I dislike SPs

[MedWonk]

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/vent start

I know they serve a role in learning how to do H&Ps, "learning" empathy and whatnot, but it irks me when they give you glowing feedback and then you get a mediocre grade because of missed checklist items like saying my first name rather than full name, not shaking hands (my hands are soaked in purell because we absolutely have to foam in/out), saying a I'm a medical student rather than first year medical student. I guess I should just let it go and be used to subjectivity in grading, but it annoys me when the grade doesn't reflect the feedback they gave me. At least it was big improvement over the first encounter (which was disastrous), so I guess I shouldn't be a b**** about it.

/vent end

 

[famoussquamous]

What's worse is getting a SP that feels like you're a substandard doctor, don't know how to show empathy, and wouldn't visit you again if given the chance, but the feedback you get from the person that watched you on video said you did really well and gives you a good grade. It's like what am I doing that this paid actor doesn't like me while the faculty grading me does?

 

[mcloaf]

Heh, I know that feel. One of them told me I did "fantastic" and then gave me a grade that was within 5% of failing. Just shrug it off and try to learn what you can from their feedback while keeping in mind that they don't always know what they're talking about.

 

[Ismet]

LOL if that minimal level of subjectivity has you riled up, wait until you get your first eval in 3rd year. Attendings often give you positive feedback in person and then write an eval that just doesn't match up to what you expected. I've had some really great ones who give both positive feedback and constructive criticism in verbal feedback, but I think some people don't know how to deliver criticism constructively so they just don't.

You'll get used to working with SPs and the checklist way to approach them. Then you get to unlearn most of that for 3rd year. 😛

 

[Frazier]

SP's I've encountered were always good to great at my school -- from that greenest of green first encounter [medical interviewing] to practicing pelvic exams/DRE's... they do a good job.

Maybe different schools train them differently?

 

[MedWonk]

LOL if that minimal level of subjectivity has you riled up, wait until you get your first eval in 3rd year. Attendings often give you positive feedback in person and then write an eval that just doesn't match up to what you expected. I've had some really great ones who give both positive feedback and constructive criticism in verbal feedback, but I think some people don't know how to deliver criticism constructively so they just don't.

You'll get used to working with SPs and the checklist way to approach them. Then you get to unlearn most of that for 3rd year. 😛

Meh, we already get subjective evals from our preceptors. I guess I just trust the judgement of the physician who's grading me in interactions with real patients than someone who is pretending to be a patient with very specific dialog that I have to follow.

 

[Ismet]

Meh, we already get subjective evals from our preceptors. I guess I just trust the judgement of the physician who's grading me in interactions with real patients than someone who is pretending to be a patient with very specific dialog that I have to follow.

Very little of your eval in clinical years is interaction with patients.

My favorite part of the eval is clinical knowledge, which for some attendings means "how many of my esoteric/'read-my-mind' questions can you answer correctly?"

 

[Psai]

Meh, we already get subjective evals from our preceptors. I guess I just trust the judgement of the physician who's grading me in interactions with real patients than someone who is pretending to be a patient with very specific dialog that I have to follow.

Everyone's busy seeing patients and doing their own thing. No one's gonna baby you as you learn to see patients. You learn that in the first two years

 

[qw098]

not shaking hands (my hands are soaked in purell because we absolutely have to foam in/out)

I never shake hands. My last SP insisted on shaking hands at the start of the encounter. I berted him during the rest of the encounter.

 

[Nasrudin]

Standardized patients are nonsense. Anyone who acts like a patient who isn't is malingering in the real world. You can learn some basics of interviewing but no more or less than you and your buddy preparing for step 2 CS. You just have to learn the flow of questions while you're thinking about differentials and zeroing in on the pertinent details. This is not the elaborate game they create with fake patients.

All the other stuff about grading your sensitivity is worse than disingenuous in the best case. They might as well be testing your ability to method act and cry on cue. Or assessing you for histrionic traits.

Consider this as your paid introduction to the simultaneous pressure of press gainey scores and the 5 minute, fully customer satisfied experience that your supervisors who don't see patients--it's worth repeating....who don't see patients...or better yet sucked at seeing patients and have therefore chosen to nitpick others who prefer to see patients....because who else would do that ****--think comprises normal human communication.

 

[alpinism]

/vent start

I know they serve a role in learning how to do H&Ps, "learning" empathy and whatnot, but it irks me when they give you glowing feedback and then you get a mediocre grade because of missed checklist items like saying my first name rather than full name, not shaking hands (my hands are soaked in purell because we absolutely have to foam in/out), saying a I'm a medical student rather than first year medical student. I guess I should just let it go and be used to subjectivity in grading, but it annoys me when the grade doesn't reflect the feedback they gave me. At least it was big improvement over the first encounter (which was disastrous), so I guess I shouldn't be a b**** about it.

/vent end

Heh, I know that feel. One of them told me I did "fantastic" and then gave me a grade that was within 5% of failing. Just shrug it off and try to learn what you can from their feedback while keeping in mind that they don't always know what they're talking about.

You're both going to be horrible doctors.

/sarcasm

But for real, SPs are the PBL of clinical education. A massive waste of time that is more about making the administration look good than actually teaching you any useful interviewing or examination skills. At most schools you have a whole teaching hospital full of sick patients right next door. With, get this, real pathology. You can actually talk to real patients with real pain who have real medical conditions. Hear murmurs, crackles, and bruits. See jaundice, pallor, and cyanosis. Feel lymphadenopathy, hepatosplenomegaly, and a rigid abdomen.

I learned more from an afternoon of teaching rounds than I did from a whole month of SP scenarios.

 

[cbrons]

Be glad ur school is giving you this early exposure. My school teaches basically nothing clinical and really feel unprepared for 3rd year

 

[NontradCA]

I know dem feels. We had well woman exam this week. Talk about awkward. They gave me points off for not making small talk with the patient after I was done. Well what the hell am I sposed to say to a fake patient? "Why would you let me do this on you?" "Was this really weird for you?" I'm not an actor.

 

[Psai]

I know dem feels. We had well woman exam this week. Talk about awkward. They gave me points off for not making small talk with the patient after I was done. Well what the hell am I sposed to say to a fake patient? "Why would you let me do this on you?" "Was this really weird for you?" I'm not an actor.

I thought it was silly too at the time but now I realize why they tried to teach it to us. It matters when you talk to real patients. You build rapport and they will tell you more. Sometimes you can find out some pertinent information as they tell you stories that reminded them of things.

If you're in medical school with the attitude that what your school is trying to teach you is a waste of time, you're only hurting yourself. There's a reason for everything, even if the implementation sucks. If you try to get into the feel like you're in with a real patient, it will be a more valuable experience. My biggest regret so far is taking too much time to learn the science and not focusing on the softer skills of taking a good history and physical exam

 

[NontradCA]

I thought it was silly too at the time but now I realize why they tried to teach it to us. It matters when you talk to real patients. You build rapport and they will tell you more. Sometimes you can find out some pertinent information as they tell you stories that reminded them of things.

If you're in medical school with the attitude that what your school is trying to teach you is a waste of time, you're only hurting yourself. There's a reason for everything, even if the implementation sucks. If you try to get into the feel like you're in with a real patient, it will be a more valuable experience. My biggest regret so far is taking too much time to learn the science and not focusing on the softer skills of taking a good history and physical exam

This would make sense if I did not have to act. Everyone knows it's a fake patient going in. It'd be less awkward if the patient wasn't be paid to let us practice pelvic exams. We do H & Ps with real patients at the hospital and clinics as well, so I just don't see the point other than to prepare for CS.

 

[NontradCA]

You're both going to be horrible doctors.

/sarcasm

But for real, SPs are the PBL of clinical education. A massive waste of time that is more about making the administration look good than actually teaching you any useful interviewing or examination skills. At most schools you have a whole teaching hospital full of sick patients right next door. With, get this, real pathology. You can actually talk to real patients with real pain who have real medical conditions. Hear murmurs, crackles, and bruits. See jaundice, pallor, and cyanosis. Feel lymphadenopathy, hepatosplenomegaly, and a rigid abdomen.

I learned more from an afternoon of teaching rounds than I did from a whole month of SP scenarios.

 

[Psai]

Dude I totally get it. I think it's a waste too. I'm much better when I'm by myself than when some random in front of me is clicking things off a checklist. But just got to make the best of a bad situation

 

[NontradCA]

Yea I do get something out of it. I appreciate that the patients come out and let us work with them. I get much more out of clinical skills than say, CBL. I'm just venting, but I think sitting in a mandatory meeting for 2 hours doing low yield questions and reading a paper patient you never did a real H and P on is a 100% waste of time.

 

[Ismet]

This would make sense if I did not have to act. Everyone knows it's a fake patient going in. It'd be less awkward if the patient wasn't be paid to let us practice pelvic exams. We do H & Ps with real patients at the hospital and clinics as well, so I just don't see the point other than to prepare for CS.

The first time you do a pelvic should not be on an actual patient. Often the SPs for the pelvic exams are experienced and THEY can tell you if what you're doing is right or not, based on them knowing their own body and how people have struggled before finding the cervix or ovaries.

Pretend it's a real patient. Problem solved. And with the number of people who fail CS (like 80% of the Step 2 forum is people posting about failing/maybe failing CS) you should welcome the practice. Students from my school rarely struggle with CS because our SP program is great and we have OSCEs throughout the years. Yes, everyone knows it's a fake patient, but there's a purpose to it. They're not just making your life difficult for no reason. Maybe you're just clincially brilliant and don't need the practice, but I guarantee you that some of your classmates need practice with fake patients before being thrown to the real patients.

 

[okokok]

Interesting, SPs at my school have no bearing on our grades. They can give us one or two sentences of feedback if they want, but our instructors tell us to disregard it. I think it's because we're trying to learn/practice specific things in each encounter (this time the focus is on empathy, this time the focus is on taking vitals, etc.) and the SP isn't aware of what part we're actually being graded on. Maybe this will change during second year when we're probably graded on the entire encounter instead of just specific bits and pieces. First year SP encounters so far though seem to be all about learning to have a normal, comfortable conversation with a stranger, which is funny to me as an older student but proved to be a necessary lesson for some of my classmates who aren't used to interacting with people from different walks of life.

 

[NontradCA]

The first time you do a pelvic should not be on an actual patient. Often the SPs for the pelvic exams are experienced and THEY can tell you if what you're doing is right or not, based on them knowing their own body and how people have struggled before finding the cervix or ovaries.

Pretend it's a real patient. Problem solved. And with the number of people who fail CS (like 80% of the Step 2 forum is people posting about failing/maybe failing CS) you should welcome the practice. Students from my school rarely struggle with CS because our SP program is great and we have OSCEs throughout the years. Yes, everyone knows it's a fake patient, but there's a purpose to it. They're not just making your life difficult for no reason. Maybe you're just clincially brilliant and don't need the practice, but I guarantee you that some of your classmates need practice with fake patients before being thrown to the real patients.

This is actually the problem I have with it. The SP has a real vagina, breast, cervix. It's invasive, regardless if the encounter is real or not. Treating it like some sort of scenario is off putting, and makes it awkward. I think it borders on being unethical. At my school, the SPs don't give feedback on the WWE as to if we're doing it right. During the other encounters, they just give sugar coated, fake feedback.

 

[Mad Jack]

I never shake hands. My last SP insisted on shaking hands at the start of the encounter. I berted him during the rest of the encounter.

Not shaking hands is like, a huge social faux pas. Patients remember if you don't, and will find you unfriendly.

 

[Mad Jack]

Interesting, SPs at my school have no bearing on our grades. They can give us one or two sentences of feedback if they want, but our instructors tell us to disregard it. I think it's because we're trying to learn/practice specific things in each encounter (this time the focus is on empathy, this time the focus is on taking vitals, etc.) and the SP isn't aware of what part we're actually being graded on. Maybe this will change during second year when we're probably graded on the entire encounter instead of just specific bits and pieces. First year SP encounters so far though seem to be all about learning to have a normal, comfortable conversation with a stranger, which is funny to me as an older student but proved to be a necessary lesson for some of my classmates who aren't used to interacting with people from different walks of life.

That's interesting- at my school the focus is the exact opposite. The encounters aren't graded, but the focus is on learning to make patients comfortable and developing a bedside manner. We have a ten minute feedback session where we talk afterward, and they give us a subjective evaluation form that grades us on a bunch of categories in regard to comfort and communication.

 

[okokok]

That's interesting- at my school the focus is the exact opposite. The encounters aren't graded, but the focus is on learning to make patients comfortable and developing a bedside manner. We have a ten minute feedback session where we talk afterward, and they give us a subjective evaluation form that grades us on a bunch of categories in regard to comfort and communication.

Yeah, we did have a lot of weeks of learning how to connect with the patient and have a good bedside manner (expressed via NURS, to my annoyance), but our evaluation wasn't based on whether the SP felt like we connected with him/her but rather on whether our preceptor felt like we connected with the SP. And really it was literally just checking the boxes of whether we did "N, U, R, and S." It had to be standardized for grading purposes so different preceptors could grade us all the same. It was good practice for some students and useless for others.

 

[Nasrudin]

The first time you do a pelvic should not be on an actual patient. Often the SPs for the pelvic exams are experienced and THEY can tell you if what you're doing is right or not, based on them knowing their own body and how people have struggled before finding the cervix or ovaries.

Pretend it's a real patient. Problem solved. And with the number of people who fail CS (like 80% of the Step 2 forum is people posting about failing/maybe failing CS) you should welcome the practice. Students from my school rarely struggle with CS because our SP program is great and we have OSCEs throughout the years. Yes, everyone knows it's a fake patient, but there's a purpose to it. They're not just making your life difficult for no reason. Maybe you're just clincially brilliant and don't need the practice, but I guarantee you that some of your classmates need practice with fake patients before being thrown to the real patients.

You're conflating Step 2 CS with real patient care. Yes SP's, the more capricious the better perhaps, are preparing you for step 2 CS, none of which prepares you for real rapport building.

Perhaps it's personality dependent, but the fakeness of it makes the real art of building rapport and therapeutic alliance into a sham.

Building rapport might be the only thing in medicine I am truly excellent at and I base all of it on sincerity and spontaneity of a real encounter with a real person. As soon as you add in fakeness and grading of social graces and such it all becomes mechanical and pointless, to me.

The physical exam maneuvers excepted. Particularly the invasive ones. But yes, there is something to be gained by practicing the simultaneous mental activities inherent to interviewing. There's just a fatal flaw to acting in my opinion. To my own mind, perhaps.

 

[Ismet]

You're conflating Step 2 CS with real patient care. Yes SP's, the more capricious the better perhaps, are preparing you for step 2 CS, none of which prepares you for real rapport building.

I'm not conflating CS with real patient care. The SP encounters help with preparing for CS. I was addressing NontradCA's issue with the SP encounters being fake, which yes they absolutely are, but if you pretend it's a patient encounter, it's better. In general, you enjoy med school more if you're not constantly raging against the machine. Congrats for being excellent at building rapport, but I'm sure you went to school with people who needed that practice with SP's.

 

[NontradCA]

I'm not conflating CS with real patient care. The SP encounters help with preparing for CS. I was addressing NontradCA's issue with the SP encounters being fake, which yes they absolutely are, but if you pretend it's a patient encounter, it's better. In general, you enjoy med school more if you're not constantly raging against the machine. Congrats for being excellent at building rapport, but I'm sure you went to school with people who needed that practice with SP's.

But you don't see how it's hard to pretend when you're doing an invasive exam?

 

[Ismet]

But you don't see how it's hard to pretend when you're doing an invasive exam?

The only thing awkward/hard about it was having 3 other students and a preceptor watching me do a pelvic. Or being the only female in a room of 5 men while doing a GU exam. It's a learning experience. I'm sure it's different for everyone though.

 

[Mad Jack]

Yeah, we did have a lot of weeks of learning how to connect with the patient and have a good bedside manner (expressed via NURS, to my annoyance), but our evaluation wasn't based on whether the SP felt like we connected with him/her but rather on whether our preceptor felt like we connected with the SP. And really it was literally just checking the boxes of whether we did "N, U, R, and S." It had to be standardized for grading purposes so different preceptors could grade us all the same. It was good practice for some students and useless for others.

For evaluations of our clinical and interviewing skills and whatnot we bring in local physicians and some of our physician faculty. SPs are good for bedside manner and to help us interact better with patients, but for anything serious and graded, we use physicians. That's actually graded, but thank god we don't have some lame ass acronym to make us remember to act like people. That would drive me crazy, especially if it was NURS lol.

 

[Nasrudin]

I'm not conflating CS with real patient care. The SP encounters help with preparing for CS. I was addressing NontradCA's issue with the SP encounters being fake, which yes they absolutely are, but if you pretend it's a patient encounter, it's better. In general, you enjoy med school more if you're not constantly raging against the machine. Congrats for being excellent at building rapport, but I'm sure you went to school with people who needed that practice with SP's.

Idk if acting class helps people do this or not. You're presuming it does. It was counterproductive for me. Which is why I couch my phrasing of it as personal and uncertain.

And yes of course everything is easier when you're with the program. But what sort of thing do you have when everyone is with the program. The thread topic isn't prefaced by a blank objective observational account of an SP encounter.

 

[Psai]

Standardized patients would be awesome if schools could set it up so that they had actual physical findings. Then you can look for them using the history and physical instead of schools picking up random healthy people off the street and paying them big bucks for reading off a script. I had to listen to youtube videos of abnormal lung sounds before I started third year so I wouldn't look dumb

 

[Ismet]

Standardized patients would be awesome if schools could set it up so that they had actual physical findings. Then you can look for them using the history and physical instead of schools picking up random healthy people off the street and paying them big bucks for reading off a script. I had to listen to youtube videos of abnormal lung sounds before I started third year so I wouldn't look dumb

On my last OSCE, the SP pretended to wheeze, which ended up just being a high pitched groan for the entirety of her expiration. Hilarious.

The SPs here are generally great actually. Most of them are actors IRL and some have been with the program for decades. A couple of them are in a local improv troupe that I used to watch in undergrad and the first time I had them as SPs it was hard to pretend.

 

[VisionaryTics]

Not shaking hands is like, a huge social faux pas. Patients remember if you don't, and will find you unfriendly.

There's a not small segment of the population that finds it a social faux pas to shake hands.

Maybe SPs should have some element of determining when it is socially appropriate to do certain things (shaking hands when inappropriate, asking BS questions like "how's the weather today" when they have an acute abdomen, etc).

Nope. Medicine today is a checklist. Checklist patient encounters, checklist notes, checklist order sets. Gotta follow the checklist so Mr. Insurance Man has no reason to not pay us. Oops, I mean gotta follow the checklist to make sure we are doing the best for our patient.

 

[qw098]

Not shaking hands is like, a huge social faux pas. Patients remember if you don't, and will find you unfriendly.

Don't care. I am not here to spread microbes around.

There's a not small segment of the population that finds it a social faux pas to shake hands.

I'm having a tough time understanding this phrase with all the negatives. I am actually curious what your view on the handshake is.

 

[Mad Jack]

Don't care. I am not here to spread microbes around.



I'm having a tough time understanding this phrase with all the negatives. I am actually curious what your view on the handshake is.

You'll be exposed to far, far more microbes using the hospital computers than you will by shaking hands.

 

[link2swim06]

This isn't rocket science about shaking hands. If I am seeing a homeless dude with poo smeared across his hands I am not shaking his hand. If he is a 50 year old businessman there for chest pain I probably would. You play to what you think your patient would expect/want.

Most real patients are much more reasonable than standardized patients. And the real patients that aren't reasonable are going to act that way regardless of what you do.

 

[link2swim06]

You'll be exposed to far, far more microbes using the hospital computers than you will by shaking hands.

Based on what evidence?

The computer keyboards aren't 'clean' but from a logical perspective directly contacting the source will surely give you a higher microbe load.

 

[Mad Jack]

Based on what evidence?

The computer keyboards aren't 'clean' but from a logical perspective directly contacting the source will surely give you a higher microbe load.

http://www.ncbi.nlm.nih.gov/pubmed/18697431

For a real-world research example of how effective computers (and coffee machines, incidentally) can be as fomites:
http://www.wsj.com/articles/germs-a...n-keyboards-and-at-coffee-stations-1412032235

You're never going to be safe, hence why in any patient not confirmed to have a resistant organism or viral infection, I take the risk and shake their hand. It's a gesture that says "You're not just some walking medical ailment, you're a person, and I respect you" all in one simple gesture. I would still shake hands with sick patients, but I'd throw some gloves on first.

 

[link2swim06]

But those links have nothing to do with your original statement. You claimed that computer keyboards presented a greater exposure to microbes than direct contact with patient (shaking hands).

 

[Psai]

But those links have nothing to do with your original statement. You claimed that computer keyboards presented a greater exposure to microbes than direct contact with patient (shaking hands).

Doesn't matter, I was impressed by the blue text and his obvious dedication to evidence based medicine

 

[NontradCA]

The only thing awkward/hard about it was having 3 other students and a preceptor watching me do a pelvic. Or being the only female in a room of 5 men while doing a GU exam. It's a learning experience. I'm sure it's different for everyone though.

Obviously, it's going to be different from gender to gender, school to school.

 

[alpinism]

The first time you do a pelvic should not be on an actual patient. Often the SPs for the pelvic exams are experienced and THEY can tell you if what you're doing is right or not, based on them knowing their own body and how people have struggled before finding the cervix or ovaries.

Pretend it's a real patient. Problem solved. And with the number of people who fail CS (like 80% of the Step 2 forum is people posting about failing/maybe failing CS) you should welcome the practice. Students from my school rarely struggle with CS because our SP program is great and we have OSCEs throughout the years. Yes, everyone knows it's a fake patient, but there's a purpose to it. They're not just making your life difficult for no reason. Maybe you're just clincially brilliant and don't need the practice, but I guarantee you that some of your classmates need practice with fake patients before being thrown to the real patients.

Lol CS has a 97% pass rate. Students from every medical school rarely struggle regardless of how many SPs they've pretended to interview.

Its basically there to weed out non english speakers and people who still can't do basic H&P after 3+ years of med school.

 

[PL198]

I never shake hands. My last SP insisted on shaking hands at the start of the encounter. I berted him during the rest of the encounter.

that's literally the stupidest thing I've ever read in my life. a solid handshake is the easiest way to set the encounter off to a positive note. if a physician didn't shake my hand, I wouldn't ever see them again.

 

[qw098]

that's literally the stupidest thing I've ever read in my life. a solid handshake is the easiest way to set the encounter off to a positive note. if a physician didn't shake my hand, I wouldn't ever see them again.

http://jama.jamanetwork.com/article.aspx?articleid=1873637

Read up big guy.

For SP, I couldn't care less about shaking their hands. When playing roles in my clinical skills classes I also refuse to shake hands.

Sure, once I'll be rotating and have my own practise I'll be shaking hands... solely for social/political/financial reasons..

 

[NoDakDok]

it irks me when they give you glowing feedback and then you get a mediocre grade because of missed checklist items like saying my first name rather than full name, not shaking hands (my hands are soaked in purell because we absolutely have to foam in/out), saying a I'm a medical student rather than first year medical student. I guess I should just let it go and be used to subjectivity in grading, but it annoys me when the grade doesn't reflect the feedback they gave me.

Opposed to most people here, other than @Ismet, I've really enjoyed our SP experience, even with the inherent flaws it has (e.g., real subjectivity in grading, such as differences between graders regarding non-checkbox items). However, the 'checklist' is about as objective as it gets. It's your own fault if you don't remember things, but I'm sure the malpractice claim will be nice to you when you forget to ask your patient about a history of MIs.

 

[PL198]

http://jama.jamanetwork.com/article.aspx?articleid=1873637

Read up big guy.

For SP, I couldn't care less about shaking their hands. When playing roles in my clinical skills classes I also refuse to shake hands.

Sure, once I'll be rotating and have my own practise I'll be shaking hands... solely for social/political/financial reasons..

I don't care what some random JAMA article says. If some JAMA article said we'd all be more healthy if we lived in bubbles away from each other, would you do that as well? A handshake is the standard opener for nearly all interaction in the world.

I'll give you points for saying " couldn't care less" though because lots of people say " could care less" which obviously makes no sense.

 

[Psai]

http://jama.jamanetwork.com/article.aspx?articleid=1873637

Read up big guy.

For SP, I couldn't care less about shaking their hands. When playing roles in my clinical skills classes I also refuse to shake hands.

Sure, once I'll be rotating and have my own practise I'll be shaking hands... solely for social/political/financial reasons..

We do plenty of stuff that's not based on "evidence". We also have a lot of very shoddy "evidence". Don't post some bs article by some random just because it agrees with your point. Shake some damn hands.

 

[MedWonk]

Opposed to most people here, other than @Ismet, I've really enjoyed our SP experience, even with the inherent flaws it has (e.g., real subjectivity in grading, such as differences between graders regarding non-checkbox items). However, the 'checklist' is about as objective as it gets. It's your own fault if you don't remember things, but I'm sure the malpractice claim will be nice to you when you forget to ask your patient about a history of MIs.

Nice job completely misinterpreting my post and following it up with a poor attempt at trolling by equating not giving my full name with missing a hx of MI. My point was that if I had missed those things, they should have told me rather than having me think everything was kosher and me keep on repeating the same mistakes until I get my grade, which took 2.5 months. I'd rather be torn a new one so I don't make the same mistake than someone sit there and tell me my **** smells like roses. You know why I said I like my preceptor? Because she tells me straight up how much I suck and what I need to fix. But, ya know, keep on being your hyperbolic self.

 

[PL198]

Nice job completely misinterpreting my post and following it up with a poor attempt at trolling by equating not giving my full name with missing a hx of MI. My point was that if I had missed those things, they should have told me rather than having me think everything was kosher and me keep on repeating the same mistakes until I get my grade, which took 2.5 months. I'd rather be torn a new one so I don't make the same mistake than someone sit there and tell me my **** smells like roses. You know why I said I like my preceptor? Because she tells me straight up how much I suck and what I need to fix. But, ya know, keep on being your hyperbolic self.

you're an m1, right? I think you're taking this way too seriously. your SP experience as an M1 isn't going to make or break your interviewing and exam skills. It's just getting your foot in the door, not life or death

 

[MedWonk]

you're an m1, right? I think you're taking this way too seriously. your SP experience as an M1 isn't going to make or break your interviewing and exam skills. It's just getting your foot in the door, not life or death

Right. I agree. I was just venting on this one aspect of SP experience. My grade for that mini-OSCE was just fine. I wasn't expecting people to take this to the level they did, nor was I expecting hyperbolic responses. OTOH, maybe I should've known better.