I passed! Now I can speak my mind without jinxing myself. What a worthless, crappy, nonsense, no feedback giving waste of my time and hard borrowed money! I really feel no sense of accomplishment from passing besides saving the embarassment of failing and the pain in the butt of having to take it again.
Come on I mean give me some feedback. Tell me what I was good at and what I need to improve.
That being said, here is my attempt to be constructive on the matter, my strategy for passing:
My standard routine: knock, introduce myself and shake hands, "full focused history" - always say "i'm sorry to hear that or the like if pt had pain or painful memory - like father had CA." Wash hands, ask if pt comfortable, chat about weather, etc, drape pt, do exam (always heart, lungs, abd and extremeties, and focused to complaint.) follow up questions if any missed initially, counseling, and propose treatment plan. "Do you have any questions?" let pt know if you will "come back into the room" to do something, draw lab, etc.
Always end with something like "it was a pleasure to have the oppurtunity to care for you, or it will be a pleasure to take care of you in the future" (e.g. like for Preggers coming back for several check-ups - which I totally missed some routine screens on my plan for that one - jeez what an idiot!) I think this gets you a better empathy score from the pt.
I did my OMT during my physical as I found the problem, one muscle energy, one soft tissue, one OA decompression, and a umm ( i forgot what its called) that thing you do like in lab where you fake it like you can "feel the tissues uncoiling and releasing" anyway, must of been okay. Most pts who needed OMT asked for it blatantly. "I have this friend who saw this weirdo doc who beat on drums and danced around while he allowed my tissues to unwind like pushing a boat from the dock" (Damn what is that called?) "Do you think that would help me Doc?" (reframe from saying, no not really but I will bill you for it anyway - they mark off for that I AM SURE.)
Okay, so that is my rant I am just glad I passed.
Best Wishes
The Mish