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Old 03-08-2012
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Question Summarization in history taking

Hi all....
I was just wondering if summarizing what the pt has told in the Hx is important or we can skip it?
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Old 03-08-2012
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Yes. You can skip it. It's not mandatory.

Read more about it here
Use of Summary in CS history taking

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Old 03-13-2012
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It is very important and cannot be skipped. It is helpful in many ways:

- it helps you remember the patient's problems for the pn
- helps build a rapport with the patient
- is a checkpoint on the the CIS checklist
- sometimes the sp gives you a clue towards the end of your summary once you ask him "is there anything else you would like to add to it"

i picked up these tips from jaypee's video atlas of usmle step 2 cs cases & tips....these little things make a huge difference in your result.
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Old 03-13-2012
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Quote:
Originally Posted by nadir View Post
It is very important and cannot be skipped. It is helpful in many ways:

- it helps you remember the patient's problems for the pn
- helps build a rapport with the patient
- is a checkpoint on the the CIS checklist
- sometimes the sp gives you a clue towards the end of your summary once you ask him "is there anything else you would like to add to it"

i picked up these tips from jaypee's video atlas of usmle step 2 cs cases & tips....these little things make a huge difference in your result.
you have summarised the benefits of summarising very well!

i also learnt them from the same dvd
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Old 03-13-2012
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It's a good thing to do but it's NOT MANDATORY and you can skip.

The SP won't checklist you for that.

The SP sometimes will hint you to ask him/her more to give you more pieces of the HPI but he/she does not want you to summarize.

You guys have to listen to Sabio when he says something.
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Old 03-13-2012
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I have not taken the CS myself yet, but I teach this for a living at my old medical school.

We use an adapted version of the Calgary Cambridge guide to the medical interview. Google it. You will be surprised to see just how many times the guide tells you to summarize. It may not be mandatory, but I think it's definitely a good idea to summarize, for two reasons:
- It will give you a chance to make sure that everything you have written down is correct
- It will technically give the patient a chance to add any other pertinent information you may have missed (whether or not the SP is willing to volunteer any information you didn't specifically ask for is a whole different issue)

This is useful not just for the CS but for real life. For the CS, I wouldn't know just how important it is (again, I haven't taken it yet) but it'll take you like 20secs at the end and it makes you sound more professional. It would take you like 5-10 additional seconds per each summary, if you summarize at the end of each line of inquiry (and do it efficiently). Note that this isn't just for the history, you can also summarize any treatment plan/medication regimen/lifestyle changes/general recommendations etc. that you may have suggested to the patient.
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Old 03-13-2012
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I feel it is a very important part of your encounter and it does you more good than harm. Also it just takes 20-30 seconds to summarize the patient's complaints.
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