Congrats to many of you who passed the OSCE. Personally, except for some PPD issues (Transfer course) which I raised, I am very happy with your batch.
Will get back to you on the E-Learning issue. You are all most welcomed for the tips.
All of you should go through common type of symptoms, the differentials and start clinical reasoning- across systems as attached which is just a suggestion to get the ball rolling.
You need to start thinking out of the box and remember, think of the common causes/diagnosis first.
We find that despite placing scenarios in CSU for all the systems, many students are not able to progress further as they do not read and do any homework before coming to CSU.
Please do inform students that one of the common problems we see students not doing in history taking (got this important feedback from some PMS) :-
The students need to know what are the secondary questions to ask for the common symptoms: e.g. if its cough - you need to ask the usual open Q but then need to move into secondary - open going on to closed Q with the appropriatesignposting: e.g. if he had said cough - find out more about it - how much sputum - tea spoon now cup full- last time yellow now green with blood steaks etc - in order to do this one needs to read all the different systems common presenting complaints and Q to ask - many of you do not read the books on history taking for the respective symptoms.
What students do not ask is: how long is the symptom present when it is there, not how long they have had the symptoms: e.g. after walking up the stairs how long does it take to get your breath back, chest pain etc.
PMS patients normally expect a great say in the discussion with the students/ doctors rather than doctor knows best approach. Basically I think it’s these areas: asking them on the main concerns, worries, asking them what they think the problem is, polite conversation etc. - look at the SCORMS videos on the E-Learning from UK. One needs to observe and appreciate how the communication skills is a two way channel and not one way from doctors side only-this will come with practice. Please source this from other sites - we are working on these videos by consultants but they will not be ready so soon.
I will look into the portfolio issue and get back to you soon.
Do keep in touch and send us feedback from time to time. It is always nice to hear how all of you are doing in the next phase of your life.
Warm wishes and best of luck to all of you.
Dr Jag
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