总算拿到NCPP的毕业证书了！超开心～终于可以和这个困扰我好几个月的噩梦说再见了。
而今天收到礼物的人不止我一个。小妹送了毛头一对有磁性的鱼，吸住的时候就像在亲吻一样，有趣好玩的同时可以训练宝宝的手脑协调。毛头挺能干的，诱导几下后就上手了。
看她开心地和老爸玩
没人陪我？没关系，自己玩也不是问题
Showing posts with label NCPP. Show all posts
Showing posts with label NCPP. Show all posts
好羡慕婴儿们的恢复能力哦！才一晚的时间，就消肿了。现在仅剩淤青了。估计这会需要好几天吧！
今天还收到了一个好消息 - 我通过了所有的OSCE测试，很快就可以毕业，开始开药了！超兴奋！
终于熬到summative OSCE了。结果难的一米。虽然以前老抱怨，但这次的难度确实比往常的还要高。首先，心血管检查的那一站居然给我们做过心脏瓣膜置换手术的真病人！我哪有经验啊？一走进房间就听到机械类“咔嗒咔嗒”的声音，整个人都蒙了。我以为下一站的身体检查会简单些，其实不然。那是个肌肉骨骼的检查，一按到“病人”的腰部，他就会“疼”得大叫，好几个动作更是做不了，害得我都不敢继续检查了。我下手已经很轻了呀！接着，病历询问的环节又出了从来没有教过的库欣综合征。而更绝是，“病人”的症状竟是多处瘀青，还被伊蚊咬过！我就这样被骗了过去，没给出正确的诊断。六个OSCE测验站我就搞砸了三个，看来想要及格可能需要一点奇迹了。
真的是怕什么来什么。这两个星期我on call，但今天的formative OSCE恰巧被安排到最早考试的时间段里，所以昨晚我一直担心会被叫回医院。因为这将代表我的复习和休息时间都会大大地减少。就是这么不幸，一个病人的pump偏偏在这紧要关头出现了问题，害得我昨晚三个多小时都泡在了医院里。等我回到家泵完奶，都已经是凌晨一点多了。本以为这下能好好地睡上一觉了，可天不遂人愿，没过一会儿毛头就突然哭了起来。原因... 不详。尽管有老公帮忙哄着，我的睡眠质量已然受到了影响。
断断续续睡了几个小时，今早五点，我再次起来泵奶，然后拖着疲惫的身躯赶在七点半到考场报道。因为睡眠不足，再加上情绪过度紧张，所以引起了严重的偏头痛。而不巧的是，我的第一站居然就是头痛的history taking！这对我来说简直就是苦不堪言。每问一句，我的头就传来一阵抽痛，让我无法集中精神，更有种想要自问自答的冲动。咳... 可想而知，考试没发挥好。不过好在这次的分数不计入最终成绩中...
又到NCPP举行的模拟考试了。与上一次的相较之下，今天就明显好多了。虽然还是紧张，进第一个考站时就忘了向标准化病人自我介绍，不过最起码我顺利地完成了所有的考站。一回生，二回就熟了嘛...
Had our first NCPP mock OSCE today. Total 4 stations - 2 history taking, 1 communication, 1 physical examination. Different from our practice sessions, this is the first time we had it face-to-face. I was very nervous just standing outside the doorway, waiting to enter the room.
My first station was the station on abdominal physical examination. It is not difficult, but I was not used to the exam format. And the the use of the PA system confused me further. When the buzzer sounded, I was under the impression that I had more time and continued with the physical examination. Instead, I should have summaried my findings and presented the case. Running out of time, I failed to complete the station. As a result, I was marked down quite heavily, scoring only 30%.
Next was the history taking station on chest pain. I thought I did quite well, even getting the differential diagnosis correct. So I was surprised to see that I only managed to clinch 50% of the marks. Is it because I did not get the near syncope red flag? 🤔
I did much better for the other history taking station on shortness of breath and the communication station on seizure. But overall, the mock OSCE was much more challenging than expected. Starting to worry for my summative OSCE....
Had our first physical examination "practice" session for NCPP last week. As usual, there was no demonstration before we begin. Instead, we were expected to learn everything from YouTube videos, which had minimal explanations on the findings to look out for. I attempted the respiratory and abdominal physical examination stations because no one else in my practice group wanted to try. Everyone were equally unprepared. Having watched the videos a few times without actual practice, there were quite a bit of inaccuracies in my technique and approach. I also cannot remember all the steps, so examination was not very thorough. In short, it was a complete failure.
I knew I needed more practice, and poor hubby ended up being my "dummy". But the problem with finding someone with a big habitus is that physical examination is abit more difficult. For example, one won't be able to feel the apex beat. I wasn't aware of that and thought that I wasn't doing it right. Thankfully with the little bit of practice that I managed to get with hubby, I managed to survive this week's physical examination sessions. My grades jumped from a "F" to a "D". That is a huge improvement for me. But looking at how smooth the APNs were, I know that I still have a long way to go....
My NCPP groupmates
Took up the NCPP course last year but had to defer the second half of the course until August due to pregnancy. It has not been an easy journey taking care of a 5-month-old kid and studying at the same time. Especially when dealing with an intensive course like NCPP. A lot of self-reading and practice is required. But during the zoom sessions, we were immediately put in the hot seat, with no prior teaching or whatsoever. As expected, I was flustered.
History taking proved to be difficult. One have to think of questions to ask, interview, observe the standardised patients' reactions, address their concerns and take notes at the same time. Miss a point and you will end up with the wrong differential diagnosis. So stressful! And it definitely didn't help that my partner performed much better. She made everything seemed so easy...
最近在上National Collaborative Prescribing Programme，不久前刚考完试卷，今天成绩出来了！原本还担心会不及格，毕竟试卷要比往年的难多了，还好通过了。现在就剩OSCE了，可是我四月临盆，恰巧在整个学期的中间，估计连最后的评估都没法考。看来我得申请课程延期了，等我生产后再继续吧!
