So I just took step 3. I feel horribly about it. CCS was tougher than I expected. Most (6/12) of the cases ended a lot quicker than I wanted. Example, guy who probably had hepatitis ended before I could get viral panels back. Did he die? His vitals were always stable... What the hell gives? Did anyone else have this experience? Also, anyone think they did absolutely awful but still passed by a considerable margin? 95% pass rate, this should've been no problem right?
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Step III CCS endings
Started by adamMD
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They're supposed to end fast, basically as soon as you're going down the right management track. Some really do end so quickly its ridiculous.
If you end early you have had one of two things happen: 1) you killed the patient (you'd know you did this poorly) 2) you solved the case.
I finished every one of my CCS cases in 5 minutes. Each one, 5 minutes. Tops. It means you aced it. CONGRATS!
also, my post, 4 threads below yours
If the thing ends early, as in 5-10 minutes, you have solved the case, you've won. That, or they died, and it should have been evident by their crashing vitals.
If the thing goes on and on, 20-30 minutes, youve missed something. It isn't counseling on cigarettes or wearing helmets. It's that you haven't made the diagnosis they wanted you to make. You haven't transferred them to the correct setting. You have totally missed the case.
If you go beyond 10 minutes, stop. Reread everything. Rebuild your differential. Most cases end by moving them from the office to the ward, getting a ct, and asking surgery to do surgery. The way to win is simple, does not involve 70 tests, you just have to see the winning track.
I took mine last week and had a similar experience.10/12 cases ended well under 5 minutes, as soon as I ordered the appropriate treatment, and often even before the patient reported getting better.
The 2 that went over were ones I was having trouble with initially, as soon as I ordered the appropriate treatment (7-8 mins in) they ended as well.
The 2 that went over were ones I was having trouble with initially, as soon as I ordered the appropriate treatment (7-8 mins in) they ended as well.
Your name, Bling... best movie ever (well, not ever, but its my top 3)
dint think anyone would recognize it....definitely one of my favourites along with the last king of Scotland
