Is A CCS Case Ending Quickly always a good sign?

[otis86]

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Practicing UWorld cases and most of my cases end in 7-12 minutes. In one of my cases I started out with correct management, then went off track with management and patient got worse, and finally ended up with correct management again and my case still ended early? How does that look on scoring?

 

[Instatewaiter]

I don't think anyone can tell you because no one really know how these are scored.

I'd bet you'd get positive points for the initial correct mgmt and for the final mgmt and probably get docked for the middle tangent.

I can tell you I hit the wrong button on the real thing and let a kid with lead pain poisoning sit for a month and a half and still did quite well. You get a good amount of forgiveness on the real thing.

Unless the patient dies, the case ending early is a good thing

 

[doc707070]

If I redo the case and do exactly what UW says (in the clock management part), the case still does not end for me...not sure what I am doing wrong. When the case 'ends' is that when the "enter final orders" screen ops up. Because when UW says case should end (like for instance with an IBS case-case 4 or 5) after you schedule a f/u, it still doesn't.... any advice would be much appreciated.

 

[otis86]

for a Diabetic KA case, if you delay administration of insulin is that considered failure? also for acute cholecystitis case a delay in ordering lap chole, would that also be considered failure?

 

[Instatewaiter]

for a Diabetic KA case, if you delay administration of insulin is that considered failure? also for acute cholecystitis case a delay in ordering lap chole, would that also be considered failure?

Depends on what a delay is... Did you wait a day in the hospital before giving insulin or figuring out what it was? Then you're probably not doing well on that case. Did you wait a few hours in the ED before getting a ketone back? You're probably ok.

Same thing goes with cholecystitis- were you working stuff up and ruling stuff out? You're probably ok. If the patient was septic appearing, you probably should do an expedited workup and get them to the OR quickly.

 

[doc707070]

Thanks for the reply Instatewaiter!! that helps