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Old 04-18-2011
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Question What is the threshold for passing the CS - based on FA practice?

Hello all!
I have some questions about preparing from the first aid for the CS. I am taking my exam on Mid-May.

How can I be sure that I perform well on the case scenarios? I do the cases with my mother (non-doctor) and she does the patient stuff pretty well, and she assesses me. In the "grey" zones of the checklists, where the chief complaint/onset etc questions are and I always do >65-70% correct on the checklist and in all the other checkmarks (knocking on door etc) I do nearly 100% correct. I make sure to knock, address the pt with his surname, ask if everything is comfortable, drape the pt and ask permission for the physical exam. I always start w/ 1-2 open-ended questions. I also do good in the sample closing.

In the pt note I get the differential correct, however not always complete or in the correct order and the diagnostic tests are relatively OK. I miss some stuff in the physical and in the HPI i might lose a line or so.

Is there a standard that I can say to myself "yes you should perform good" based on the checklists? Is there a threshold under wich I should be alert and say that I won't pass based on the first aid?

Thank you so much for your time and I would really appreciate if you answer any part of my questions (you don't have to answer in full!)
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Old 04-18-2011
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Default Here's what I think

There's no exact threshold that can be set for you to say you will pass or you will fail.

However the following are important points to remember:

- Forgetting to ask all the questions is not a fatal mistake but forgetting to ask for very vital information might be considered fatal. For example if the patient has pneumonia and you did not ask about fever, antibiotics, contact history, ...etc

- Missing one or two from the differential diagnoses is not a fatal mistake but missing the most important diagnosis might really hurt your score. For example if the case is appendicitis and you did not mention appendicitis in the differential diagnoses list.

- There are some points that your (non-doctor) partner might miss. For example if you hurt her while doing the abdominal examination (the real SP will score you badly, while your mom might not)

- 60-70% of the questions asked, is a good percentage.

- Missing lines from the Patient Note is not a big error. Remember that the PN in FA is the ideal perfect complete PN and nobody can imitate that in the exam.

Hope that helped, let me know if you still have queries.
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The above post was thanked by:
docmd11 (05-17-2011), Haisook (05-17-2011), iron (04-24-2011), jorgemorales (04-19-2011), kemoo (04-18-2011), LatinGeorge (04-04-2012), medicine (05-18-2011), nowayout89 (04-18-2011), rameshchinese (06-06-2011), soso84 (04-18-2011), TigerNight (05-20-2011), tkourkou (04-18-2011), tootsie (02-28-2012)



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