Wednesday, October 17, 2012

How to structure your 3mins pre-case reading in the OSCE by Dr Vin @ gpexamsupport.com.au


Before each case, you are given 3mins (in the past 2mins so please double check this with the RACGP) to organize your thoughts.  You are given an A4 piece of paper to jot down any notes.  I usually suggest to candidates to structure this in the following way.

With any case, try to summarize the history, past history etc and most importantly, put down a few possible Differential Diagnoses.  For example, if it is a case on headaches, you can jot down migraine, tension headaches, cluster headaches, subarachnoid haemorrhage, intracranial lesion etc.  This will help you with your history taking and organization of your thoughts.

Another tip is to read the question and if it is an examination station, make sure you circle "examination" to remind you that it is ONLY an examination case and that you do not have to waste your time in taking a history.

If it is a management case, then circle investigation, differential diagnoses, and management as these will be the relevant issues in your case.

Of course if it is a long consult, then you would have to circle everything on this sheet.

Share with us any further tips that you may have.



Pre-case note taking
History



Examination
Past history

Social history

Family history
Investigations
Drugs

Alcohol

Smoke

Preventative health
Problem list/DDx                          
System review
CNS
Ent
CVS
Resp
GIT
Renal
Endocrine
Skin
Musculoskeletal                          
Miscellaneous                                   
Management




No comments:

Post a Comment