Ideas of what to write on the Blue sheet before you enter the room? - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CS Forum

USMLE Step 2 CS Forum USMLE Step 2 CS Discussion Forum: Let's talk about anything related to USMLE Step 2 CS exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 04-04-2012
USMLE Forums Veteran
 
Steps History: 1 + CS
Posts: 216
Threads: 56
Thanked 116 Times in 56 Posts
Reputation: 116
Unhappy Ideas of what to write on the Blue sheet before you enter the room?

Hi guys,

My CS is in 15 days or so, I've been working hard getting my FA and Differentials down and practicing with a partner whenever I have one. But I was talking to colleague of mine and he told me that he wrote the DDs on his blue sheet b4 he would go in along with pamhugsfosswa...

I went through Neeraj's notes for CS they're pretty good but nothing out of the ordinary if you've read FA thoroughly, my question stems from the fact that he has say a mneumonic for history taking like a generic one to write on the blue sheet b4 you go in, is that a good idea? his is a little too energy expelling so does anyone have any other advice of what could I write on the blue sheet to make my life easier?

***Couple of more important questions: before they say Examinees you may begin, can I take 15 seconds or so and write pamhugsfosswa or any other mneumonic for history that I want on the Blue sheet or is that not allowed? Secondly, I am told that you will get the points for the physical even if you just do the system which the patient is here for, is that true? can I skip the general if I'm out of time and want to gather more points in the closing? if I get out of the encounter earlier I can use that time for my PN right? or will I have to wait (there seems to be a test center/proctor specific views on this)


Again Thanks a lot guys.....any help would be appreciated!
Reply With Quote Quick reply to this message




  #2  
Old 04-04-2012
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 274
Threads: 9
Thanked 336 Times in 126 Posts
Reputation: 346
Default

I take mine too right after you, in a lil over 2wks. Basically what I am doing now as I practice, is I have a clip board anyway, so I divide my sheet. I take about 30 secs put my SIQORAAA and PAMHUGFOSS as well as a few DD, and I write what systems I MUST examine. You are allowed to write whatever you want.

I do this as a guide to help me in case I forget. Many times though after practicing them, you dont really need it. Also thats how you make sure you ask the right questions for associated symptoms.

For example if I see sore throat, I quickly write URI, Mono, Pneumonia
and it takes me less than 15 secs to put runny nose, cough, fever, chest pain, sick ppl. I put if Mono (spleen counsel)
Then I put HEENT, Chest, Heart, Abdomen.
I dont bother with Neuro. 15mins is a lot of time esp when you dont have to do Neuro. Its the Neuro cases that can have one short on time.

If its Diabetes, I write Chest, Heart, Neuro (reflexes, sensation), Neck
If I'm coasting through and have time, I can do abdomen.

Never forget to counsel, they give warning with 5 mins left and 2 mins left I believe. This is your cue. By that 5 mins left mark, if you havent started PE, wrap up history. If at 2mins left mark, round up PE, and get ready to counsel.
Reply With Quote Quick reply to this message
The above post was thanked by:
Dr_Kal_El (04-05-2012), dr.Zh (12-12-2012), drZoe (04-07-2012), mitsua (04-05-2012)
  #3  
Old 04-04-2012
USMLE Forums Scout
 
Steps History: ---
Posts: 22
Threads: 2
Thanked 21 Times in 13 Posts
Reputation: 31
Default

I took a course from a USMLE guru in Delhi and he told me just to write the patient name and walk into the room. He believed that if you write the dd's or mneumonics, you shut your minds to the clues which the SP is giving to you. he made me practice a lot of cases without using mneumonics and it worked very well for me. then again i think it is personal preference...some people do like to write dd's and mneumonics. you should do what you are comfortable with.

you should examine the main system and try to do a bit of general examination as well. if you walk out of the room before 15 mins you can utilize that time to type your PN.

best of luck for your exam...if you have any other queries pm me.
Reply With Quote Quick reply to this message
The above post was thanked by:
Dr_Kal_El (04-05-2012)
 
  #4  
Old 04-15-2012
dr.dhruvdesai's Avatar
USMLE Forums Addict
 
Steps History: 1 + CK
Posts: 197
Threads: 51
Thanked 93 Times in 35 Posts
Reputation: 103
Default

No but before they say examinees u may start.,.. Can we write antything on the pare... Thats wat i am wondering?
Reply With Quote Quick reply to this message
  #5  
Old 04-15-2012
USMLE Forums Veteran
 
Steps History: 1 + CS
Posts: 216
Threads: 56
Thanked 116 Times in 56 Posts
Reputation: 116
Default

Quote:
Originally Posted by dr.dhruvdesai View Post
No but before they say examinees u may start.,.. Can we write antything on the pare... Thats wat i am wondering?
no sir, when they say "examinees you may enter the room" is when you look at the case and then you can write whatever you want....

I've practiced with FP oldcarts and pamhugsfosswa and writing systems of DDs and physical......and any other relevant things and I'm avging about a minute or minute 15 secs before entering the room, and lemme tell you that min saves my butt everytime.....I go through practice cases with my hpi and ros done within 7 minutes and move on to physical and averagely am finishing the whole encounter + PN in 21-23 mins

its just practice, practice, practice!!!!
Reply With Quote Quick reply to this message
  #6  
Old 04-15-2012
dr.dhruvdesai's Avatar
USMLE Forums Addict
 
Steps History: 1 + CK
Posts: 197
Threads: 51
Thanked 93 Times in 35 Posts
Reputation: 103
Default

wats FP oldcarts ?
Reply With Quote Quick reply to this message
  #7  
Old 04-16-2012
USMLE Forums Veteran
 
Steps History: 1 + CS
Posts: 216
Threads: 56
Thanked 116 Times in 56 Posts
Reputation: 116
Default Blue sheet mneumonics

Quote:
Originally Posted by dr.dhruvdesai View Post
wats FP oldcarts ?
it is important for every case with some modification (which ones to ask which ones to leave)

EX: Cough

F-frequency_______________________________________Systems/DDs
P-precipitating events,__________________________Heart, Lungs, ENT, Allergies
progression, previous events

any pain?_____________________________________________ _____ROS
O-onset, Others (TB, Travel, Ill contacts)_________________+ | -
L-ocation___________________________________________ ___|
D-uration___________________________________________ ___|
C-Constant/Intermittent, Character of pain______________________|
A-Alleviating, Aggrevating factors |
R-Radiation
T-timing of event
S-Severity______________________________________Physical
__________________________________________________ ___ENT, Lungs, Heart

_______________________________________________CLOSING/COUNSEL
_________________________________________________S ocial worker/Counselor/Groups


and obviously PAMHUGSFOSSWA....that one is all over the net as well.

My blue sheet has pt name, age, CC and abnormal VS on top of the page, then FPOLDCARTS & PAMHUGSFOSSWA written on the left side of the page. Right top of the page I write any systems associated with that or DDs. Followed by 2 columns for +|- symptoms (ROS) makes life much easier when writing the pt note. Then the right bottom I write what systems is the Physical to be performed and at the end Counseling and I write during the encounter if pt smokes, alcohol, drugs, Sex, Hx of HTN, Diabetes, hypercholesterolemia, falls/dizziness, enuresis and ABUSE/Pain/Financial.

Again, TRY TO GET ALL OF THIS DOWN WITHIN THE FIRST MINUTE OR MINUTE AND 15 SECONDS....practice it with every symptom so you know what OTHER stuff you need to keep in mind.

for Peds I use this mneumonic.....FEVER CUD Seize BIG DEALS

F- fevers/chills, fast resp, fatigue
E- ear problems
V- vomitting
E- eye problems
R- Runny nose, rashes

C- Cough, chest pain
U-Urination ----freq, color, odor, blood, # of wet diapers (or if enuresis all urination questions)
D-Diarrhea/Constipation----what are regular for the child, description, freq, consistency, color, blood, # of dirty diapers

Seize---shaking ---duration, description, previous, etc etc

B-birth hx
I-immunizations, ill contacts
G-growth and development
D- day care
E-eating habits
A-appetite
L-look of the baby
S-sleep

Last edited by Dr_Kal_El; 04-16-2012 at 08:38 AM.
Reply With Quote Quick reply to this message
The above post was thanked by:
doctorsmonsters (04-16-2012), dr.dhruvdesai (04-16-2012), dr.Zh (12-12-2012)
  #8  
Old 04-16-2012
dr.dhruvdesai's Avatar
USMLE Forums Addict
 
Steps History: 1 + CK
Posts: 197
Threads: 51
Thanked 93 Times in 35 Posts
Reputation: 103
Default

thanks bigtime
Reply With Quote Quick reply to this message



Reply

Tags
CS-Exam-Day

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Any ideas about the CK distribution? stepbystep USMLE Step 2 CK Forum 2 02-14-2012 07:14 PM
Need ideas for the last week before the big day dr_mhm USMLE Step 2 CK Forum 18 09-25-2011 11:48 AM
When T Lymphocytes enter the thymus, do they have TCR? struggle USMLE Step 1 Forum 2 05-22-2011 11:45 AM
Blue Sheet suzan USMLE Step 2 CS Forum 1 07-11-2009 04:02 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)