Step II HPI Last method for CS?

[iPodtosis]

UWorld for CS mentioned about taking the past medical hx and background first and then do HPI last. Just wondering if anyone has tried that on the real exam and if it worked out well.
Thanks!

 

[coxsackie]

I read that in u world too. I feel like doing pmh first and then hpi is kind of annoying, tbh. I'd rather go with hpi first.

 

[iPodtosis]

Will the SP mark me off for doing PMH first though?

 

[aprilrain]

who knows..i find CS to be such a black box.

The practice standardized patients at my school does score us on a logical ordering of questions, which they expect HPI to be first.

You might also have some trouble with SPs on CS if they're in severe chest pain and you're asking them about their menstrual history...

 

[iPodtosis]

Oh man.... I really like the PMH first HPI last method......
Cuz usually the hint lies in the PMH, FHx, and Social Hx...

 

[Kaputt]

Will the SP mark me off for doing PMH first though?

SPs don't grade you on data gathering anymore, just on CIS, SEP, and with a physical exam checklist. Personally I can't see how doing HPI last makes any sense, but do what makes you comfy.