|Image from http://www.nysoa.org - fundus of the eye.|
By the end of the semester, we will perform this 1-hour-long core physical exam on a paid patient actor in front of a preceptor that will grade us on each item in the 190+ (or so) item list. To pass the assessment, students must successfully complete at least 92% of the items on the exam checklist. They tell me this is easier than it sounds, as "most" students pass on their first try. Here's hoping!
Today, we started with the general appearance (Does patient look stressed/healthy/fatigued, etc.), vital signs, eyes, and ears. Click here for a PDF with what, exactly, is included in each portion of the physical exam. While I technically know how to do the sections we reviewed and practiced today, I had the hardest time ever seeing the fundus of the eye using the ophthalmoscope. It was crazy hard.
Wife, get ready to be blinded, because I need to practice this. A lot.