Monday, November 19, 2012

4th year : internal medicine osce

Hola gorgeous!

Sebelum kita mulakan sesi hari ini, I would like to invite you readers to take a moment to pause and think reaaaally hard on what can we do to help our Muslim brothers and sisters in Gaza.

Harini akak nak share pasal osce internal med. sempat lagi ni you still have around 1 month kan untuk exam. So, what you should do, during bed side teaching.. Ask the doctor to show you (if you haven't seen) to do PE for

- abdominal
- chest (anterior)
- chest (posterior)
- precordium

and then, like I always tell you, VOLUNTEER to perform PE under your attending's supervision. Then, you keep doing it on your patient. During my exam, all I was asked to do was "Palpate the abdomen". Yes, your exam question COULD be that focused. 

When I was in Basma, my second last day.. Ada seorang doc ni, I forgot his name and he taught us how to do PE for OSCE. Suddenly PE become amaaaaazingly teratur dan not that difficult. So, whenever possible, ask the doctor what examiners are looking for masa PE.

You know, kadang-kadang basic things macam WIPE la...ape la... Ok, to make it even easier, once you know apa point2 penting, you number them. And when you practice on your patient, you just ikut flow yang you dah susun, and voila! You will not be missing a thing. Systematic is key here.

e.g. : Regarding precordium - know where to put you staethoscope, and whether to use bell or diaphragm. Do you have to know how murmur sounds like? NOPE. you wont be losing marks for not being able to diagnose or to recognize a murmur. ingat ye, fourth year is all about APPROACH, taking GOOD history and executing a systematic PE.

reference : Mac Leod's and not to forget what your doctors teach you in rounds.

As for OSCE - it would be good if you know the relevance of the question you asked. sebab it will prevent you from asking soalan merapu during OSCE. And, if you're not so lucky examiner might even ask you about why you ask such question. I regret sangat habit suka pilih case. You know, I go to the nurse station, ok harini nak tengok case unstabl angina, room 7,12,15. I go patient shopping. I'd say you'll benefit better if you don't know what's wrong and stick through one patient until you figure out what's his or her problem.

OK selamat maju jaya for your first OSCE :-)

p.s : inshaAllah kalau sempat untuk paeds akan menyusul
p.p.s : as always, brothers and sisters, you are most welcomed to share your thoughts. :-)

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