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Don’t you find it difficult to find a way to ORGANIZE the OSCE Exam station to achieve a smooth going cooperative patient interview?… Do you forget WHAT to ask and do during your short OSCE Exam Station because of your nervousness?… Have you thought of HOW to ask history questions and perform physical examinations correctly meeting clinical and communication guidelines?… WHEN to ask all the REQUIRED questions, do each part of the physical examination in a time efficient sequence while communicating effectively and fulfilling the OSCE exam checklist at the same time?… This proven TIME Efficient OSCEhome Systematic Approach may be the solution you are looking for…
Patients visit doctors complaining of a symptom, not a disease. It is all about the differential diagnosis of symptoms and signs. This is the main focus of physicians during patients’ interviews, right?
OSCE stations, as well as real life patients’ interviews, have limited time. Physicians have no choice but to be focused and to organize the interview in a time efficient manner. On the other hand, physicians have to be vigilant not to miss anything!
Obviously, there is a need for some sort of an approach that will fulfil both patients and physicians goals. An approach that will explore all the patients’ presenting issues in a limited time frame. An approach that will protect both the patients and physicians.
We started by preparing a list of all signs and symptoms a physician faces. We wrote one sign or symptom on a separate sheet of paper. Then for each symptom or sign we wrote all the possible differentials. Then, we draw a table, igned a column for each differential and wrote that symptom/sign presentation details, quality, duration, relation to other symptoms/signs, and red flags.. Etc.. Then for every detail, we wrote questions to ask for or points to examine.
Obviously, there are now, many identical questions or points to examine concerning this symptom among all these differential diseases. We started to merge the diseases’ columns into one set of questions. When the same question is required for several diseases, we placed these diseases’ names between brackets after the question to help us later with the clinical decision making process. Then we arranged these questions and points to examine in a logical easy flowing flowchart.
We have noticed that there are some details that are not required if you are just screening for a symptom and not thoroughly gathering details about it. So, we divided the to ask/do list into two files, we placed the must ask/do important ones up in the list for screening, and the rest at the bottom for detailed data gathering sub-file, and just in case we run out of time.
What about communication skills? It a major issue to ensure an easygoing interview professional organized interview and to achieve a mutual understanding and respect. We rephrased the questions to meet communication skills guidelines. e.g. English language issues, open ended questions, non-leading questions, respective… Read more…
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