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  #1  
Old 02-18-2015
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Default Let's start a new poll, what's the best CSS source?!

Please guys, let's start this poll. CCS*

Last edited by MidoUSMLE; 02-18-2015 at 01:54 PM.
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  #2  
Old 02-18-2015
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Quote:
Originally Posted by MidoUSMLE View Post
Please guys, let's start this poll.
good question by the way

i personally will use crush CCS
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Old 02-18-2015
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What about UW?? Kaplan?? Archer?? Neeraj?? i am studying UW offline now and it's pretty boring.
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Old 02-18-2015
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definitely ill do the uw
just warming up prior to that
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  #5  
Old 02-18-2015
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Correct Answer approach to CCS

there are several things to consider while preparing for CCS.


1. you should be very familiar with software by itself.

2. You should have clear cut algorithms, guidelines, mgmt information like flow charts regarding common disorders (UGIB, LGIB, Pneumonia,CHF, HTN, PE etc)

3. while doing a case it might be about one particular disorder - but after mastering it you are ready to order PE, labs etc for the system involved in that particular disorder.
e.g. DDx hepatitis infection - after doing it you are familiar with liver/ hepatitis panel orders and the sequence.

4. Have the axis of typical orders in your head:
eg.

ER : pulse ox, oxygen, cardiac monitor, BP monitor, EKG 12, Cardiac enzymes, IV access, NS,)

WARD: Diet (NPO, Diabetic, Low sodium, low fat) Ambulation ( bed rest, bed rest with bathroom privileges, ambulate at will), Vitals Q-8 (automatic) , FSG-s for diabetic pts. Elevate head of bed etc.

ICU: Elevate head of the bed , PE prophylaxis: SQ Heparin/Compression stockings, PPIs for Stress ulcer, Diet status, input/output - foley.

Surgical pt: Blood type & cross-match, PT/PTT & INR, Prophylactic antibiotic (e.g. cefoxitin).

ppl say these are not very important for scoring - but why should i loose the smallest amount of score not putting these in orders

once you have an axis for general mgmt of patient add the disease / differential diagnosis specific labs.

i haven't taken step 3 (coming up in 4 days) but as far i have heard diagnosing the patient is the least of complexity on CCS.

Source:

I used Crush for CCS - it's good to review stuff, but after doing like 10-20 cases (out of 120) you want to do it in the software and you think it's waist of time.

UW CCS - did 52 software cases, sucked in the begining (mostly cause i had no idea what was going on) rocked in last 10 cases.

one thing to mention is that after going through CCS i feel more confident dealing with MCQs and vice versa after completing UW qbank i feel more confident doing CCS cases -> active knowledge level increased definitely.

So know the general axis of mgmt and add disease specific labs and treatment.


well i will see if this will work

Baseline:

Use UW CCS 100% (with 52 and 41 cases) add crush to be familiar with variety of disease presentation. stick to MTB, when i read it now i think every single disorder might present on css

Peace

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Last edited by beka-CTS; 02-18-2015 at 05:32 PM.
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  #6  
Old 02-19-2015
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Default

Quote:
Originally Posted by beka-CTS View Post
there are several things to consider while preparing for CCS.


1. you should be very familiar with software by itself.

2. You should have clear cut algorithms, guidelines, mgmt information like flow charts regarding common disorders (UGIB, LGIB, Pneumonia,CHF, HTN, PE etc)

3. while doing a case it might be about one particular disorder - but after mastering it you are ready to order PE, labs etc for the system involved in that particular disorder.
e.g. DDx hepatitis infection - after doing it you are familiar with liver/ hepatitis panel orders and the sequence.

4. Have the axis of typical orders in your head:
eg.

ER : pulse ox, oxygen, cardiac monitor, BP monitor, EKG 12, Cardiac enzymes, IV access, NS,)

WARD: Diet (NPO, Diabetic, Low sodium, low fat) Ambulation ( bed rest, bed rest with bathroom privileges, ambulate at will), Vitals Q-8 (automatic) , FSG-s for diabetic pts. Elevate head of bed etc.

ICU: Elevate head of the bed , PE prophylaxis: SQ Heparin/Compression stockings, PPIs for Stress ulcer, Diet status, input/output - foley.

Surgical pt: Blood type & cross-match, PT/PTT & INR, Prophylactic antibiotic (e.g. cefoxitin).

ppl say these are not very important for scoring - but why should i loose the smallest amount of score not putting these in orders

once you have an axis for general mgmt of patient add the disease / differential diagnosis specific labs.

i haven't taken step 3 (coming up in 4 days) but as far i have heard diagnosing the patient is the least of complexity on CCS.

Source:

I used Crush for CCS - it's good to review stuff, but after doing like 10-20 cases (out of 120) you want to do it in the software and you think it's waist of time.

UW CCS - did 52 software cases, sucked in the begining (mostly cause i had no idea what was going on) rocked in last 10 cases.

one thing to mention is that after going through CCS i feel more confident dealing with MCQs and vice versa after completing UW qbank i feel more confident doing CCS cases -> active knowledge level increased definitely.

So know the general axis of mgmt and add disease specific labs and treatment.


well i will see if this will work

Baseline:

Use UW CCS 100% (with 52 and 41 cases) add crush to be familiar with variety of disease presentation. stick to MTB, when i read it now i think every single disorder might present on css

Peace

@MedicalExaminer - will call after exam babu

Marvelous. Please call me too after exam Medical examiner I will come to you one sunday with kids and teach you CCS after exam.

I would add that the fact that you have no idea whats going on and playing and suffering with software helpd you learn and do things on your own.

question about usmle org free CCS software does it need windows? or can i do it on mac

and also : im not even reading approach to case upper narrative part just going down to management treatment , scoring wuickly and clock and i do pretty well on cases. quickly its like CS i think. you should jsut practice more. and as they say Dx will always be STRAIGHTFORWARD ON CCS. like for CS I almost always have diagnosis from just chief complaint and maybe first two lines of HPI
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  #7  
Old 02-19-2015
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Default when i cant remember the name of the medication

i frequently cant remember medication names to order

i frequently forget to order antipyretic, antiemetic, NPO, diet

dont forget counseling
u can just type counseling in order sheet and then with command (on mac) choose any other type of counseling you want and order all of them together.

jut typing class of medication never helps. i could not remember donepezil and there is no other chance to type it in other than remembering its name
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