Speed / Efficiency with H & P'S

[ntxawmx]

Hi fellow med students...

Doing medicine right now and I got 2 admissions tonight and it literally took me nearly 6 hours to complete them! That is just not ok! I know people keep telling me it will get faster but it just doesn't feel that way.

Anyone else out there slower than a turtle? Anyone with suggestions on how to be more efficient and finish these H & P's in a timely manner -- I'm talking about the medicine ones where the patient has a problem list that exceeds 10 things and a med list that approaches 30 items.

thanks for any input. I'm afraid that when intern year comes, I'll just not be good enough.

Thanks.

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[doc05]

yeah, 6 hours is a lot of time. not to worry -- you'll learn to do things faster.

 

[Koko]

Don't get down on yourself. It's far better to start off being slow, but comprehensive versus fast and deficient - easier to pare down than to add. What worked for me was seeing how good interns and senior residents did their H&Ps and picking up pointers from them. You will decide for yourself how to speed up the process, when and what you can skimp on, etc. Like a lot in medicine, practice and repetition work wonders.

Good luck and be positive.

 

[Apollyon]

You will get better - it almost a fact. You will get to a point that your hand will hurt from writing so much, so fast. You will look at it when you're done and be surprised, but satisfied.

 

[Gulliver]

Hi fellow med students...

Doing medicine right now and I got 2 admissions tonight and it literally took me nearly 6 hours to complete them! That is just not ok! I know people keep telling me it will get faster but it just doesn't feel that way.

Anyone else out there slower than a turtle? Anyone with suggestions on how to be more efficient and finish these H & P's in a timely manner -- I'm talking about the medicine ones where the patient has a problem list that exceeds 10 things and a med list that approaches 30 items.

thanks for any input. I'm afraid that when intern year comes, I'll just not be good enough.

Thanks.

Eh, you'll get faster when you realize how little of that crap you actually have to include.

Oh, and for the assessment part where you show your "thinking" - the gold standard is to cut'n'paste from uptodate. I was very slow to cotten on to that one. Generally no one will tell you this. Watching you struggle with it, like a tool, is part of the passive-agggressive ritual of medical training.

 

[12R34Y]

Eh, you'll get faster when you realize how little of that crap you actually have to include.

Oh, and for the assessment part where you show your "thinking" - the gold standard is to cut'n'paste from uptodate. I was very slow to cotten on to that one. Generally no one will tell you this. Watching you struggle with it, like a tool, is part of the passive-agggressive ritual of medical training.

Never ever heard of that before. Been through almost every service now at end of third year and have never seen a resident/intern/senior/student do anywhere near that sort of assessment that includes uptodate.

wierd.

later

 

[Pox in a box]

Eh, you'll get faster when you realize how little of that crap you actually have to include.

Oh, and for the assessment part where you show your "thinking" - the gold standard is to cut'n'paste from uptodate. I was very slow to cotten on to that one. Generally no one will tell you this. Watching you struggle with it, like a tool, is part of the passive-agggressive ritual of medical training.

Can you clarify the "cut'n'past from uptodate" comment?

 

[phoenixsupra]

Eh, you'll get faster when you realize how little of that crap you actually have to include.

Oh, and for the assessment part where you show your "thinking" - the gold standard is to cut'n'paste from uptodate. I was very slow to cotten on to that one. Generally no one will tell you this. Watching you struggle with it, like a tool, is part of the passive-agggressive ritual of medical training.

So true.

 

[scootad.]

it comes with practice, but in reality you'll be forced to get efficient if you wanna pass Step 2 CS - perhaps this is the only redeeming quality of this
G-d awful test (although it doesnt accurately reflect the way real pts present).

 

[phoenixsupra]

it comes with practice, but in reality you'll be forced to get efficient if you wanna pass Step 2 CS - perhaps this is the only redeeming quality of this
G-d awful test (although it doesnt accurately reflect the way real pts present).

Scootad, would you mind sharing your cs experience. Theres a new thread about it in the usmle/comlex forum. Thanks.