So I just took Step 2 CS yesterday. I feel like I generally did OK; however there is one thing that's concerning me. After taking the history and examining the patient, I did the counseling session where I offered several (usually 2-3) different diagnoses and the tests and/or labs that I would do at this time. I was usually able to put some thought into this during the exam, however some of it was not as well thought out as I would have liked. Then, when it came to write the patient note and I'd had more time to think, I sometimes adjusted my differential and ended up writing different diagnoses or preliminary tests in the note, than what I'd originally told the patient in the counseling session.
So, basically I'm just curious if this is a common thing to do, or if you're expected to write the patient note (differential and plan) exactly as you told the patient??
So, basically I'm just curious if this is a common thing to do, or if you're expected to write the patient note (differential and plan) exactly as you told the patient??