06-03-2011, 11:17 AM
USMLE STEP 2 COACH
VIA
SKYPE WITH WEBCAM AND LIVE SESSIONS
I TEACH WITH ECFMG RECOMMENDATIONS MENTIONED IN THE ECFMG SITE
I WILL EMPHASIZE ON ALL SENSITIVE AND SCORE GAINING AND ON POTENTIAL EXAM FAILING AREAS.
STARTING WITH:
A) PRE-HISTORY ENCOUNTER; THIS CRUCIALLY COVERS THE C.I.S AND DATA GATHERING (I.C.E) OF THE EXAM
KEY TO SUCCEED CS EXAM IS TO SHOW EMPATHY TOWARDS PATIENT WHILE YOU’RE ENTIRE ENCOUNTER.
I WILL ELABORATE THE RIGHT AND PROFESSIONAL WAY TO INTRODUCE YOUR SELF TO THE PATIENT.
HOW TO EXCLUDE THE PATIENTS COMFORT LEVEL HOW MANY UNFOLDING'S DONE DURING THE DRAPING OF PATIENT.HOW MUCH TO COVER
B) THE CORRECT AND PROFESSIONAL WAY OF ASKING HISTORY.........THIS IS WHERE THE CORE OF I.C.E STARTS.
DURING MY TEACHING SESSION I WILL TEACH YOU HOW TO OPEN THE HISTORY PART OF ENCOUNTER AND SHOW PROFESSIONALISM
EMPATHY AND REASSURANCE AND YOUR PURPOSE OF
ENCOUNTER
HOW TO ASK THE PATIENT HIS ACTIVE COMPLAINT IN A SYMPATHETIC AND CONCERN SHOWING MANNER GIVING THE PATIENT HOPE AND ASSURING THE PATIENT THAT HE WILL BE TAKEN CARE OF TO THE LEVEL BEST
EVERY STUDENT HAS TO MEMORIZE THE 2-3 OPEN ENDED QUESTIONS THAT WILL BE REVEALED DURING THE SESSION
C) THE QUESTIONNAIRE .....DATA GATHERING (I.C.E)
EACH AND EVERY CASE HISTORY HAS A DIFFERENT SET OF QUESTIONS .THERE ARE A FEW SKILLS I USED FOR MY SELF TO MEMORIZE EACH QUESTIONNARE SEPARATELY
OPEN UP EACH PART OF HISTORY SMOOTHLY MAKING A LINK WHOLE HISTORY THREAD.
TIPS TO OBTAIN HIGH PERFORMANCE
A. Question has to be in layman language
B.Never mention a medical jargon e.g never mention have u ever had a colonoscopy done ...
The right technique is by saying....Did u ever have a procedure know as Colonoscopy done ,by which a soft tube with a camera
is passed from your anal area/back passes to see inside large belly for any masses.
C.If by mistake you have repeated a Question twice then Instantly Apologise by saying..I am very sorry I just wanted to clarify.
FOR EXAMPLE:
When you start asking Past Medical History you open up your communication like this; ok Mr. Glen now let us talk about your past medical health .
1. Did you ever have the same complaint ( i.e. the patients Active Complaint) in any part of your life before?
2. Do you have High Blood Pressure, High Blood Sugar or High Cholesterol level? Only for Dementia
3. Do you have any other Medical Condition?
TIPs: Be very very focused and fast asked these q's and go ahead and open up the Past Surgical History
Never ever ignore Past Surgical History and Family History.
If something is Positive in Family History then elaborate it and please show care n empathy
to the patient's family never ever show dis-interest in Family History
About Drug History only ask about Prescription Medications.
About Sexual History( HIV Status, Multiple Sexual Partners,Homosexuality ,STD's) assure the
Patient that all the info obtained will be kept highly confidential present your self sincerely with
concern so that he removes his/her hesitancy.You have to gain Info wisely
D) THE TWO MANDATORY QUESTIONS ASKED AT HISTORY CLOSURE
THIS PORTION OF HISTORY CLOSURE IS A CRUCIAL SCORE GAINING AREA AND HAS TO BE DISPLAYED IN A VERY PROFESSIONAL WAY ,CONTINUALLY SHOWING EMPATHY AND ASKING THE TWO MANDATED QUESTIONS TO ALL 12 OF YOUR PATIENTS WHILE CLOSING THE ENCOUNTER.
E) HOW TO START PHYSICAL EXAMINATION....NEVER FORGET TO TAKE PERMISSION OR WILL BE UN ETHICAL
ALWAYS REMEMBER THE P.E HAS TO BE HIGHLY CONCISED AND FOCUSED
THIS PART IS WHERE NO EXTRA MANEUVER (NO TIME WASTING) IS DONE ON PATIENT.YOU HAVE TO SAVE THE FLYING TIME WISELY.
YOU HAVE TO STAND ON PATIENTS RIGHT SIDE DURING ENCOUNTER AND BEGIN TO WASH YOUR HANDS WHILE LOOKING AT THE PATIENT AND ASKING HIM A FEW MORE QUESTIONS WHILE DOING SO, THE REASON BEHIND THIS IS TO NOT LET THE PATIENT THINK THAT HE WAS NOT GIVEN PROPER ATTENTION, IT IS A MUST TO WASH YOUR HANDS BEFORE EXAMINING THE PATIENT TO MAINTAIN ASEPTIC CONDITIONS.
I WILL REVEAL THE Q'S DURING MY SESSION.THE RIGHT WAY OF DRAPING PATIENT DURING P.E A FEW TECHNIQUES AS TO HOW TO PRESENT YOUR SELF PROFESSIONALLY DURING P.E
THERE ARE A FEW POINTS WHAT EVERY STUDENT MUST MEMORIZE AND TELL THE PATIENT
SIDE BY SIDE WHILE PERFORMING P.E.
F) COUNSELING................THE HIGHLY CRUCIAL PART AND CORE OF THE WHOLE EXAM ENCOUNTER..COVERS INFORMATION SHARING SKILLS OF C.I.S
DEAR STUDENTS, ALWAYS REMEMBER THOSE WHO DO NOT COVER COUNSELING OR MISS THE MANDATED POINTS TO TALK ABOUT DURING COUNSELING WILL HAVE A STRONG POTENTIAL OF FAILING THE C.I.S PART OF EXAM. THIS PART IS THE MOST SENSITIVE,THE MOST SCORE GAINING AND THE MOST CRUCIAL PART OF THE EXAM .
I HAVE MADE MY OWN COUNSELING ANS SEND YOU THE FILES ONCE YOU REGISTER...I WILL ACKNOWLEDGE YOU THE CRUCIAL POINTS IN COUNSELING DURING MY TEACHING SESSION. STUDENT'S WHO ARE WEAK IN THIS AREA,
I WILL GIVE THEM ATLEASET COUNSELING OVER 2 PER DAY.THE NEXT DAY I WILL PROCEED AFTER I AM SATISFIED WITH THE COUNSELING PART.
G) JUST BEFORE STEPPING OUT OF THE ENCOUNTER .......THIS PORTION COVERS INFORMATION SHARING SKILLS OF C.I.S
TO BE.COVERED IN LAST 3-4 MIN ONLY
A VERY RAPID SUMMARIZATION OF THE PATIENT'S Hx, P.E AND POSITIVE FINDINGS
GIVE NO MORE THEN 2 DIFFERENTIALS DURING CLOSURE I WILL DESCRIBE THE RIGHT
WAY TO ELABORATE THE DIFFERENTIALS
E.G IF A PATIENT COMES WITH FATIGUE YOU MENTION THE DIFFERENTIALS BY SAYING
A...IT CAN BE DUE TO HORMONAL IMBALANCE IN THE THYROID GLAND OF YOUR NECK
A CONDITION KNOWN AS HYPOTHYROIDISM
B....OR IT CAN BE BECAUSE OF LOW BLOOD CELL COUNT KNOW AS IRON DEFICIENCY ANEMIA
AFTER THE 2 DIFFERENTIALS I WILL TELL YOU HOW TO PROCEED AND WHAT TO SAY NEXT AND THE CORRECT AND PROFESSIONAL WAY TO CLOSE THE CASE
TELL THE PATIENT THE BLOOD WORK, URINE WORK AND RADIOLOGICAL STUDIES WILL BE AVAILABLE ON NEXT FOLLOW-UP VISIT. GIVE HIGH HOPE'S TO PATIENT IN REGARD TO HIS MEDICAL HEALTH. SOME OTHER CRUCIAL POINTS YOU HAVE TO DISPLAY DURING CLOSURE,I WILL TELL YOU DURING MY SESSION. CRUCIAL POINTS OF WHAT NOT TO SAY DURING CLOSURE.A MANDATION FOR ALL STUDENTS TO CLEARLY ACKNOWLEDGE.
H) ABOUT THE PATIENT NOTE
I WILL GIVE YOU SOME TIPS AS OF HOW TO WORK ON RAISING SPEED
AND WRITING PN FAST ,CONCISED ,TO THE POINT AND IN THE RIGHT
SEQUENCE. WHAT DIFFERENTIALS PLACED FIRST AND WHAT LAST
I)SOME OTHER GENERAL TIPS AS OF;
HOW TO PRESENT YOUR SELF i.e. YOUR DRESSING,SHOES,TIDINESS, WHAT TOOLS TO BRING AND WHAT IS NOT ALLOWED TO BRING IN EXAM .
BELIEVE IN YOUR SELF,AND I TRUST MY SKILLS.
I HAVE ALOT MORE TO OFFER BUT WILL DISCLOSE ALL TECHNIQUES DURING MY TEACHING SESSION.
I USUALLY GIVE A FREE SAMPLE COVERING ONLY THE INTRODUCTORY PART,COUNSELING.AND CLOSURE IN 20 MIN FRAME I DISPLAY NO MORE THEN 3-4 CASES PER DAY.I FOCUS ON HIGH YIELD AND DIFFICULT CASES I JOT DOWN THE STUDENT'S WEAKNESSES AND STRENGTH TO ACCORDINGLY PAY MORE ATTENTION TO THE STUDENTS WEAK AREAS .
REGISTRATION FEES ..... $300
1.5HRS PER DAY FOR ....10 DAYS
FEES IS CHARGED BEFORE CLASSES START
E-MAIL. md.cs2.coach
Skype I.D md_cs2.
TO ALL STUDENTS
“I KNOW THE PRICE OF SUCCESS
EDICATION ,HARD WORK AND AN UNREMITTING DEVOTION TO THE THINGS YOU WANT TO SEE HAPPEN”.
Frank Lloyd
“I CANNOT GIVE YOU THE FORMULA FOR SUCCESS, BUT I CAN GIVE YOU THE FORMULA FOR FAILURE, TRY TO PLEASE EVERY BODY”.
Herbert Swope.
GOOD LUCK DEAR STUDENTS........YOU WILL HAVE THE BRIGHEST FUTURE AHEAD BY MASTERING YOUR STATE
VIA
SKYPE WITH WEBCAM AND LIVE SESSIONS
I TEACH WITH ECFMG RECOMMENDATIONS MENTIONED IN THE ECFMG SITE
I WILL EMPHASIZE ON ALL SENSITIVE AND SCORE GAINING AND ON POTENTIAL EXAM FAILING AREAS.
STARTING WITH:
A) PRE-HISTORY ENCOUNTER; THIS CRUCIALLY COVERS THE C.I.S AND DATA GATHERING (I.C.E) OF THE EXAM
KEY TO SUCCEED CS EXAM IS TO SHOW EMPATHY TOWARDS PATIENT WHILE YOU’RE ENTIRE ENCOUNTER.
I WILL ELABORATE THE RIGHT AND PROFESSIONAL WAY TO INTRODUCE YOUR SELF TO THE PATIENT.
HOW TO EXCLUDE THE PATIENTS COMFORT LEVEL HOW MANY UNFOLDING'S DONE DURING THE DRAPING OF PATIENT.HOW MUCH TO COVER
B) THE CORRECT AND PROFESSIONAL WAY OF ASKING HISTORY.........THIS IS WHERE THE CORE OF I.C.E STARTS.
DURING MY TEACHING SESSION I WILL TEACH YOU HOW TO OPEN THE HISTORY PART OF ENCOUNTER AND SHOW PROFESSIONALISM
EMPATHY AND REASSURANCE AND YOUR PURPOSE OF
ENCOUNTER
HOW TO ASK THE PATIENT HIS ACTIVE COMPLAINT IN A SYMPATHETIC AND CONCERN SHOWING MANNER GIVING THE PATIENT HOPE AND ASSURING THE PATIENT THAT HE WILL BE TAKEN CARE OF TO THE LEVEL BEST
EVERY STUDENT HAS TO MEMORIZE THE 2-3 OPEN ENDED QUESTIONS THAT WILL BE REVEALED DURING THE SESSION
C) THE QUESTIONNAIRE .....DATA GATHERING (I.C.E)
EACH AND EVERY CASE HISTORY HAS A DIFFERENT SET OF QUESTIONS .THERE ARE A FEW SKILLS I USED FOR MY SELF TO MEMORIZE EACH QUESTIONNARE SEPARATELY
OPEN UP EACH PART OF HISTORY SMOOTHLY MAKING A LINK WHOLE HISTORY THREAD.
TIPS TO OBTAIN HIGH PERFORMANCE
A. Question has to be in layman language
B.Never mention a medical jargon e.g never mention have u ever had a colonoscopy done ...
The right technique is by saying....Did u ever have a procedure know as Colonoscopy done ,by which a soft tube with a camera
is passed from your anal area/back passes to see inside large belly for any masses.
C.If by mistake you have repeated a Question twice then Instantly Apologise by saying..I am very sorry I just wanted to clarify.
FOR EXAMPLE:
When you start asking Past Medical History you open up your communication like this; ok Mr. Glen now let us talk about your past medical health .
1. Did you ever have the same complaint ( i.e. the patients Active Complaint) in any part of your life before?
2. Do you have High Blood Pressure, High Blood Sugar or High Cholesterol level? Only for Dementia
3. Do you have any other Medical Condition?
TIPs: Be very very focused and fast asked these q's and go ahead and open up the Past Surgical History
Never ever ignore Past Surgical History and Family History.
If something is Positive in Family History then elaborate it and please show care n empathy
to the patient's family never ever show dis-interest in Family History
About Drug History only ask about Prescription Medications.
About Sexual History( HIV Status, Multiple Sexual Partners,Homosexuality ,STD's) assure the
Patient that all the info obtained will be kept highly confidential present your self sincerely with
concern so that he removes his/her hesitancy.You have to gain Info wisely
D) THE TWO MANDATORY QUESTIONS ASKED AT HISTORY CLOSURE
THIS PORTION OF HISTORY CLOSURE IS A CRUCIAL SCORE GAINING AREA AND HAS TO BE DISPLAYED IN A VERY PROFESSIONAL WAY ,CONTINUALLY SHOWING EMPATHY AND ASKING THE TWO MANDATED QUESTIONS TO ALL 12 OF YOUR PATIENTS WHILE CLOSING THE ENCOUNTER.
E) HOW TO START PHYSICAL EXAMINATION....NEVER FORGET TO TAKE PERMISSION OR WILL BE UN ETHICAL
ALWAYS REMEMBER THE P.E HAS TO BE HIGHLY CONCISED AND FOCUSED
THIS PART IS WHERE NO EXTRA MANEUVER (NO TIME WASTING) IS DONE ON PATIENT.YOU HAVE TO SAVE THE FLYING TIME WISELY.
YOU HAVE TO STAND ON PATIENTS RIGHT SIDE DURING ENCOUNTER AND BEGIN TO WASH YOUR HANDS WHILE LOOKING AT THE PATIENT AND ASKING HIM A FEW MORE QUESTIONS WHILE DOING SO, THE REASON BEHIND THIS IS TO NOT LET THE PATIENT THINK THAT HE WAS NOT GIVEN PROPER ATTENTION, IT IS A MUST TO WASH YOUR HANDS BEFORE EXAMINING THE PATIENT TO MAINTAIN ASEPTIC CONDITIONS.
I WILL REVEAL THE Q'S DURING MY SESSION.THE RIGHT WAY OF DRAPING PATIENT DURING P.E A FEW TECHNIQUES AS TO HOW TO PRESENT YOUR SELF PROFESSIONALLY DURING P.E
THERE ARE A FEW POINTS WHAT EVERY STUDENT MUST MEMORIZE AND TELL THE PATIENT
SIDE BY SIDE WHILE PERFORMING P.E.
F) COUNSELING................THE HIGHLY CRUCIAL PART AND CORE OF THE WHOLE EXAM ENCOUNTER..COVERS INFORMATION SHARING SKILLS OF C.I.S
DEAR STUDENTS, ALWAYS REMEMBER THOSE WHO DO NOT COVER COUNSELING OR MISS THE MANDATED POINTS TO TALK ABOUT DURING COUNSELING WILL HAVE A STRONG POTENTIAL OF FAILING THE C.I.S PART OF EXAM. THIS PART IS THE MOST SENSITIVE,THE MOST SCORE GAINING AND THE MOST CRUCIAL PART OF THE EXAM .
I HAVE MADE MY OWN COUNSELING ANS SEND YOU THE FILES ONCE YOU REGISTER...I WILL ACKNOWLEDGE YOU THE CRUCIAL POINTS IN COUNSELING DURING MY TEACHING SESSION. STUDENT'S WHO ARE WEAK IN THIS AREA,
I WILL GIVE THEM ATLEASET COUNSELING OVER 2 PER DAY.THE NEXT DAY I WILL PROCEED AFTER I AM SATISFIED WITH THE COUNSELING PART.
G) JUST BEFORE STEPPING OUT OF THE ENCOUNTER .......THIS PORTION COVERS INFORMATION SHARING SKILLS OF C.I.S
TO BE.COVERED IN LAST 3-4 MIN ONLY
A VERY RAPID SUMMARIZATION OF THE PATIENT'S Hx, P.E AND POSITIVE FINDINGS
GIVE NO MORE THEN 2 DIFFERENTIALS DURING CLOSURE I WILL DESCRIBE THE RIGHT
WAY TO ELABORATE THE DIFFERENTIALS
E.G IF A PATIENT COMES WITH FATIGUE YOU MENTION THE DIFFERENTIALS BY SAYING
A...IT CAN BE DUE TO HORMONAL IMBALANCE IN THE THYROID GLAND OF YOUR NECK
A CONDITION KNOWN AS HYPOTHYROIDISM
B....OR IT CAN BE BECAUSE OF LOW BLOOD CELL COUNT KNOW AS IRON DEFICIENCY ANEMIA
AFTER THE 2 DIFFERENTIALS I WILL TELL YOU HOW TO PROCEED AND WHAT TO SAY NEXT AND THE CORRECT AND PROFESSIONAL WAY TO CLOSE THE CASE
TELL THE PATIENT THE BLOOD WORK, URINE WORK AND RADIOLOGICAL STUDIES WILL BE AVAILABLE ON NEXT FOLLOW-UP VISIT. GIVE HIGH HOPE'S TO PATIENT IN REGARD TO HIS MEDICAL HEALTH. SOME OTHER CRUCIAL POINTS YOU HAVE TO DISPLAY DURING CLOSURE,I WILL TELL YOU DURING MY SESSION. CRUCIAL POINTS OF WHAT NOT TO SAY DURING CLOSURE.A MANDATION FOR ALL STUDENTS TO CLEARLY ACKNOWLEDGE.
H) ABOUT THE PATIENT NOTE
I WILL GIVE YOU SOME TIPS AS OF HOW TO WORK ON RAISING SPEED
AND WRITING PN FAST ,CONCISED ,TO THE POINT AND IN THE RIGHT
SEQUENCE. WHAT DIFFERENTIALS PLACED FIRST AND WHAT LAST
I)SOME OTHER GENERAL TIPS AS OF;
HOW TO PRESENT YOUR SELF i.e. YOUR DRESSING,SHOES,TIDINESS, WHAT TOOLS TO BRING AND WHAT IS NOT ALLOWED TO BRING IN EXAM .
BELIEVE IN YOUR SELF,AND I TRUST MY SKILLS.
I HAVE ALOT MORE TO OFFER BUT WILL DISCLOSE ALL TECHNIQUES DURING MY TEACHING SESSION.
I USUALLY GIVE A FREE SAMPLE COVERING ONLY THE INTRODUCTORY PART,COUNSELING.AND CLOSURE IN 20 MIN FRAME I DISPLAY NO MORE THEN 3-4 CASES PER DAY.I FOCUS ON HIGH YIELD AND DIFFICULT CASES I JOT DOWN THE STUDENT'S WEAKNESSES AND STRENGTH TO ACCORDINGLY PAY MORE ATTENTION TO THE STUDENTS WEAK AREAS .
REGISTRATION FEES ..... $300
1.5HRS PER DAY FOR ....10 DAYS
FEES IS CHARGED BEFORE CLASSES START
E-MAIL. md.cs2.coach
Skype I.D md_cs2.
TO ALL STUDENTS
“I KNOW THE PRICE OF SUCCESS
EDICATION ,HARD WORK AND AN UNREMITTING DEVOTION TO THE THINGS YOU WANT TO SEE HAPPEN”.Frank Lloyd
“I CANNOT GIVE YOU THE FORMULA FOR SUCCESS, BUT I CAN GIVE YOU THE FORMULA FOR FAILURE, TRY TO PLEASE EVERY BODY”.
Herbert Swope.
GOOD LUCK DEAR STUDENTS........YOU WILL HAVE THE BRIGHEST FUTURE AHEAD BY MASTERING YOUR STATE