m**5
发帖数: 54 | 1 First thank you lovelypony gave us the talk and it is very valuable. I
summarize as the following\; If it is not correct, correct me. It is my
understanding.
1. time management is the key. When u do practise, try to have it done by
14 min.
2. SPE: don’t look down urself. Be confident and try to practise as much
as can and make the ur own protocol and talk it with smooth way.
3. Empathy: very important and try as sincere as possible. Don’t just
say \”I am sorry” u need to add real content with the appropriate
situation. For example: don’t ask \’how can I help you’ when u see SP is
in the pain state, u may say ‘I can see you are in the pain, …..’
4. Questions of history: focus on HPI, c/o with details. DDX :ask 3-4.
then pam hugs foss. FHx:quick ask if it is not related to c/o. Oby:ask last
period if it is not related to c/o
5. PE:focus 3-4 min. one system related to c/o, another related system.
6. Closure:very important. Include:thank you for answering my qs, brief
summary, (try to avoid numbers as details), your impression(simple better),
next step(use lay language).counselling. Do u have any question.
Add more info if you can recall. Good luck . |
s********p
发帖数: 1319 | 2 Thanks, Pony!
Thanks, mei5 for your summary!
This is a very seldom talk which I could concentrate my attention on, from
the beginning to the end.
by
much
is
【在 m**5 的大作中提到】
: First thank you lovelypony gave us the talk and it is very valuable. I
: summarize as the following\; If it is not correct, correct me. It is my
: understanding.
: 1. time management is the key. When u do practise, try to have it done by
: 14 min.
: 2. SPE: don’t look down urself. Be confident and try to practise as much
: as can and make the ur own protocol and talk it with smooth way.
: 3. Empathy: very important and try as sincere as possible. Don’t just
: say \”I am sorry” u need to add real content with the appropriate
: situation. For example: don’t ask \’how can I help you’ when u see SP is
|
l********y
发帖数: 2295 | 3 嘻嘻，刚回来才发现同学们这么踊跃，非常非常感谢！
大家觉得把写的summary合在一起好吗？如果有同学要补充也快来补充啊～ |
U******u
发帖数: 5829 | 4 u can change one thread title as a general summary title, then, c/p all
others into one, this save time and space, and convenient for all new comers
to discuss and read all info in one thread, no need go one thread by one to
another one, save time and energy.
all IDs should know, saving space is greatly helping BMs, as one forum has
limited space if I'm not wrong--only 10K posts, once over limits, Bm need do
He2 ji2 (combining old one or delet some water one), which is very time-
consuming and energy-wasting!
that's also in my club, I don't mind water-flooding but suggest "suitable
quantities" to save space and management time......
that's also why I hate so much for those bad-eggs do nothing but stir water
and make fire in medi!!!! that's why I always using bad words to curse
those snakes, to make so-called "reasonable and fair-play" BM cann't
tolerate any more, then delete all those nasty fight posts---that's the only
way i CAN DO TO SAVE SPACE AND MAKE THIS SPACE MORE USEFUL FOR GOOD cmgS
WHO WANT USE THIS SPACE FOR usmle!!!
wish u guys understand MY HEART.......
DOK
【在 l********y 的大作中提到】
: 嘻嘻，刚回来才发现同学们这么踊跃，非常非常感谢！
: 大家觉得把写的summary合在一起好吗？如果有同学要补充也快来补充啊～
|
s********p
发帖数: 1319 | 5 Good point.
Hi, everybody who took part in Pony's talk, please add you input in this
post.
comers......
【在 U******u 的大作中提到】
: u can change one thread title as a general summary title, then, c/p all
: others into one, this save time and space, and convenient for all new comers
: to discuss and read all info in one thread, no need go one thread by one to
: another one, save time and energy.
: all IDs should know, saving space is greatly helping BMs, as one forum has
: limited space if I'm not wrong--only 10K posts, once over limits, Bm need do
: He2 ji2 (combining old one or delet some water one), which is very time-
: consuming and energy-wasting!
: that's also in my club, I don't mind water-flooding but suggest "suitable
: quantities" to save space and management time......
|
s********p
发帖数: 1319 | 6 Pony,
Your Points, for my understanding:
平常苦练，掌握好FA和UW的东西。到时候：象一个医生一样掌握好时间，掌握好主动权
，尊重病人、关爱病人、和病人说话的时候字正腔圆......注意到训练有素的病人时时
都在观察你象不象一个医生，自己就得充满自信，象个医生一样进入角色，象医生一样
在关爱自己病人的前提下，抓住重点......——CS，Pass! |
l********y
发帖数: 2295 | 7 谢谢step，you got the point。
刚才因为时间的原因，忘记强调这个了，考试的时候，YOU ARE the doctor, not an
examinee to be evaluated by the SP. YOU ARE supposed to take charge of the
room, not the SP.
嘻嘻，还要补充什么都来补充啊～
【在 s********p 的大作中提到】
: Pony,
: Your Points, for my understanding:
: 平常苦练，掌握好FA和UW的东西。到时候：象一个医生一样掌握好时间，掌握好主动权
: ，尊重病人、关爱病人、和病人说话的时候字正腔圆......注意到训练有素的病人时时
: 都在观察你象不象一个医生，自己就得充满自信，象个医生一样进入角色，象医生一样
: 在关爱自己病人的前提下，抓住重点......——CS，Pass!
|
l********y
发帖数: 2295 | 8 发信人: meganli1998 (megan), 信区: MedicalCareer
标 题: Summary of CS talk by lovelypony
发信站: BBS 未名空间站 (Sat Mar 12 11:51:48 2011, 美东)
首先感谢pony百忙之中为我们精心准备的CS talk. 我还没开始准备CS, 可能有些地方
不得要领, 错误和疏漏之处请指正.
Spoken English: Practice more. Be confident.
Time management: history taking (7min)+ physical examination(3-4min)+closure
(2min).
Show empathy: appropriate expression & movement instead of just saying “I
am very sorry”.
History taking: chief complaint (2-3min. Repeat ~ 3 major points)+
differential diagnosis (FA mini-case is more than enough). You must be very
proficient. No pause, no thinking.
Physical examination(3-4min): Don't try to cover all the systems. ~2 systems
. Don't touch patient's gown. Respect privacy. Don't tell the patient the
result. Just say "OK" instead of "it looks normal to me".
Closure (2min): 1)show appreciation: thank you... 2)summarize: 3-4 points.
No numbers (You may recall wrong). Usually don't summarize physical. 3)give
patient an impression, usually the simplest one. Don't use medical
terminology.
4)Next step: for example: Take a picture of your chest.
5)Consultation: quit smoking, etc.
6)Do you have any more questions for me?
Test center doesn’t really matter.
Make sure no spelling error on patient note.
Brief family history taking is still required for emergency case.
Practice history taking & PE for 3 weeks before taking (New Jersey) Kaplan
Course. Then practice 1-2 more weeks. Ready for test. |
l********y
发帖数: 2295 | 9 发信人: jenny2006 (jenny2006), 信区: MedicalCareer
标 题: Pony CS talk undetailed summery,请同学们补充
发信站: BBS 未名空间站 (Sat Mar 12 11:42:44 2011, 美东)
Time management 最重要
练习时用timer7,10,14, after taking history7,after PE10,after closure14
Show sympathy，根据病人需要表示关心
急诊：如呻吟，咆哮病人，sense of emergency
Do physical examination as fast as possible，动作表情配合语言
HPI 问得细一些，ＣＣ问２－３分钟。额外３－４个问题鉴别诊断。
ＰＡＭＨＵＧＳＦＯＳＳ要很熟练，由潜意识出来，不要有１秒钟停顿。
查体：至少２个系统，
Closure:现感谢一下，３－４points,复述时尽量避免数字，怕记错。尽量避免
terminology,
必须用就接着解释。
Consultations smoking,alcohol 先写在右上角，以免忘了
最好问Do you have any more Qs for me? (重要！)
鉴别诊断：４－５个。
不好意思，两个孩子醒了，请同学们补充。 |
l********y
发帖数: 2295 | 10 我把meganli和jenny的summary都贴在这啦，大家有什么要补充的来补充啊～
多谢了～～非常感谢同学们这面踊跃～ |
|
|
s********p
发帖数: 1319 | 11 Exactly!
During the examination of CS, we are doctors, not foolish medical students.
If we hold this point together with our hardworking for CS as well as we are
confident in this course,we win!
Am I a good trainee, Pony?!
【在 l********y 的大作中提到】
: 谢谢step，you got the point。
: 刚才因为时间的原因，忘记强调这个了，考试的时候，YOU ARE the doctor, not an
: examinee to be evaluated by the SP. YOU ARE supposed to take charge of the
: room, not the SP.
: 嘻嘻，还要补充什么都来补充啊～
|
h***y
发帖数: 834 | 12 祝贺cs talk活动圆满完成！
首先感谢板斧pony同学的热情筹划和组织执行！
多谢cqfly和yoyoseli不辞辛劳地协助组织工作！
也谢谢版友们的热情参与！
随后我就去申请包子宴犒劳这次表现出色的同学们。 |
l********y
发帖数: 2295 | 13 唉呀，herby，多谢你的辛勤工作，我刚刚把3个经验贴粘到一块，现在就拜托你了啊～
～我等下要出去了。
就说刚才那个帖子我怎么都回复不了呢，咱俩心有灵犀，呵呵。 |
l********y
发帖数: 2295 | 14 herby，麻烦你根据自己的意思整理啊，我出去了。 |
h***y
发帖数: 834 | 15 之前没有看到这个贴，所以就多发了一个。 你整理得挺好的，呵呵。
【在 l********y 的大作中提到】
: herby，麻烦你根据自己的意思整理啊，我出去了。
|
h**s
发帖数: 1757 | |
s*******d
发帖数: 1079 | 17 刚回来，谢谢pony， 声音好甜，呵呵。多谢各位总结，真的很全了。
就补充一点---
好像pony提到关于negative finding的问题，如果检查结果全部正常，是什么就是什么
，不要试图按自己的诊断去make fake positive.
哦，还有关于考试当天的化妆和着装，长头发的最好扎起来或盘起来显得干练些。妆容只要干净大方就可以了，切忌浓妆艳抹的，不是去选美 :>D |
l********y
发帖数: 2295 | 18 嘻嘻，谢谢鸟鸟。扯着嗓子喊了半天，很是担心影响自己形象呢。好像鸟鸟对选美很感兴趣啊，pony好像说的不是去date，汗，个人喜好立马显现～
容只要干净大方就可以了，切忌浓妆艳抹的，不是去选美 :>D
【在 s*******d 的大作中提到】
: 刚回来，谢谢pony， 声音好甜，呵呵。多谢各位总结，真的很全了。
: 就补充一点---
: 好像pony提到关于negative finding的问题，如果检查结果全部正常，是什么就是什么
: ，不要试图按自己的诊断去make fake positive.
: 哦，还有关于考试当天的化妆和着装，长头发的最好扎起来或盘起来显得干练些。妆容只要干净大方就可以了，切忌浓妆艳抹的，不是去选美 :>D
|
a******3
发帖数: 1017 | 19 非常感谢Pony！
我补充一点，就是不要主动去碰病人的gown,最多在PE开始时帮病人解开，而且先要征
得pt的同意。以后就请病人自己拉下或者撩起gown配合你的检查，不要像国内医生一样
直接就帮病人撩起衣服。 |
f**********c
发帖数: 127 | 20 非常感谢pony百忙之中抽空帮助我们~~
继续小小补充：
FA minicase 不错，DDx部分尤其利于CS比CK先考的同学学习；
FA closure 不太理想，最好勤加练习，与Partner互相总结；
partner找个非中国人挺好，利于互相学习；
去CS辅导班之前最好对CS初步有个底，才能吸收到更多东西；
CS 可以去网上熟悉PN界面，似乎还有地方提供mock exam
【在 l********y 的大作中提到】
: 我把meganli和jenny的summary都贴在这啦，大家有什么要补充的来补充啊～
: 多谢了～～非常感谢同学们这面踊跃～
|
|
|
l********y
发帖数: 2295 | |
D*****G
发帖数: 105 | 22 Addition to item 5. When you do PE on sencond system, you just need to do "
half". For example, if cardiovascular system is the second one, you only
need to do auscultation rather than inspection, auscultation, percussion and
palpation. I learned this from a 2-day cs class and did this way in my cs
test.
by
much
is
【在 m**5 的大作中提到】
: First thank you lovelypony gave us the talk and it is very valuable. I
: summarize as the following\; If it is not correct, correct me. It is my
: understanding.
: 1. time management is the key. When u do practise, try to have it done by
: 14 min.
: 2. SPE: don’t look down urself. Be confident and try to practise as much
: as can and make the ur own protocol and talk it with smooth way.
: 3. Empathy: very important and try as sincere as possible. Don’t just
: say \”I am sorry” u need to add real content with the appropriate
: situation. For example: don’t ask \’how can I help you’ when u see SP is
|
c***y
发帖数: 811 | 23 再加上快速判断可能的诊断和鉴别诊断,然后有重点地问诊和查体.
【在 s********p 的大作中提到】
: Pony,
: Your Points, for my understanding:
: 平常苦练，掌握好FA和UW的东西。到时候：象一个医生一样掌握好时间，掌握好主动权
: ，尊重病人、关爱病人、和病人说话的时候字正腔圆......注意到训练有素的病人时时
: 都在观察你象不象一个医生，自己就得充满自信，象个医生一样进入角色，象医生一样
: 在关爱自己病人的前提下，抓住重点......——CS，Pass!
|
l********y
发帖数: 2295 | 24 多谢补充！
and
【在 D*****G 的大作中提到】
: Addition to item 5. When you do PE on sencond system, you just need to do "
: half". For example, if cardiovascular system is the second one, you only
: need to do auscultation rather than inspection, auscultation, percussion and
: palpation. I learned this from a 2-day cs class and did this way in my cs
: test.
:
: by
: much
: is
|
l********y
发帖数: 2295 | 25 呵呵，pony说了多次，今天纯属在各位大牛面前班门弄斧，大家能这样互相促进互相学
习最好啦！
.
are
【在 s********p 的大作中提到】
: Exactly!
: During the examination of CS, we are doctors, not foolish medical students.
: If we hold this point together with our hardworking for CS as well as we are
: confident in this course,we win!
: Am I a good trainee, Pony?!
|
j*******6
发帖数: 259 | 26 很抱歉,连谢谢都来不及写，孩子就醒了（他们太小了）。真的非常感激你在百忙之
中给我们大家一个详尽的介绍，听完之后就不再像以前那样望ＣＳ就怯步，我一直
放不下ＣＳ，所以ＣＫ的准备就非常糟糕，今天听了以后我似乎一下就释然了，可
以安心好好准备ＣＫ，留１个月时间再准备ＣＳ。再次谢谢你，希望不久的将来能
听到你更多的类似指点和交流。
【在 l********y 的大作中提到】
: 嘻嘻，刚回来才发现同学们这么踊跃，非常非常感谢！
: 大家觉得把写的summary合在一起好吗？如果有同学要补充也快来补充啊～
|
s********p
发帖数: 1319 | 27 Good input!
Thanks.
【在 c***y 的大作中提到】
: 再加上快速判断可能的诊断和鉴别诊断,然后有重点地问诊和查体.
|
a******3
发帖数: 1017 | 28 I have one more question regarding PE.
Did you only write down the 2 systems you examined in patient note? Thx much!
and
【在 D*****G 的大作中提到】
: Addition to item 5. When you do PE on sencond system, you just need to do "
: half". For example, if cardiovascular system is the second one, you only
: need to do auscultation rather than inspection, auscultation, percussion and
: palpation. I learned this from a 2-day cs class and did this way in my cs
: test.
:
: by
: much
: is
|
s********p
发帖数: 1319 | 29 Pony,你讲得那么好，还那么客气。
对，“他山之石，可以攻玉”——大家相互取长补短、相得益彰，比自己闷头看几天书
进步大多啦！
【在 l********y 的大作中提到】
: 呵呵，pony说了多次，今天纯属在各位大牛面前班门弄斧，大家能这样互相促进互相学
: 习最好啦！
:
: .
: are
|
D*****G
发帖数: 105 | 30 Yes. Don't make up anything that you don't check.
much!
【在 a******3 的大作中提到】
: I have one more question regarding PE.
: Did you only write down the 2 systems you examined in patient note? Thx much!
:
: and
|
|
|
a******3
发帖数: 1017 | 31 Thanks a million, David ^_^
【在 D*****G 的大作中提到】
: Yes. Don't make up anything that you don't check.
:
: much!
|
d****y
发帖数: 2180 | 32 恩。本来对CS很怵， 今天听了pony的讲座感觉比较知道怎么着手准备了。
非常非常感谢。
今天听完pony的课就马上开始了NBME form 的讨论。刚刚才结束， 这一看，大家把要
点都补充的很
全面了，呵呵。
再次感谢！
【在 j*******6 的大作中提到】
: 很抱歉,连谢谢都来不及写，孩子就醒了（他们太小了）。真的非常感激你在百忙之
: 中给我们大家一个详尽的介绍，听完之后就不再像以前那样望ＣＳ就怯步，我一直
: 放不下ＣＳ，所以ＣＫ的准备就非常糟糕，今天听了以后我似乎一下就释然了，可
: 以安心好好准备ＣＫ，留１个月时间再准备ＣＳ。再次谢谢你，希望不久的将来能
: 听到你更多的类似指点和交流。
|
U******u
发帖数: 5829 | 33 very good study group contribution and sharing.
this benefits all of the members.
keep rolling! |
s********p
发帖数: 1319 | 34 再补充一点：
数字的东西，Summary的时候，要尽量避免，拣Clear的说。
如体温，如果不是发热、高热或过高热的病人，避免。 |
h***y
发帖数: 834 | 35 本版奖励：
lovelypony 50伪币--辛勤策划和组织活动
cqfly 20伪币--协助组织活动
yoyoseli 20伪币--协助组织活动
mei5 10伪币--活动小结
meganli1998 10伪币--活动小结
jenny2006 10伪币--活动小结
sillybird 10伪币--活动小结
autumn33 10伪币--活动小结
springstep 10伪币--活动小结
felicitypumc 10伪币--活动小结
DavidMG 10伪币--活动小结
合计 170 伪币 |
l********y
发帖数: 2295 | 36 thanks a lot herby~
【在 h***y 的大作中提到】
: 本版奖励：
: lovelypony 50伪币--辛勤策划和组织活动
: cqfly 20伪币--协助组织活动
: yoyoseli 20伪币--协助组织活动
: mei5 10伪币--活动小结
: meganli1998 10伪币--活动小结
: jenny2006 10伪币--活动小结
: sillybird 10伪币--活动小结
: autumn33 10伪币--活动小结
: springstep 10伪币--活动小结
|
g*******n
发帖数: 91 | 37 同感。 原来总觉得CS 很恐怖。 看CK 心里也总放不下心来。 读了几个mini ，对CS
有了大致的了解后，心情反而稳定了。
【在 j*******6 的大作中提到】
: 很抱歉,连谢谢都来不及写，孩子就醒了（他们太小了）。真的非常感激你在百忙之
: 中给我们大家一个详尽的介绍，听完之后就不再像以前那样望ＣＳ就怯步，我一直
: 放不下ＣＳ，所以ＣＫ的准备就非常糟糕，今天听了以后我似乎一下就释然了，可
: 以安心好好准备ＣＫ，留１个月时间再准备ＣＳ。再次谢谢你，希望不久的将来能
: 听到你更多的类似指点和交流。
|
l********y
发帖数: 2295 | 38 hehe, i am so glad it was a little helpful ^-^
【在 g*******n 的大作中提到】
: 同感。 原来总觉得CS 很恐怖。 看CK 心里也总放不下心来。 读了几个mini ，对CS
: 有了大致的了解后，心情反而稳定了。
|
