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Does an amazing job of counseling her patients!

Caroline [Admin]

13 February 2019 3:01 PM

Playing Doctor

Menstrual problems (36F)
Great job!!!

Caroline [Admin]

11 February 2019 5:01 PM

Playing Doctor

Chest pain* (Not ready) (62M)
Nishita is professional, precise, and confident when it comes to interacting with and examining the patient. She is good at reassuring them when they are worried about their pain and corrrectly diagnoses the source.

Caroline [Admin]

6 February 2019 5:41 PM

Playing Doctor

Diarrhea* (Not ready) (31M)
Got the diagnoses totally correct!!!

Caroline [Admin]

6 February 2019 5:15 PM

Playing Doctor

Abdominal pain (48F)
Excellent! Asked good questions and was great at interacting with the patient!

Caroline [Admin]

6 February 2019 4:34 PM

Playing Doctor

Abdominal pain (21F)

Chat

07:18 PM Nat (Admin): If someone admits to drinking 1 or 2 drinks a week, I'd ask, "Do you ever drink more than that?" or "Have you ever had 10 drinks in one day?"... or if someone says they have 1 or 2 drinks a day, I'd ask if they ever drank more than that.

10:54 PM Nat (Admin): Hey Vanessa

10:47 AM vanessa.henry: Hey Nat!

06:40 PM Igor: Hi Nat

06:40 PM Nat (Admin): Hey! Nice to meet you. How did you find the site? My webcam is having some issues (and I need to run out the door right now).

06:40 PM Nat (Admin): Why don't you get one of your buddies or classmates to do a case with you? I'll be happy to work with you another time!!

06:41 PM Igor: The facebook group USMLE Step 2CS/CK

06:41 PM Nat (Admin): Awesome!

06:41 PM Nat (Admin): Please tell people about the site. It's totally free and there is no catch. Just here for pre-clinical students to boost their confidence and for clinical year students to get ready for Step 2 CK!

06:42 PM Nat (Admin): It's very educational whether you are playing the doctor OR the patient.

06:42 PM Igor: OK I can hang around for a bit, would love to practice a case to see how well this thing works!

12:29 PM athegaiga: Hi

03:00 PM jen222: they need to show who is online or offline then invite them or something

09:46 AM Nat (Admin): Jess - good call and we're way ahead of you... but slowly working away on our next release of the site! If you see Cody on here, you better tell him: "We need our Users Online list and our new consultation invite system!" ;)

07:42 AM jen222: great ok

07:43 AM jen222: I am going to have to start using this site

07:43 AM jen222: my baby will be babbling in the background just a warning

10:41 AM Nat (Admin): We love babies!! My suggestion - bring a friend or colleague on with you for your first couple sessions. We're changing the way users interact with the site to make it more intuitive (and simple), but for now, you'll just choose a condition that you want to work-up (i.e. ab pain 21F - female 21yo) then select "Register as doctor". Your friend will see you in the "DOCTORS LOOKING FOR PATIENTS" section and they'll choose to "PLAY PATIENT" - their script will automatically appear.

10:42 AM Nat (Admin): Just make sure both of your webcams/mics are working so you can see / hear each other.

10:43 AM jen222: cool thnx

04:32 PM Nat (Admin): Jack?

04:32 PM JackH: Jill?

04:34 PM Nat (Admin): Have you taken the CS exam already?

04:35 PM JackH: Next week

04:36 PM Nat (Admin): If you use this site to practice, please give me your feedback. I used it to prepare for my exam and I think it helped a lot. You should be able to access your consultation videos from your user page, but if you have problems, just let me know and I can arrange them for you. We are basically getting the site ready for its final release but in the meantime, a lot of stuff, we're just doing manually.

04:37 PM JackH: awesome. Thanks! Love this site. You guys rock!

04:37 PM Nat (Admin): Yeah - we're pretty awesome.

11:29 PM JackH: video and microphone not working. I can see and hear the pt, but he could not see or hear me. all permissions enabled, latest version of chrome, on win 8.1 pro. help!

11:38 PM Nat (Admin): Did they work on the site before? Have you tried using either/both on a different application? For example, try Skype, just to make sure that your hardware is working properly. It is possible that (i) log-out, (ii) close Chrome, (iii) reopen Chrome, (iv) login again... may solve the problem. That or a reboot (I assume that was your first thought lol)

11:04 AM jen222: Does it work on Android?

11:05 AM jen222: I need to do 43 cases today, ill be doing a marathon whose with me?

11:07 AM jen222: Going to set up a new mic ok

11:09 AM Nat (Admin): I can do one or two cases. You should really post on facebook groups like https://www.facebook.com/groups/22598399365/ and https://www.facebook.com/groups/findOSCE/ and https://www.facebook.com/groups/22598399365/ and etcetera...

11:10 AM Nat (Admin): You'll find partners there to practice cases with.

11:14 AM jen222: oh cool

12:06 PM jen222: i got a study partner we are going to do a case

01:38 PM jen222: nat are you there?

01:45 PM jen222: hello

01:59 PM Ebrahim: Hi every body

01:59 PM jen222: HI

01:59 PM jen222: Are you an Admin?

02:00 PM Ebrahim: I am new to this website.. I am not an Admin

02:00 PM Ebrahim: I hear about it from a friend

02:30 PM jen222: Its a very good website perfect way and place to practice

04:22 PM jen222: if anyone preferably females, would like to have a go at it let me know I am online for the whole day

04:23 PM Nee2: hi jen222

04:24 PM jen222: hi nee im ready would you like to be the doctor or patient

04:24 PM Nee2: ok ill be doc

04:25 PM jen222: ok click on register as a doctor above under any script you choose

04:31 PM jen222: what happened?

09:38 AM jen222: people are getting results today

09:38 AM jen222: and yesterday

09:38 AM Nat (Admin): Results??

09:38 AM Nat (Admin): CS results?

09:39 AM jen222: yes yesterda

09:39 AM jen222: yesterday

09:39 AM Nat (Admin): I passed!! It would be pretty bad if the guy that is teaching CS didn't pass CS right?!? LOL

09:39 AM jen222: LOL yea I know

09:39 AM jen222: no study partners for me today

09:39 AM Nat (Admin): I was SOOOOOOOOOOOOOO relieved though

09:39 AM jen222: ill be taking a break

09:39 AM jen222: 3 month wait right

09:40 AM Nat (Admin): I think it's at least two months. I did mine mid-June so...

09:40 AM jen222: Congratulations!!

09:42 AM Nat (Admin): I didn't realize how stressed out I was, waiting for the answer, until I got my result and SCREAMED!

09:42 AM jen222: I keep forgetting to summarize

09:42 AM Nat (Admin): When is your test?

09:44 AM jen222: sep

09:44 AM Nat (Admin): I think a common mistake that a lot of people make Is OVERTHINKING!! Pretend you're a monkey. They come in with a major complaint and then you find out some other "problem". It's as simple as saying to EVERY PATIENT, "So, if I understand correctly, you came in because of MAJOR COMPLAINT, and we're also thinking about this OTHER symptom. Is that correct? Is there anything else you wanted to talk about?"

09:45 AM Nat (Admin): Just be a monkey and repeat what they tell you!!

09:45 AM Nat (Admin): Don't try to diagnose them... this is not a test of medical genius.

09:45 AM jen222: hmm ok

09:46 AM Nat (Admin): And do some screening in every encounter - sexual habits, tobacco, alcohol, drugs, diet, exercise...

09:46 AM jen222: thanks

09:46 AM Nat (Admin): And just be KIND and PATIENT!!!!!!! "I'm really sorry to hear about that." "Thanks for sharing that with me." "Can you tell me more about that?"

09:48 AM jen222: great tips thanks

09:50 AM Nat (Admin): You'll do great!!! You really just need to stay super cool and go into each room with a fresh mind... the mnemonics help a lot! "I'm going to ask you a bunch of questions now. Please just answer me yes or no. If I'm going too fast, you can tell me to slow down! Do you have any recent trauma? Headache? Swelling anywhere in your body? Nausea? Vomiting? Etc..." Use that "BLUE SHEET CS MNEMONIC" that everyone seems to have. Memorize it THEN FR CS PUB SAW ID... PAM HITS FOSS

09:50 AM Nat (Admin): It will save you so much time.

09:54 AM jen222: wash hands or sanitizer?

10:00 AM jen222: of no deep palpation how do you do rebound tenderness

10:00 AM jen222: if*

10:01 AM jen222: just do it once

10:20 AM Nat (Admin): Sanitizer definitely... unless you find that washing your hands with soap and water then drying off helps you "center" yourself... like catch your breath or think clearly for a second.

12:25 PM Nat (Admin): I don't think you'll really need to do rebound tenderness at all. If someone has a real abdomen, you're probably gonna know. You won't need "rebound" to clinch it, because you don't need to clinch. I'm not saying "DON'T DO REBOUND!" but I'm just saying, your goal is to use the short time you have to be very focused and show that you are comfortable with the patient's body, while being respectful.

12:34 PM Nat (Admin): If it's an appendix, you're gonna know from the history. I don't think you'll need to do much of anything that is uncomfortable for the patient. If they're experiencing knee pain, I'm not really going into a gruelling examination of active and passive ROM in the knee. "Patient exhibited pain and resistance on attempted passive extension" (if that) - "Knee was painful on movement" is probably good enough lol

05:21 PM Kirk: Olá

10:51 AM jen222: thanks nat

01:08 PM Cody: Hey Nat, how’s it going?

01:10 PM Nat (Admin): Cody - I like the look of the new profile pages!! I'm looking for a photo to upload now!

02:19 PM Nat (Admin): Cody - where's your picture??

07:33 PM Nat (Admin): Cody - everything looks fantastic. The course looks easy to figure out. I hope people take advantage of it to get ready for CS!!

04:52 PM Ares34: hello there

08:38 PM Nat (Admin): Rebecca? Are you practicing for Step 2 CS?

08:39 PM Rebecca (Admin): Hi Nat! I am practicing. Are you practicing also?

08:40 PM Nat (Admin): I just checked out your profile. I've been to Chattanooga before! That's such a cool city.

08:41 PM Nat (Admin): I like this new chat feature. I wish people would use it more.

08:42 PM Rebecca (Admin): Chattanooga is a special little town. I highly recommend it!

08:42 PM Rebecca (Admin): yea, this chat feature is so user friendly - I think it's great

08:42 PM Nat (Admin): Why don't you leave your browser window open so we can chat on here!! Let's see if people come online.

08:44 PM Rebecca (Admin): I always have my browser open on yourfirstpatient.com - just in case

08:44 PM Rebecca (Admin): let me know if you want to practice a case, there are some that look really interesting

08:45 PM Nat (Admin): Cool! Let's do a case in an hour or so! I'll let you pick. Do you have a copy of FIRST AID FOR STEP 2 CS?

08:45 PM Nat (Admin): I want to find more cases also...

08:55 PM Rebecca (Admin): Sounds like a plan. I think I might have a copy somewhere, i'll check..

03:24 PM Gideon (Admin): Hi, anyone interested in doing a 'sad' case?

10:20 PM Nat (Admin): Gideon! What year are you in?

10:21 PM Nat (Admin): You didn't set up your profile yet!!

07:05 PM Kassy: Hi friends!

09:10 PM Nat (Admin): Kassy - what are you doing on here!! Do you wanna try being a patient?

09:10 PM Nat (Admin): I bet you'd be awesome at it.

07:09 AM notjharrison: hello

07:09 AM notjharrison: is there anybody in there

07:10 AM notjharrison: just nod if you can hear me

07:10 AM notjharrison: is there anyone home?

08:47 PM Nat (Admin): Hi Not J! Sorry I missed your message. Although we are totally live and running for students to use with their friends, our social-networking aspects are still in progress. For the time being, we are recommending people to use the site with their colleagues; and take advantage of our scripts, our in-line note-taking system and the fact that all of your consultations are available for future video review. Your notes will be automatically sent to you by email. You're also welcome to reach out to me directly, because I'm happy to do a consultation with you or help you find someone! nat@yourfirstpatient.com

12:56 PM faisal: ok

12:29 AM Kirk: What up homies?

09:09 AM Nat (Admin): Master_shifu!

09:21 AM Master_shifu: hey

09:21 AM Master_shifu: How's going?

09:45 AM Nat (Admin): Is the site working for you? We are in the process of updating, so there may be some glitches...

03:11 PM bobby: Is this site for CS prep?

03:11 PM bobby: How do I pay?

03:14 PM Nat (Admin): Hi Bobby! It is a CS-prep application, but also a prep site to improve your confidence in the clinic. You can just work with your friends (and strangers) here and either follow the scripts or use your own!

03:19 PM Nat (Admin): Oh... and it's totally free! Please enjoy at your leisure.

09:55 AM neelam: tutor

10:07 AM neelam: tuitor

04:16 AM neelam: TUTOR

02:46 PM drmanikandan92: tutor

10:40 PM Nat (Admin): TUTOR

10:44 PM Nat (Admin): Hi Doctors! Thanks for requesting a tutor. It's a new feature and we're still figuring out how these alerts work. Please check your emails; you should have received instructions to connect with a tutor. Please let me know here if there is anything else we can do for you.

03:00 PM Nat (Admin): Happy to report that the TUTOR request is working.

11:34 AM Nat (Admin): Welcome to the gang, Carl! We're happy to have you on board. I hope users will ask you questions here in the chat... please tell them about the free virtual consultation for all students!

03:52 AM Gideon (Admin): Standing by

04:13 AM Carl (Admin): I'm online too!

04:14 AM Carl (Admin): And thanks for the warm welcome, Nat! I'm happy to be part of this project and I'm available for your users to do a practice consultation.

06:09 AM Gideon (Admin): tutor

12:51 AM rohan: hey guys

12:52 AM rohan: any one with a cough sob case

12:53 AM Carl (Admin): Hi Rohan

12:54 AM Carl (Admin): I'd be happy to do a cough case with you

12:55 AM Carl (Admin): I'm not at my computer now. How about 11am EST?

03:15 PM clar0288: Anyone interested in taking turns working CS cases?

10:10 AM Carl (Admin): Hi Clar!

10:11 AM Carl (Admin): Send me an email at admin@yourfirstpatient.com

10:12 AM Carl (Admin): We'll find someone to work with for you! I'd be happy to do a case myself.

07:08 AM Carl (Admin): Hey FatCat!

07:09 AM fatcatprius: hi carl

07:09 AM fatcatprius: can i get some help with practicing pediatrics cases

07:09 AM Carl (Admin): For sure. Do you have one in mind?

07:10 AM fatcatprius: erm breakthrough seizure/asthma?

07:10 AM Carl (Admin): Are you practicing for CS?

07:11 AM fatcatprius: not really but quite similar to it

03:10 PM Annette: Eli?

03:14 PM ehershkop: HI

03:16 PM ehershkop: Hi Annette, not really sure how to use it

08:49 AM Nat (Admin): Georgia, are you trying to initiate a consultation?

08:49 AM Nat (Admin): May I recommend: choose "DOCTOR" for your role and that way, I will play the patient for you.

09:45 AM Nat (Admin): Hi Omni!

09:48 AM Omni1213: Hi guys I’m just new this site. Need to study for CS. How to use this?

09:48 AM Nat (Admin): Click the big green button!

02:36 PM csaspirant: tutor

01:08 AM kammi: good morning

02:21 PM Nat (Admin): Hi Bella, welcome to the site.

02:23 PM Nat (Admin): Please feel free to click START A CASE NOW and choose the case you're interested to practice. Make sure you choose DOCTOR and I'll follow the script for you!

11:13 AM Nat (Admin): Hi again Bella! Thanks for visiting the site. Just take a look at the right upper corner of your screen. I'm requesting you for a case. Just click the green button!

03:43 PM Nat (Admin): Hi Sharon! Thanks for visiting the site.

03:45 PM Nat (Admin): Are you studying for the step 2 CS?

03:52 PM Sharon: yup!! are you free to start a case?

03:52 PM Nat (Admin): Do you want to try a case? Just click Start a Case Now! and choose the chief complaint you want to work up!

06:40 AM Nat (Admin): Hi Bella!

06:40 AM Nat (Admin): I'm available to perform a patient for you if you want.

06:40 AM Bella: Hi Nat

06:40 AM Nat (Admin): Just click "Request case" next to my name and choose the case you want to do.

06:40 AM Bella: did you see my PN

06:42 AM Nat (Admin): For some reason, it didn't come to my email but I do recall seeing it on the admin side of the site. Did you receive a copy by email? I'm going to pull it up right now and I can send a copy to you as well with my feedback! I think you did a great job, by the way. You're very confident and you keep control of the interaction while making the patient feel like they can speak freely!! Good work!

06:45 AM Bella: Thank you

06:49 AM Bella: i got a blank email

06:50 AM Nat (Admin): Yup. Me too. I wonder why it didn't capture the consultation that you typed for the email. That's a glitch on our end. We've gotta figure out what happened there. I'm going to send you what we've got by email right now.

06:50 AM Bella: ok

06:52 AM Bella: i can see the email now

06:58 AM Nat (Admin): Great!

08:00 AM Nat (Admin): Hi Nazia! Thanks for visiting the site. If you have any questions, let me know.

10:59 AM Nat (Admin): Rebecca, are you online?

04:09 PM Nat (Admin): Hi Chan! Welcome to the site.

10:24 AM Rebecca (Admin): yes

04:45 PM Meri: TUTOR

05:51 AM Yoav: Hi! I'm looking for a practice partner in Israel! anyone ?

05:51 AM Yoav: Taking my CS in Chicago on April.

05:58 AM Yoav: October****** sry

06:44 PM Nat (Admin): Sean - are you there?

06:44 PM NightBronco: Ya

06:44 PM NightBronco: says waiting to start

06:45 PM Nat (Admin): Looks like the site is a little glitchy... I'm not exactly sure what's going on. Send me a pic of your screen please.

06:45 PM NightBronco: Will do

06:45 PM Nat (Admin): Is it for the Chest Pain one?

06:46 PM Nat (Admin): Try logging off then logging back in... this is super annoying. Sorry :/

06:46 PM NightBronco: i did

06:46 PM NightBronco: same thing

06:46 PM NightBronco: maybe we should try this again tomorrow?

06:46 PM Nat (Admin): We're still working on some bugs. I told you it was a work-in-progress... you're using chrome right?

06:46 PM NightBronco: yeah

06:46 PM Nat (Admin): Do you have somewhere you need to be?

06:46 PM NightBronco: no im just doing laundry haha

06:47 PM NightBronco: maybe if i delete all cookies and try again

06:47 PM NightBronco: 1 se

06:47 PM NightBronco: sec

06:47 PM Nat (Admin): Great. So send me the pic of your screen so I can try to debug what is going on here.

06:47 PM NightBronco: https://files.fm/u/2gdp9hnd

06:49 PM Nat (Admin): I just realized, it might be misbehaving because I'm at a location with borderline non-existent wifi... I'm switching to my phone's service... maybe t-mobile can do better than this cafe.

06:50 PM NightBronco: yeah maybe that is why, you're right

06:50 PM NightBronco: sure, no worries

05:49 PM Yoav: Hi! anyone taking CS in Chicago mid October? looking for a study partner in the beginning of Chicago in Yonkers NY or Chicago.

06:09 PM Yoav: ***Manhattan

10:23 PM Nat (Admin): Hi Yoav - I hope you are able to find a partner to practice in person. This site is designed to let you practice with friends and new friends by webcam by using our scripts. I'd be happy to practice a case with you. I'll have some time on the weekend!!

12:46 PM AdrianRomo: Anyone available to do a case? It's my first time here

11:17 PM AdrianRomo: TUTOR

10:56 AM Jon: Alright friends, time to do CS for real this time

11:08 AM Carl (Admin): Walker?

11:23 AM Jon: Yes

12:30 AM Nat (Admin): Hello

12:30 AM Nat (Admin): Hey

12:30 AM Nat (Admin): HI new users!

04:38 PM jack: Hello

04:38 PM jack: Is anyone online?

04:42 PM jack: Hello?

04:43 PM Melissa [Admin]: Hello Jack

04:43 PM jack: Oh cool. I didn't know anyone used this.

04:43 PM Melissa [Admin]: Do you want to do a trial consultation for free?

04:43 PM jack: Sure why not!?

04:44 PM Melissa [Admin]: I'll invite you to a consultation

04:44 PM jack: Awesome

07:14 PM TNTDYNASTY: Greeting, My name is Tien (4th year Med) and this is my first time on this website. I taking the STEP 2 CS in 3 weeks and I want to set up a time to practice with a live person

07:15 PM TNTDYNASTY: I can be reach via emai --> minh.t.nguyen19@gmail.com

02:30 PM Caroline [Admin]: Hey all! I'm a Lead Educator here at YourFirstPatient and I work closely with CSRxTutors.com to bring you the best studying material for the Step 2 CS! If you are online and no tutors are available, feel free to email me at caroline@csrxtutors.com and I'll set you up ASAP! Good luck studying!

03:51 PM KarinaSm92: Hello, anyone else has been using Amboss for Step 2 CS?

09:41 PM Caroline [Admin]: Hi Karina! Welcome to YourFirstPatient!

09:43 PM Caroline [Admin]: We'd like to get you started with a free trial lesson! Email me at caroline@csrxtutors.com and I'll get you started!

06:46 PM majdnm: hi when i applied for cases, how long should i wait until i get respond ?

06:47 PM majdnm: hi ... i applied for cases, how long should i wait until i get respond ? *

07:33 PM drjmosquera@hotmail.com: Hi guys

07:33 PM drjmosquera@hotmail.com: How does it work?

07:33 PM Caroline [Admin]: Hi!

07:34 PM drjmosquera@hotmail.com: Hi Caroline

07:36 PM Caroline [Admin]: Basically, YourFirstPatient uses videocam to replicate the experience of taking the Step 2 CS part of the USMLE. A YourFirstPatient tutor will connect with you over video and act as a patient in order for you to practice interacting with patients and diagnosing their illnesses.

07:38 PM Caroline [Admin]: Are you interested in trying it out?

07:55 PM Caroline [Admin]: I just sent you an email regarding your consultation-hope to hear from you soon!

08:16 PM Caroline [Admin]: Hi majdnm-- would you like to begin a consultation?

02:49 PM Caroline [Admin]: If anyone has any questions about scheduling a consultation, feel free to reach out to me at caroline@csrxtutors.com!

Ntrip

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