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  #1  
Old 12-16-2012
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Computer Patient Note Doubts

I have my step 2 cs coming up soon. I doubt that I will be able to finish my PN on time; could someone pls clarify the following-

1. Once the encounter is over, do we have to enter some code/id on the computer before starting the pn...?
2. Is there a timer on screen when we type the PN. If not, is there a wall clock to keep track of time..?
3. Any experience with writing the entire/partial PN in caps...do you think it's a good idea for not so fast typers like me.
4. Copy/paste does work right...?!

Thanks
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  #2  
Old 12-17-2012
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I took the test recently but I do not know the answer to first two questions. I just forgot but I did feel like there was something to keep track of time. The proctor also gives two minute warning when typing PN.
The answer to the other two questions.
Yes you can use caps, I did and I passed.
And copy/ paste does work, use it as it saves a lot of time when writing justifications for d/d, u can just copy paste from the history and physical exam findings
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  #3  
Old 12-17-2012
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Quote:
Originally Posted by shree View Post
I took the test recently but I do not know the answer to first two questions. I just forgot but I did feel like there was something to keep track of time. The proctor also gives two minute warning when typing PN.
The answer to the other two questions.
Yes you can use caps, I did and I passed.
And copy/ paste does work, use it as it saves a lot of time when writing justifications for d/d, u can just copy paste from the history and physical exam findings

Thanks a lot! That really helped!:-):-)

Another couple of things-
1. For copy/paste, does the right click work or the keypad(CTL+C, CTL+V)
2. Any experience on the wearing gloves/not washing hands front..?
3. Any thoughts about whether it makes a difference if I summarize the history at the end of the physical exam instead of just after history taking...

Thanks!!
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  #4  
Old 12-18-2012
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Yes Ctrl keys work.
I used gloves in some cases and hand washed in some. I truly think it does not matter. But make sure you don't touch your pad/pen/hair after washing or gloving. If you do then you have to rewash them or use fresh gloves.
It is better to summarise after history- ask them if there is anything they want to add before you start your examination. Also if you think you heard something wrong just repeat after them and ask if you have it right? Do it at least once I think they have points for paraphrasing.
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  #5  
Old 12-18-2012
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Quote:
Originally Posted by shree View Post
Yes Ctrl keys work.
I used gloves in some cases and hand washed in some. I truly think it does not matter. But make sure you don't touch your pad/pen/hair after washing or gloving. If you do then you have to rewash them or use fresh gloves.
It is better to summarise after history- ask them if there is anything they want to add before you start your examination. Also if you think you heard something wrong just repeat after them and ask if you have it right? Do it at least once I think they have points for paraphrasing.

Can't thank you enough!! Any other tips/advice in general would be most helpful...

Cheers
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  #6  
Old 12-19-2012
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I used a lot of abbreviations. That's the only way to save time.
For patient note, make sure to write everything you asked and did and not write anything extra. I scored on the high end of ICE. I think they are only testing basic medicine.. Are you ruling out enough? .. For joint pains..trauma, autoimmune, infectious. So forth
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  #7  
Old 12-19-2012
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For cs part: do all that first aid says, smile, speak slowly, professional appearance, express empathy, say sorry if you are doing painful maneuvers, don't repeat them( tell sp that you are not going to repeat them, and that you got some important clinical information by doing that, so u get a point). Also look at their expression, some may act sad, rushed etc., ask a reason -- this may lead a case in some different direction( depression, abuse, death in family- sps don't tell stuff until u ask them) .. I got a star on CIS

GL
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  #8  
Old 12-19-2012
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Quote:
Originally Posted by shree View Post
For cs part: do all that first aid says, smile, speak slowly, professional appearance, express empathy, say sorry if you are doing painful maneuvers, don't repeat them( tell sp that you are not going to repeat them, and that you got some important clinical information by doing that, so u get a point). Also look at their expression, some may act sad, rushed etc., ask a reason -- this may lead a case in some different direction( depression, abuse, death in family- sps don't tell stuff until u ask them) .. I got a star on CIS

GL

Great advice...thankyou so much!!!

Last edited by Cassiopeia; 12-19-2012 at 04:16 PM.
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  #9  
Old 12-27-2012
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Default to shree

would you please tell the abbrevations you used ?Any reference from where you learned.
Thanks for the information.
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  #10  
Old 12-27-2012
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Quote:
Originally Posted by hakuna matata View Post
would you please tell the abbrevations you used ?Any reference from where you learned.
Thanks for the information.
me too! I'd love to know where to learn some abbreviations to save me some time!
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  #11  
Old 01-07-2013
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Default new patient note in web site

hey , check the new patient note form in usmle .org
now it got how many lines and characters
http://www.usmle.org/practice-materi...practice2.html
it makes it more easier to track how much left when writing the history .
good luck
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  #12  
Old 01-14-2013
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Before my exam I was very concerned with PN, coz I'm not fast in typing. At the real exam, I typed all in large case, it helped safe some time, but in general I do believe the time for typing the PN is reasonable, just be prepared & organized.
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  #13  
Old 01-14-2013
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Help a doubt

I know it makes easier for us to remember things as SIQORAAA and PAMHUGSFOSS; but is it necessary to write note in the same format?

For eg, in a case of chest pain, can I write associated symptoms before writing aggravating/relieving factors? Coz in FA, i believe the format has been followed to the T.
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Old 01-15-2013
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Follow the format in FA. Other thing that help safe time is abbreviations, know them by heart.
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  #15  
Old 09-17-2013
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Quote:
Originally Posted by Cassiopeia View Post
I have my step 2 cs coming up soon. I doubt that I will be able to finish my PN on time; could someone pls clarify the following-

1. Once the encounter is over, do we have to enter some code/id on the computer before starting the pn...?
2. Is there a timer on screen when we type the PN. If not, is there a wall clock to keep track of time..?
3. Any experience with writing the entire/partial PN in caps...do you think it's a good idea for not so fast typers like me.
4. Copy/paste does work right...?!

Thanks
For people who are reading this thread. My CS exam went super duper well and I got stars in the CIS & language component.

I used gloves in all encounters and typed the entire PN in caps. Ctl A, Ctl C & Ctl V work for select, copy & paste (very useful), but not the right mouse click...so it is better to practice using the keyboard.
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  #16  
Old 09-30-2013
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Quote:
Originally Posted by Cassiopeia View Post
For people who are reading this thread. My CS exam went super duper well and I got stars in the CIS & language component.

I used gloves in all encounters and typed the entire PN in caps. Ctl A, Ctl C & Ctl V work for select, copy & paste (very useful), but not the right mouse click...so it is better to practice using the keyboard.
so what do u recommend ,first aid is enough for preparation?
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  #17  
Old 09-30-2013
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Quote:
Originally Posted by Cassiopeia View Post
For people who are reading this thread. My CS exam went super duper well and I got stars in the CIS & language component.

I used gloves in all encounters and typed the entire PN in caps. Ctl A, Ctl C & Ctl V work for select, copy & paste (very useful), but not the right mouse click...so it is better to practice using the keyboard.



Thank you !!
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  #18  
Old 09-30-2013
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Quote:
Originally Posted by fozia View Post
so what do u recommend ,first aid is enough for preparation?
Absolutely...practice with a study partner...I had 2 on skype

Good luck:-)
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