Adivce on Practicing Within the TIME Constraints - USMLE Forums
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Old 03-31-2014
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Listening Adivce on Practicing Within the TIME Constraints

Hey guys,just a question i have after a lot of practice that i have been doing for this exam,if people who have taken the exam can comment also i will be very grateful and hopefully this thread might help other people who are in my predicament as well.

anyway so i see everywhere people say practice until you make the 12-13min mark for H&P and 8-9min for Patient Note. Just wondering if that is true,cause shaving off 2-3min from H&P seems extremely hard cause thats like half the time needed for the physical examination(considering PE takes 3-5min) and there are so many questions to cover everything and be empathetic at the same time.

The patient note part is understandable i guess,if we write the ---
History in 4min
PE in 2min
Diagnosis with supporting history and PE in 2min
Diagnostic work up in 1 min
then we still have 1 min to spare.
I haven't managed to get my PN within these times but i can see it happening with more practice.

Right now my "In The Room time" is 14-16min and "PN time" is 10-12min.i am kind of banking on the fact that the stress of test day will make me work and think faster so the time should more or less work itself out --- please tell me if i am wrong by thinking like this cause i don't want to mess this exam up.My date for the exam right now is about 15 days away.

And if that is what is required then by no means am i calling anyone wrong or liars but i just want an idea of where i am and where i have to get too,before i can attempt this exam.
Anyone who can comment and contribute will be very helpful,good luck to everyone.

Last edited by samren17; 03-31-2014 at 03:22 PM. Reason: mistake
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Old 03-31-2014
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Default You can never know

I don't think there is a scale which can really tell you whats good and whats bad, the rule of thumb is you are good as far as your are asking relevant questions, doing a focused physical without any pregnant pauses. And about PN, the more you practice, the more better you nail it. JUST PRACTICE, because its only going to make you better. You will do it on time if you don't SPACE OUT in the exam room.
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Old 04-04-2014
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Hi !
This is the time table that i'm trying to get :
You have 25 minutes for every case.( the time is continuos !!!!!)

door: 1' ( case + mnemonic )
hx----1' introduction ( I'm Dr. fulano-----------until --can I seat and take some notes?)
-------4' hx taking ( from tell me more ------to I finish your HX now I want to star your PE)
------3' to 4' ( from i will put this gloves---- to i finish your PE)
------2' to close the case
------1' from SP to start PN on the computer.-
The rest is for your PN.

You must have a good idea about the case in order to make it easy .
I'm practicing with my SP and we are next 13'-13.30". Wen we started or cases
at 17', then 15' , then 14' . We finishes al FA in one week.
Practice is the base of the confidence.
I hope this can help you.
Good luck!
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Old 04-07-2014
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hey cumberbatch and bpjavi thanks for your replies.

my timing is more or less similar to how bpjavi has described it except that i take more time during the history part,but that should get better with more practice of the cases i guess...i didn't realize that it would take time to get out of the room and get to our typing station,thats a good point to keep in mind when practicing.

good luck guys.thanks.
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