1
|
- You should always perform a “______” exam in every case.=
- Truth
- Time is limited; must be selective
- Exams should be based on your interview
- Risk is you will appear unable to prioritize
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2
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- 2. If you forget to wash your hands in a case, you will fail that ca=
se.
- Truth
- Hand washing matters; but is only one item
- Exam is not graded case-by-case
- Omitting it in every case is a problem
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3
|
- 3. You must pass a certain number of cases to pass the exam.
- Truth
- Exam is not graded case-by-case
- ICEE: Must pass HX/PE + Notes + Commun
- CSE: Must pass HX/PE/Notes + Commun
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4
|
- 4. You must explain each PE maneuver to the patient before/while
performing it.
- Truth
- Only when performing an exam which is potentially painful or anxiety
provoking
- YES: Fundi, thyroid, painful body part
- NO: “I am now going to test your 8th cranial nerve”
|
5
|
- 5. If you forget to do something, at least put it in your note to av=
oid
losing points twice.
- Truth
- You cannot document something you did not do
- You can list maneuvers you cannot do (breast, pelvic, GU) in your p=
lan
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6
|
- 6. To establish rapport, address the patient by his/her first name,
using just your first name.
- Truth
- On a first encounter, last names are necessary
- Hello, Mr. Jones…
- I am Sally Anderson, a 4th year medical student…
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7
|
- 7. To establish rapport, always use the simplest possible language.<=
/li>
- Truth
- Your language should be tailored to the patient’s language
- If patient uses a medical term (“urination”), you use =
that
word
- If patient uses a colloquial term (“pee”), you can use
that word
|
8
|
- 8. These are standardized patients, so they cannot have actual physi=
cal
findings.
- Truth
- Trust and use what you see, hear, smell, and feel
|
9
|
- 9. If I cannot type well, I will never finish the patient notes.
- Truth
- You do have to type notes for the ICEE
- USMLE CS exam allows you to type or write
- Student who “cannot type” do not fail the ICEE >
students who “know how to type”
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10
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- 10. SP-based exams do not reflect what I can/will do with real patie=
nts.
- Truth
- SP-based exams are scored based on what you should do with real
patients
|