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f**********e
发帖数: 5 | 1 1. 大家都是怎么分配时间的？
我上次的时间分配：问病史9 分钟，查体3-4 分钟，closure 2-3 分钟。结果发现这样
时间还是太紧张。我想下次改成：问病史缩短到7 分钟之内，查体3-4 分钟，然后多留
出点时间closure, 不知道可行不？
2. 我上次有的case, closure 的时候吸烟喝酒safe sex 说了一堆，结果时间到之前
都没有来得及问 "do you have any questions". 这个不知道怎么改进。
3. History-taking steps
http://csprotocol.blogspot.com/2006/02/art-of-history-taking.html
我上次是按照这个问个，一共五步。现在觉得实在太花时间了。这里面的step 3-5 是不是要尽量精简啊？
4. SEP
这个怎么在短期内提高呢？我觉得我最大的毛病就是一着急就越说越快。下次一定要慢，不过这样就势必要少问几个问题。
接下来是几个具体的问题:
5. knee pain 的case
查体是不是只轻触膝盖，别的比如reflex 都不用查啊？我上次非常愚蠢地敲k | d**********n
发帖数: 103 | 2 I passed CS at Philly.
产后抑郁/自杀
I had the same case. I managed to talk to her for 15 minutes. I am not sure
I did it 100% right but I will share with you about what I did.
After I introduced myself (no hands shake because she was weeping) I brought
a box of tissue and put it on the table right beside her chair. I sit right
in front of her. I did not take notes during all my CS exam encounters.
Then, I tried to find out what happened to her. What caused her suicidal
thoughts/attempts?
I asked her: |
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