opening sentence?

[Ice dude]

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Hey guys,

To those who have given CS, tell me which opening sentence is better?

1.Hello Mr XYZ Iam Dr GHQ, what brings u in today?

OR

2.Hello Mr XYZ, Iam Dr GHQ, my nurse told me u have come with the c/o pqrs, could u please describe it for me?

 

[Terpskins99]

Hey guys,

To those who have given CS, tell me which opening sentence is better?

1.Hello Mr XYZ Iam Dr GHQ, what brings u in today?

OR

2.Hello Mr XYZ, Iam Dr GHQ, my nurse told me u have come with the c/o pqrs, could u please describe it for me?

🙄 Are you serious?

Sigh, whatever. #1 makes more sense because... you don't have a nurse.

 

[Scaredshizzles]

Hey guys,

To those who have given CS, tell me which opening sentence is better?

1.Hello Mr XYZ Iam Dr GHQ, what brings u in today?

OR

2.Hello Mr XYZ, Iam Dr GHQ, my nurse told me u have come with the c/o pqrs, could u please describe it for me?

For the exam #1 obviously. In real life? 1/2 your patients will say shouldn't you know already, when they've been seen by 10 people already at the hospital and label you as incompetent.

 

[EternalMD]

you may lose points if you go with #2 because its not the typical "open ended" question that they want to hear. #1 does that and allows you to get more information.

 

[Ice dude]

you may lose points if you go with #2 because its not the typical "open ended" question that they want to hear. #1 does that and allows you to get more information.

That's what I thought, actually I read that second sentence on some website giving out tips4cs.

 

[Ice dude]

🙄 Are you serious?

Sigh, whatever. #1 makes more sense because... you don't have a nurse.

I know, there won't be a nurse. Isn't it all acting, u never gonna run tests on them either but one says so.

 

[Dr McSteamy]

it's ok to go with something like #2.
I've seen it on a video, or read it somewhere.

you can say "Mr. XXX, I am Dr. ZZZ. I see that you're having a problem with (chief complaint listed on the door)?"

the chief complaint is vague enough to ask about directly.

 

[marie337]

Even in the clinic, I always ask what brought them in. I would rather here it from their mouths in their words than whatever the nurse jotted down. I've been burned by the nurse chief complaint before. They write down what the patient tells them, but the patient really wants to discuss ED or something that they don't want the nurse knowing.

 

[EternalMD]

it's ok to go with something like #2.
......

the chief complaint is vague enough to ask about directly.

It may be "ok" but probably not best to do on CS. Either one works fine in a regular clinic but do you really want to risk the less proper method?

Also, CC can be vague sometimes but not always. The thing with CS is that the actors know they have to give certain type of information out and if you ask closed-ended questions like #2, you may miss out on extra information that they would otherwise provide if you went with #1.

 

[Dr McSteamy]

It may be "ok" but probably not best to do on CS. Either one works fine in a regular clinic but do you really want to risk the less proper method?

Also, CC can be vague sometimes but not always. The thing with CS is that the actors know they have to give certain type of information out and if you ask closed-ended questions like #2, you may miss out on extra information that they would otherwise provide if you went with #1.

actually, now i remember. the official NBME CS orientation video had one dude who asked directly about the chief complaint.

i did that on a lot of patients, and they told me their whole story nevertheless.

i think the opening doesn't really matter much.

"I see that you're having a stomach ache. would you like to tell me about it?"
"Yeah, I got this stomach ache after I wiped my arse and forgot to wash my hands yesterday........"