Hi everyone,
I just took my CS few days ago, I made mistakes as everyone I think, but also as everyone I am sick worried about my result and it's gonna be painful to wait all this time until the results. it would be great if you guys take a look and tell me your opinions.
1st case:
I asked the patient to repeat to me the duration of cc,forgot to order pt/ptt for his DVT, and the notes was a little disorganized(positives then negatives then positives).
2nd case: second differential wasn't medially accurate,PN a little disorganized as above.
3rd case: pt asked me for HRT replacement medication, I just answered"advances in medicine are a lot and will find what fit you,lubricants are alternative for now" this was menopause case. second differential wasn't accurate or may be completely off!!
4th case: asked the patient to repeat his medications names twice for me.didn't thank him after exam, but initially I said"may I examine you? oh thank you" I used this sentence in almost all cases but I forgot to emphasis on thanking almost all patients after PE.
5th case: second differential was not good but close. didn't ask about sex. examination was not accurately described on PN.
6th case: case of fatigue, told me she sleeps 8hrs but not enough, forgot to ask about the sleeping pattern or interruptions. i show as much empathy as possible for her depression. asked me what's the reason for my weight gain, I said due to your depressed mood but we r here for you and will help with support groups and blah blah!!
7th case: forgot to talk about his diabetes follow up although the case was something not related to diabetes at all. I asked him to repeat his medications names for me(this happened for 3 patients).
8th case: I asked the patient to lie down, although he told me at first he can't , but when I asked him he said is this necessary, then I apologized profusely and said oh no of course not, I'm sorry I will examine you while your sitting up like that.
9th case: went ok.
10th case: went ok except that while i was asking the patient about ROS i said" ok let me see what I wanted to ask you!! oh I remembered do you have any chest pain?" that was dumb I confess it!
11th case: went ok,patient notes was a little disorganized.
12th case: went fine.
I was talking in confidence with all of them,
I didn't forget to put gloves on or remove them after PE,
I did closure on all of them,
I only ran out of time once and it was only when I was shaking hands,
I didn't shake hands for two patients one of them because of wrist pain and second was due to severe pain and not feeling ok at all,
I introduced myself well, i did transition phrases,
I did focused exam on all,
I wrote only focused exam on all PN, all patient notes were not as perfect as I used to do before going to the test, most of PN were disorganized but contained 90% of the patient encounter, I didn't ran out of time on PN,
i revised few of them,
I forgot to tell one patient about their coming rectal exam,
I forget alcohol and or sex habits in two patients.
please guys spend some time on what I wrote and tell me what you think..
thank you.
I just took my CS few days ago, I made mistakes as everyone I think, but also as everyone I am sick worried about my result and it's gonna be painful to wait all this time until the results. it would be great if you guys take a look and tell me your opinions.
1st case:
I asked the patient to repeat to me the duration of cc,forgot to order pt/ptt for his DVT, and the notes was a little disorganized(positives then negatives then positives).
2nd case: second differential wasn't medially accurate,PN a little disorganized as above.
3rd case: pt asked me for HRT replacement medication, I just answered"advances in medicine are a lot and will find what fit you,lubricants are alternative for now" this was menopause case. second differential wasn't accurate or may be completely off!!
4th case: asked the patient to repeat his medications names twice for me.didn't thank him after exam, but initially I said"may I examine you? oh thank you" I used this sentence in almost all cases but I forgot to emphasis on thanking almost all patients after PE.
5th case: second differential was not good but close. didn't ask about sex. examination was not accurately described on PN.
6th case: case of fatigue, told me she sleeps 8hrs but not enough, forgot to ask about the sleeping pattern or interruptions. i show as much empathy as possible for her depression. asked me what's the reason for my weight gain, I said due to your depressed mood but we r here for you and will help with support groups and blah blah!!
7th case: forgot to talk about his diabetes follow up although the case was something not related to diabetes at all. I asked him to repeat his medications names for me(this happened for 3 patients).
8th case: I asked the patient to lie down, although he told me at first he can't , but when I asked him he said is this necessary, then I apologized profusely and said oh no of course not, I'm sorry I will examine you while your sitting up like that.
9th case: went ok.
10th case: went ok except that while i was asking the patient about ROS i said" ok let me see what I wanted to ask you!! oh I remembered do you have any chest pain?" that was dumb I confess it!
11th case: went ok,patient notes was a little disorganized.
12th case: went fine.
I was talking in confidence with all of them,
I didn't forget to put gloves on or remove them after PE,
I did closure on all of them,
I only ran out of time once and it was only when I was shaking hands,
I didn't shake hands for two patients one of them because of wrist pain and second was due to severe pain and not feeling ok at all,
I introduced myself well, i did transition phrases,
I did focused exam on all,
I wrote only focused exam on all PN, all patient notes were not as perfect as I used to do before going to the test, most of PN were disorganized but contained 90% of the patient encounter, I didn't ran out of time on PN,
i revised few of them,
I forgot to tell one patient about their coming rectal exam,
I forget alcohol and or sex habits in two patients.
please guys spend some time on what I wrote and tell me what you think..
thank you.