Escolar Documentos
Profissional Documentos
Cultura Documentos
Followers
This page will help you ace the exam first time. You will need two things to the exam:
Primary Study source which is usually the First Aid CS and the CS protocol printed
down here. Follow the CS protocol on each case present in the FA. The key to
success is: practice and practice.
CS Blog List
HOW TO COUNSEL
-Read the case scenario posted on the door. IMG Home Page
-Write down the patient's last name, the chief complain, abnormal Vitals, 2DD and
SIQORSPDF AAA PAM HUGS FOS SODA
Interview and Match Section
1) Knock 3 times wait 3 seconds and open (sometimes you will not hear the patient NRMP SOAP
giving a response, it is ok).
2) Mrs. Anderson? ( Call pt by last name as you open the door and enter) RESIDENCY INTERVIEW TIPS
3) Introduce yourself: Good morning./afternoon Mrs. Anderson. My name is Doctor
Thank You Letters
Roman (last). Nice to meet you (with a smile and firm handshake). I am your
attending physician today and I am here to take care of you .(eye contact)
4) (Look around the room) Is everything in the room as comfortable as possible for IMG Blog List
you? yes. Mrs. Anderson I am going to ask you few questions and then do a brief
physical examination. Is that Okay for you? Yes. HOW TO SURVIVE RESIDENCY
5) Ok let me first cover your legs by the drape so you will feel more comfortable?
(apply the drape over the legs) Is that ok? Yes thank you.
6) May I sit down? Do you mind if I take notes while we talk? Application Section
file:///C:/Users/KRISHNETHA/Desktop/CLINICAL%20SKILLS%20CS%20PROTOCOL.html 1/5
7/9/2017 CLINICAL SKILLS CS PROTOCOL
7) How can I help you today? /what made you come in to the hospital today (Open ECFMG Certificate
ended questions at least 4-5)
SP: I have been experiencing chest pain doc ERAS Token
Doc: Oh I am really sorry to hear that. I can understand what you are going through.
MSPE Dean's Letter for IMG
Ill do my best to make you feel better. (Show empathy and reassure in the
beginning, middle and at the end) (in some case like depression use this phrase: Mr. PERSONAL STATEMENT TIPS
xyz, would you be willing to share with me what happened at that time?)
PTAL - California Letter
8) Doc: Can you tell me more about your complaint, Mrs. XYZ?? (open ended
question) Samples Letter of Recommendation
9) SP: Well its a crushing type of pain and has been going for 3 months LOR
Doc: (each time you got to paraphrase throughout the encounter as follows)
Crushing type of chest pain for 3 months (while you paraphrase you need not look
at the sp. you can write down notes when you do that) or repeat the last phrase he USMLE NOTES
said
Do you have any other symptoms? FREE USMLE STEP 2 CS VIDEOS
28) Family history: What are the medical illnesses present in your family?
Does anyone in your family have similar problems?"
Do you have anybody at home to take care of you and to provide support? no
So you must be feeling very lonely at home? Yes doc
29) Transition: Mrs. smith now I would like to ask u about your menses
30) Obstetric and GYN history:
At what age was your first period? When was your LMP? Are your periods regular?
How often do you get your menstrual period? How long does it last? Do you have
cramps? Do you have any bleeding between cycles?
Have you ever been pregnant? How many times? Have you had a Pap smear
before?
31) Transition: alright I need to ask you some personal questions, the answers will
be kept confidential
32) Sexual history: Are you currently sexually active?
Who is your sexual partner? are they men, women or both?
Do you use condoms consistently?
Have you ever had any sexually transmitted ds?(this will be revealed in PMH so dont
ask again), Have you ever been tested for HIV?
33) Counsel briefly for high risk sexual behavior and prevention of STD
Mrs Anderson since you said you dont always use condoms I am very much
concerned that you might be putting yourself at risk of STDs.
So I would advise you to use condoms consistently to prevent STDs and unwanted
pregnancy. Period. dont explain too much. You can postpone counsel part to the end
of the exam.
34) Transition : Now let me ask some questions about your social life and personal
habits
35) Smoking :
Do you smoke?
How many packs a day?
How long have you been smoking? Paraphrase
36) Occupation:
Do you work? What type of work do you do? How are things at work/home,
Mrs. XYZ?
37) Drugs:
Do you take any recreational drugs?
Which one? How often?
38) Alcohol :
Do you drink alcohol? What do you drink?
How much do you drink per week/day? Paraphrase
Ask CAGE questions is you suspected a problem with alcohol:
1. Have you ever felt the need to cut down on your drinking?
2. Have you ever felt annoyed when someone mentions your drinking or
Suggests that you cut down?
3. Have you ever felt guilty about your drinking or something that you did while
under the influence?
4. Have you ever had a drink first thing in the morning to keep your eyes open?
42) After you are done with examination Summarize using 4 important points as
follows: All right, Mr. xyz, thank you so much for your kind cooperation. Now, I'd like
to sit down and talk over what I think so far. First, let me summarize." (transition).
You told me that __ and __. Also, you said that __ and __, Is that right? According to
the information I got from you and the examination, I am considering a couple of
possibilities. It may be __ (your probable diagnosis) or possibly __(differential
diagnosis). It looks like you might have a problem involving the blood vessels in your
heart and there might be inadequate oxygen supply to your heart. But there could be
other conditions causing your pain. So In order to pinpoint the exact cause I need to
run some blood test and Order an X ray of your chest and measure the electrical
activity of your heart. Once we get the test results we can talk about what is going on
with you and about the best possible way to manage your problem. Does this sound
OK?
Home
file:///C:/Users/KRISHNETHA/Desktop/CLINICAL%20SKILLS%20CS%20PROTOCOL.html 4/5
7/9/2017 CLINICAL SKILLS CS PROTOCOL
file:///C:/Users/KRISHNETHA/Desktop/CLINICAL%20SKILLS%20CS%20PROTOCOL.html 5/5