Need Any help-I'm here to help you out! - roentgen

[ArchivalUser]

Thank you so much roentgen. This is so generous. May God bless you and ease your way with great success.

[ArchivalUser]

niceday
In first case it is not mandatory to suggest use of condom

In second case if the criteria of FACESLIPS(Mnemonic for Major depression-refer my notes) is fulfilling then its major depression.DDx will always be adjustment disorder and post traumatic stress disorder.
One great secret I'll tell U: The person checking patient note doesn't know much about the actual history-He simply judges your ability of written communication,legibility and order.
So even if the DD are altered in order-it doesn't create much problem!


babyblue: Thanks a lot -I desperately need your wishes and prayers.

[ArchivalUser]

i fail in cis give me some advice how i m going to improve my cis.

[ArchivalUser]

masa:

CIS is basically is showing confidence,care and empathy to patient.

Just to recollect CIS components:

as far as I know there are about 23 points of CIS nad you need to score 20 (courtesy mccallan's post)


1)examinee knocked before entering
2)apeared professional in dress/hygiene
3)introduced self by name
4)comfortable eye contact
5)used patient name
6)Focused attention on patient
7)expressed empathy( reflected pt feeling)
8)conveyed nonjudgmental attitude ( avoid words like good, great,excellent)instead say allright, okay, thank you
9)used appropriate draping techniqe
10)used few open ended questions
11)used non leading quaestions
12)asked one question at a time
13)answered without interrupting the patient
14)paraphrased
15)used lay language ( imaging studies instead of CT MRI, Electrical study instead of ecg
16)used transitional phrases
17)gave explantion during physical
18)appropriate reassurence
19)summerized significant hx
20)diagnostic impression in lay term
21)discussed diagnostic test
22)asked if pt had any questions or concerns
23)paient educations/suggestion

How to improve in CIS is well described in my notes-pls download it and read them carefully.Follow the four step model -Become a ROBOT and follow the encounter protocol
described by me in my notes(it covers all components of CIS).

[ArchivalUser]

AND DON'T SIMPLY READ THEM-
PRACTICE PRACTICE AND PRACTICE IT many times-till you become saturated and do not miss even a single point of CIS

[ArchivalUser]

Thanks a lot Roentgen. Tons and tons of my wishes to you.

[ArchivalUser]

"Exam Trainer"

access via google.com

http://www.google.com/search?hl=en&q=onexamination.org%2Fusmle

WWW.ONEXAMINATION.ORG/EXAM_TRAINER

[ArchivalUser]

ur are welcome niceday

[ArchivalUser]

What is paraphrasing? How we do?

[ArchivalUser]

Roentgen,

what will you say to sp when he has not eye contact with you when you interview the pt?

thanks