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  #1  
Old 06-26-2013
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Help Need advice for CS prep

I just needed a bit of advice. Recently, I've seen many people failing CS and I am a bit scared. I wanted any advice on improvements that I can make.

1-I've done all the FA cases, some at least twice, with live partners, and also on Skype.
2-Have just read through the mini cases.
3-My P/E of PN are like that of UW now.
4-My HPI is quite complete. However, I think I'll stick to only saying the positive findings to support the 3 ddx.
5-I am writing all the pertinent negatives in HPI and P/E.
6-I am doing all the recommended things-counselling/closing/focused P/E/Empathy/proper intro or permission etc.

What else can I do to make my chances better of passing it?

Any advice will be greatly appreciated. Also, if you can tell me what component of CS are people mostly failing these days and how to better improve it.

Thanks a lot for the help. This anxiety is killing me!
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  #2  
Old 06-27-2013
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Keep ur cool on the exam day...all prep is one thing...but on the exam day...u just have to move from case to case, Just know that mistakes will happen... leave everything u screwed up behind u while going into the next room, its a tiring day...thts for sure...and timing is everything as far as CS is concerned...so practice with timing...
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  #3  
Old 06-27-2013
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How is your typing speed?? Practice typing into the sample patient note page provided online.. the word limit can be tricky and if your not really brief and to the point you might have to delete words and re type just to make sense..trust me..there is no time for that!! Learn to use the accepted abbreviations ..

Don't rush and do a hasty examination of all systems..its more important to examine relevant systems in the right way..always appear calm and in control.. do what your doing in a professional manner.. a sloppy Respiratory or Cardio examination for a patient with a knee problem will go more against you than for..

Another important thing is to take some time and make note of patient details before entering the room.. it might seem silly now but so many, many candidates rush through the details at the door and walk in. Often forgetting to note down the name, or the fact that patient has a fever, or even worse that a Physical examination should not be done!

Above all... never never lie in your patient note..GL!

Last edited by geo82; 06-27-2013 at 08:45 AM. Reason: spelling!
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  #4  
Old 06-27-2013
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Bro If you haven't watched Dr Lauras youtube videos, I strongly suggest you do that....those were awesome....follow her advice...just youtube dr laura cs videos, especially that last bluesheet video....It is gold, use that and follow that protocol

Just be confident, everybody feels like **** after the exam...I did also, in the first couple days all you can remember is the mistakes you made....I also felt like I failed during the exam itself.....but everybody has those type of feelings....as the days go on, you will more and more feel like you failed but just keep in mind, even with the changes you still have better then a 50/50 shot to pass this thing....

Good luck, what you are doing looks good...if you have any other q's just ask
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  #5  
Old 06-27-2013
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Thanks everyone for the wonderful advice. I hope I can help the community by posting by experience after the exam.

I think my weakest part are the 3 ddx and the workup since I haven't taken CK yet. Is it really important to get the 3 ddx close to your patient's Hx findings, or it can be broad?

Also, if I redo all the workup/diff of FA long/minicases, will that be enough?

I keep missing a few workup studies in almost all cases
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  #6  
Old 06-27-2013
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Quote:
Originally Posted by Smashingdude View Post
Thanks everyone for the wonderful advice. I hope I can help the community by posting by experience after the exam.

I think my weakest part are the 3 ddx and the workup since I haven't taken CK yet. Is it really important to get the 3 ddx close to your patient's Hx findings, or it can be broad?

Also, if I redo all the workup/diff of FA long/minicases, will that be enough?

I keep missing a few workup studies in almost all cases
1. Kinda broad is ok..should be a possible Dx..but don't be vague..
2. Yes FA will be enough
3. I'll tell you what I did, see if you can use this technique.

I wrote down the most common lab tests in order from most common to least (not too long about 10-12). I numbered this list. By the time I went for the exam I knew this list so well it was just a matter of mentally going down the list and typing in all relevant ones..

Of course special cases with specific tests need to be learnt separately. But using this method at least I did not forget to run Pregnancy tests or Rectal exams, or Ultra sounds.. so important but sometimes forgotten in the rush..
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  #7  
Old 06-27-2013
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ur doing great. all u gotta do now is 1. practice pt. notes.
2. keep remembering all the pnemonics
3. imagine how ur gonna smile .. make maximum eye contact, and be very very polite. talk in a very kind manner. imagine ur body language.
4. decide what ur gonna wear that day. from clothes to shoes. clean white coat.
5. take a look at all the abbreviations u could use.
6. remember to use the leg extension, help them get down from the table, drape if not already draped, take permission for each step. and counsel WELL..like it should last for a couple of mins atleast.
YOU are good to go!! Good luck
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  #8  
Old 06-27-2013
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Quote:
Originally Posted by Smashingdude View Post
I just needed a bit of advice. Recently, I've seen many people failing CS and I am a bit scared. I wanted any advice on improvements that I can make.

1-I've done all the FA cases, some at least twice, with live partners, and also on Skype.
2-Have just read through the mini cases.
3-My P/E of PN are like that of UW now.
4-My HPI is quite complete. However, I think I'll stick to only saying the positive findings to support the 3 ddx.
5-I am writing all the pertinent negatives in HPI and P/E.
6-I am doing all the recommended things-counselling/closing/focused P/E/Empathy/proper intro or permission etc.

What else can I do to make my chances better of passing it?

Any advice will be greatly appreciated. Also, if you can tell me what component of CS are people mostly failing these days and how to better improve it.

Thanks a lot for the help. This anxiety is killing me!
It sounds like you are good to go, just make sure you have gotten enough practice with live partners going through the actual steps (e.g. actually did all the exams, not just pretended to do so like on skype) because that will take longer than just saying "Now I am listening to your heart" and wait.
Also, you can practice doing a focused exam (e.g. focused on lung issues, so do a lung exam) in under 3 minutes.
Finally, practice doing a lot of cases after another without a break in between.
Good luck!
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  #9  
Old 06-27-2013
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oh and make sure that when you do the exam, you are actually listening- make sure when you do auscultation, you listen for a full inspiration and expiration, and so on. The SP might have something wrong with him so don't just assume everything will be fine and do it too quickly!
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  #10  
Old 06-27-2013
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Thanks everyone. I will keep your points in mind.

Just one more thing. Is it always necessary to come up with 3 ddx? I heard from many students that there are few positive findings, and its hard to come up with 3 ddx. Is it okay just to state 1 or 2 ddx for a few cases?
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  #11  
Old 06-27-2013
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Quote:
Originally Posted by Smashingdude View Post
Thanks everyone. I will keep your points in mind.

Just one more thing. Is it always necessary to come up with 3 ddx? I heard from many students that there are few positive findings, and its hard to come up with 3 ddx. Is it okay just to state 1 or 2 ddx for a few cases?
In the official info, they say put "up to three diagnoses".
So, it is ok to put just one or two and I did that in a few cases, but if possible, put three if you can come up with three, just to be sure.
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