post
Hi everyone,
I've just started studying for the 2cs exam. I've read all the instructions regarding how to perform a physical examination and have seen videos from a few websites. I'm a little confused about one thing. As we perform the exam should we be saying out loud what we are doing. For example, during palpation of the chest for a respiratory exam do we say outloud "I am now performing tactile vocal fremitus" so the examiner knows exactly what we are doing? It seems that some videos the physician talks through all the steps and others just perform the exam without saying anything. I know that my med school OSCEs always required to talk through all the steps, it was more of a theatrical approach where they expected us to use medical terms so the examiner would know exactly what we were doing. Any advice would be very helpful
Hello,
Tell the patient what you are about to do..eg. " I will like to press your tummy or abdomen lightly , tell me if you feel any pain.." Try as much as possible not to use medical jargon..Tactile fremitus .".I will like to tap your chest lightly"
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Old 06-07-2014
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[QUOTE=Dani026;249722]Hi everyone,
I've just started studying for the 2cs exam. I've read all the instructions regarding how to perform a physical examination and have seen videos from a few websites. I'm a little confused about one thing. As we perform the exam should we be saying out loud what we are doing. For example, during palpation of the chest for a respiratory exam do we say outloud "I am now performing tactile vocal fremitus" so the examiner knows exactly what we are doing? It seems that some videos the physician talks through all the steps and others just perform the exam without saying anything. I know that my med school OSCEs always required to talk through all the steps, it was more of a theatrical approach where they expected us to use medical terms so the examiner would know exactly what we were doing. Any advice would be very helpful [/QUOTE

Plz tell me which websites did u follow for physical exam..plzzzzzzzzzzzzzzzzz
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