Sites with general interest:
|
virtual
hospital healthatoz
medscape
doctor's
guide
medrounds physician's
guide CDC
FDA
medical
students, Studentdoctor study of med,,
medic8, NHS,GMC
DOH-UK,
Wellcome |
Journals:
|
lancet,
bmj, nejm
jama |
Online
Books
|
Merk
manual, Harrison flight
surgeons manual, family-practice
handbook, emedicine,
MD
consult order
through amazon |
Database:
|
pubmed
grateful
med NLM
cochrine
omni
bmj |
Search:
|
google,
yahoo
askme,
ukdirectory,
dejanews |
| |
There
are some forms of OSCE questions which come pretty frequently. We are trying
to outline answer.
|
History Taking for
Pain
|
Counseling:
|
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Site
radiation
character
sharp/
dull
burning / tingling
boring/ stabbing
crushing/ band like
severity
onset
duration
course
episodic
/ continuous
pattern
variation
with time
e.g. by day or night
aggravating
factor
relieving
factor
|
Introduction
Greet
and identify patient
Review
of disease
(e.g.
Management until now)
Diagnosis
Explanation
of disease
(
e.g. pathology of disease)
Temporal
course of disease
Treatment
options available
Invite
question and clarification
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Consent
for operation:
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Breaking
bad news
|
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Introduction
-
greeting
-
who
are you
-
rapport
purpose
of visit
e.g. I would like to tell you about the operation you are going
to have
ascertain
the level of information the patient has
e.g.
how much do you know about your
problem?
explanation
regarding their problem including natural
history and complication without treatment
options
of treatment
proposed
plan of treatment with brief description of procedure
complications
preoperative
measures
expected
post-operative course and hospital stay
follow
up
invite
question and clarification
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Establish rapport
what we have done so
far
break news
silence
reassurance
e.g.
Important thing is, now that we know what is happening we will be able
to deal with it.
options available
chemo/radio therapy
prognosis( do not
volunteer yourself)
community support
medico legal aspect
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