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ruoruod (ronny) 于 (Wed Oct 10 14:33:59 2012, 美东) 提到:
祝贺今天拿到CS pass的同学，求分享 how to write new format Patient notes 经验.
THANKS and CONGRATS!!!
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LIAYN (重新生长) 于 (Wed Oct 10 14:56:59 2012, 美东) 提到:
听说，新的考试SP没有那个check sheet了，所以要尽量往PN里多写问诊和体征，包括
关键的阴性的，这样才能显示出来你问了和查了这些问题。
“支持性的病史和体征”，从我在学习班学来的，是可以在多个诊断中重复使用的，如
果确实支持那些诊断的话。可以直接copy paste，可以省不少时间。还可以在第二和第
三诊断下写不支持的病史和体征，但要写清楚是不支持的。比如第一诊断是肌肉拉伤，
第二是椎间盘突出，可以写 “straight leg neg, #2 is less likely" 。
验.
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ruoruod (ronny) 于 (Wed Oct 10 15:01:42 2012, 美东) 提到:
THANKS for sharing!
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LIAYN (重新生长) 于 (Wed Oct 10 15:33:36 2012, 美东) 提到:
They can fake some of the symptoms, especially pain. And when you check
something, if they say it's neg, it's neg. If it's suppose to be pos for a
real patient with that real disease, then they will fake it as pos.
I never mentioned in anywhere in the PN that the SP are not real patient,
they are real patients in the exam room. Like I said, for muscle strain, you
will list straight leg neg as supportive PE, for disc herniation, just say
"straight leg neg, this Dx is less likely". Well, that's what I was told in
the workshop anyway. |
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