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发帖数: 10208 | 1 【 以下文字转载自 MedicalCareer 讨论区 】
发信人: xjf (xjf), 信区: MedicalCareer
标 题: “失而复得的Step2 CS考试（by Xiaoyuhu）”讲座笔记
发信站: BBS 未名空间站 (Tue Apr 5 20:41:39 2016, 美东)
新版主xingxing认为我的笔记有用，建议发到麦地，使更多人受益。
复习资料 FA， 包括两部分: minicase and full length cases.
CS考试分三部分：ICE（不在场的医生觉得你病历写的行不行）, CIS （标准病人觉得
你扮演医生的感觉好不好） and SEP（标准病人觉得你英语利落不）. ICE, time
management 非常重要， 一定要完整。 问诊要有structure. 12 cases: 妇科 1-2
cases; 儿科：1case. Physical exam: 占评分比例最少。不要贪多， 要focus. CIS
： 1 strong opening. 敲门，微笑（灿烂地）， 握手（同时介绍自己）， 进门前
记住病人名字。2 closure. 看着病人的眼睛，告诉病人诊断， 还要进行什么检查,
要坐着讲， not in a rush. 最后 Any questions or concerns? 3 express
empathy. 标准句式换着说，概括为“你我他”：you must be worried; I can see
you are in pain; I am sorry to hear that; It must be a difficult time for
you. 开始和结束都要握手。笔记尽量少做 (例如：时间多长？ 2 weeks, etc. Use
key words), more eye contact.
Trauma cases: 一车祸， 病人喋喋不休的说车。Do not power through, and show
your empathy. 你要说：It must be a terrible experience for you. 病人手里拿个
东西；一张纸：can I take a look? 有没有咳血。 一本书： what are you reading
about?
At least 3 open ending questions: 1. How can I help you? 2. Review; anything
else going on? 3. Prior to physical exam: anything else do you want to
share with me? (If you missed something, a nice standard patient will tell
you) Address patient comfort: 1. are you comfortable in this room? 2. PE:
minimal body exposure, use the drape properly. 3. hearing loss, which side
4. Emotion: in 12 std patients, 2-3 difficult patients, you say : is there
anything you want to share with me? Are you concerned about anything? 5.
consulting: smoking, drink, drug, unsafe sex.
这是我的笔记，仅供参考。Xiaoyuhu 讲得很好， 但我记得不全。
发贴以实际行动支持新版主和老田。 |
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