15 Mayo To prepare itself for the ECOE
In these weeks examinations are being realised type ECOE in all long and wide it of Spain. I participated in one in them as evaluating one of a modest station with a written clinical case of repetition tonsilitis.
For who still does not know what means ECOE: one is a Structured Objective Clinical Evaluation. It is a practical examination that it simulates real clinical situations and that evaluates different abilities as the communication, physical exploration, diagnosis differential, attention to a childbirth, sutures, bandages, to write a medical report, to interpret tests of image, etc.
Through my room it spent a new student every 10 minutes, 25 altogether. All with its dressing gowns and their ball-point pens, the majority calm, a few being pulled the beard or the hair. When finishing his examination I had to score if they had answered each short question with the correct answer in agreement with a group.
It gave time to think envelope me how they were my practices of student and how I would have confronted an examination I took root, just in the last year of race, after passing the clinical courses as (than more worthy) rubber plant.
To be sincere, she was very passive in for two reasons fundamental practices:
- The hospital did not grant any special qualification to attend the practices, reason why I skipped a few at times at which I had personal difficulties
- She was very timid, it cost to me to take initiatives, and my rotations (sometimes voluntary) by Urgencies and the plant did not give the awaited result me.
Obvious, the result of my many theoretical knowledge and little practitioners gave as result that my first 6 months of resident in ORL was the small hell. Luckily, I could practice under supervision during 3 months before facing my first patients alone.
The question is, how we have to prepare the ECOE? Aside from being able to be proactive in all the clinical practices of the race, something that will be able to make the students who read this and still are in time¦
How to prepare the ECOE when or we have left little weeks or months and our practices they have been current?
PRINCIPLE Number 1: TO DO
The practical factories distributed as quickly as possible in 6º course are relatively useful, mainly to strengthen knowledge of RCP, sutures and bandages. And to remember that always you must before wash the hands and after exploring a patient, things thus.
Nevertheless, the communication with the patient, to make a complete anamnesis, to make correct deductions of physical signs¦ that you will not learn it in any factory nor special seminary.
I will tell you what happens when YOU BEGIN to see patients in person: by clearer that you have the theory in your mind, the patient will express his problems to you with his own words, she will look you at the eyes and you will block yourself. Pam! That easy.
I have seen it in students, I underwent it in my own meats, and he will also happen to you. But only with the first patients. How to surpass it? Experiencing it. There is no another solution.
For that reason you need to practice several times with patients, a companion or, if necessary, with your image in a mirror, to fail as rapidly as possible and to be able to overcome the barrier. You do not have more remedy than to put the hands in the mud to undergo your first blockades, knowledge in what you weaken and to review, to review, to review.
HOW TO CHOOSE THE BEST PATIENT TO PRACTICE
It asks the associate or resident of practices what patient entered presents a classic picture, and directs you to his room preparation to happen awhile making the anamnesis. Assure to you first that the patient agrees; present to you suitably. If you can prepare a verification list before entering the room, you will be able to review the questions that you need to do on the march.
HOW TO PRACTICE WITH CLASSMATES
If you want to simulate exactly what it happens in a station of examination ECOE, the ideal is to work in groups of 3 where one for of patient, the other of supervisor (making sure of which questions and procedures they are realised and which not) and the third student has been realising the test.
If you are only two people practicing, also it is possible to do it.
From where you can obtain clinical scenes?
- They can be obtained from webpages, very abundant in English. In the United Kingdom and the USA they take much more realising this type of examinations for time (OSCE, Objective Structured Clinical Examination)
- They can make at home with the book if there is no more remedy, once you have practiced with cases and obtained lists of correction of the previous Webs
An ample market of specific manuals for the preparation of OSCE exists. For example, in the Web http://www.oscehome.com/ they explain how they worked to obtain a synthesis of clinical scenes that covered all the possibilities with the examination. They offer a series of payment manuals, reason why I do not know if they are of good quality or no.
Also multiple applications for mobile and tablet exist, as OSCE Trainer, gratuitous when writing this entrance, although some of their functions are of payment. OSCE Skills App, and a few more, some gratuitous and others of payment. Unfortunately for that you do not dominate that language, all is in English. Some enterprising Spanish doctor who cheers up to send first app for the ECOE¦? ð
Finally, a few Webs offer clinical scenes (with its corresponding checklists) of gratuitous access. I give the connection you of a few here underneath:
CONNECTIONS IN SPANISH
When some ago days I began search information exceeds how to prepare examination ECOE, I found information appointed professors mainly and Universities exceed how to design an examination ECOE. Yes, still we are in that phase in Spanish speech¦ ð
Luckily, we have here an excellent contribution of Aitor Guitarte in its somosmedicina.com blog. It constitutes a good initial step to begin to prepare the ECOE along with some classmate.
http://www.somosmedicina.com/2012/02/guia-para-preparar-una-ecoe-i.html concise Guide of surgical washing, positioning of gloves, injections and sutures
http://www.somosmedicina.com/2012/03/guia-para-preparar-una-ecoe-ii.html#index On spirometry, arterial ramming intake and electrocardiogram
QUESTIONS OPENED WITH SHORT ANSWER
Taken care of! These stations, although are answered in writing, evaluated your capacity to apply the theory actually that you have learned.
Lee first all the questions to know towards where he takes the case to you. Perhaps they request surgical indications to you of a concrete problem, so that in the anamnesis you will have to write the questions that allow you to know if the patient has surgical Perhaps indication or no. asks to you in the end for the analytical drug type that will need the patient, or for the specific tests that you must ask.
P. ex. in a boy with repetition tonsilitis, you will have to ask if it snores, number of episodes, how much fever reaches, etc. Because the surgical criteria take into account that are bacterial tonsilitiss (nonviral, and for that the fever is important), number of episodes to the year, if the boy has apnea of the dream, if he has had periamigdalinos abscesses, etc
And here we arrived at the end of the article for today, although it is probable that it can extend the information on the ECOE with contributions your. The ECOE in this blog, just as in some faculties, only finishes home¦
YOU KNOW OTHER SOURCES IN SPANISH TO PREPARE THE ECOE? IT CONTRIBUTES YOUR IDEAS IN THE COMMENTARIES UNDERNEATH THIS POST
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