Am I overthinking excelling on family medicine outpatient clinic days or is pre-reviewing the 6-8 scheduled patients’ preventive care gaps (A1c, lipid panel, colon/cervical/breast/

Ngl I thought I had excelling on family medicine outpatient clinic days down cold after my first pass of qbank, but my last two blocks proved me completely wrong lol. The stems keep testing pre-reviewing the 6-8 scheduled patients’ preventive care gaps (A1c, lipid panel, colon/cervical/breast/lung screening, vaccines) in 10 mins before clinic starts and agenda-setting in the first 60 seconds of the visit ("Aside from your blood pressure check, what is the #1 thing you want to make sure we cover today?") in super subtle ways.

How are you guys spotting proposing evidence-based USPSTF screening and lifestyle counseling in your oral presentation to the preceptor fast enough on timed mode without getting baited by spending 25 minutes in the room on a routine follow-up and putting the whole afternoon clinic behind schedule?

Context: currently during my last month of clerkship balancing hospital hours w/ daily qs.

I had the exact same issue w/ excelling on family medicine outpatient clinic days when I was during my last month of clerkship. What finally fixed it for me is proposing evidence-based USPSTF screening and lifestyle counseling in your oral presentation to the preceptor.

Whenever you see pre-reviewing the 6-8 scheduled patients’ preventive care gaps (A1c, lipid panel, colon/cervical/breast/lung screening, vaccines) in 10 mins before clinic starts in the stem, pause for two seconds and look specifically for agenda-setting in the first 60 seconds of the visit ("Aside from your blood pressure check, what is the #1 thing you want to make sure we cover today?") before peeking at the answer choices. That way spending 25 minutes in the room on a routine follow-up and putting the whole afternoon clinic behind schedule cannot bait you balancing hospital hours w/ daily qs. Once I started doing that on every block, excelling on family medicine outpatient clinic days went from my worst section to basically free points.

What helped me lock in excelling on family medicine outpatient clinic days during my last month of clerkship balancing hospital hours w/ daily qs was making just 2 quick contrast cards comparing pre-reviewing the 6-8 scheduled patients’ preventive care gaps (A1c, lipid panel, colon/cervical/breast/lung screening, vaccines) in 10 mins before clinic starts vs agenda-setting in the first 60 seconds of the visit ("Aside from your blood pressure check, what is the #1 thing you want to make sure we cover today?") instead of re-reading the whole chapter.

Can confirm as a PGY-1 now, proposing evidence-based USPSTF screening and lifestyle counseling in your oral presentation to the preceptor is not just high yield for the exam on excelling on family medicine outpatient clinic days during my last month of clerkship, you literally use pre-reviewing the 6-8 scheduled patients’ preventive care gaps (A1c, lipid panel, colon/cervical/breast/lung screening, vaccines) in 10 mins before clinic starts on the wards all the time balancing hospital hours w/ daily qs.

Adding onto what was said above: for excelling on family medicine outpatient clinic days, if you ever get stuck b/w two choices during my last month of clerkship balancing hospital hours w/ daily qs, go back to proposing evidence-based USPSTF screening and lifestyle counseling in your oral presentation to the preceptor and pick the option that addresses pre-reviewing the 6-8 scheduled patients’ preventive care gaps (A1c, lipid panel, colon/cervical/breast/lung screening, vaccines) in 10 mins before clinic starts directly.

If you are during my last month of clerkship balancing hospital hours w/ daily qs, dont beat yourself up over excelling on family medicine outpatient clinic days misses rn — missing agenda-setting in the first 60 seconds of the visit ("Aside from your blood pressure check, what is the #1 thing you want to make sure we cover today?") on qbank today means you will spot it immediately on exam day.

Same here! English is my second language too and long stems on excelling on family medicine outpatient clinic days used to eat my clock during my last month of clerkship balancing hospital hours w/ daily qs. Reading the last line + pre-reviewing the 6-8 scheduled patients’ preventive care gaps (A1c, lipid panel, colon/cervical/breast/lung screening, vaccines) in 10 mins before clinic starts first makes it way faster.

That point about avoiding spending 25 minutes in the room on a routine follow-up and putting the whole afternoon clinic behind schedule is huge ngl. I got burned by that exact distractor during my last month of clerkship balancing hospital hours w/ daily qs until I started checking agenda-setting in the first 60 seconds of the visit ("Aside from your blood pressure check, what is the #1 thing you want to make sure we cover today?") first.

Bruh spending 25 minutes in the room on a routine follow-up and putting the whole afternoon clinic behind schedule got me twice this week during my last month of clerkship balancing hospital hours w/ daily qs lol. Writing pre-reviewing the 6-8 scheduled patients’ preventive care gaps (A1c, lipid panel, colon/cervical/breast/lung screening, vaccines) in 10 mins before clinic starts at the top of my scratch pad before clicking an answer finally broke the habit.