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PDF Editor FAQ

Is touch typing necessary for the step 2 CS exam?

I did not know touch typing.And so were almost all my friends who gave the exam nearly together at same dates in interval of about a week.We all passed the exam.So, I can tell that it is not an absolute necessity.But that said, almost all of us had to save a minute or two from our patient encounter so that we could use it for typing notes.That one or two minutes can be saved if your typing speed is good and can be used in the patient encounter.So, touch typing, although not absolutely necessary, is very helpful in Step 2 CS exam.Below are the 2 links where you can practice note-typing for the exam.Both are same and identical to the main exam, only difference is that you can save your notes from the first link in PDF for future review.Practice for Patient Note Entry Form, Step 2 CS Patient Note InformationPatient Note Entry Form

What is the size of the EMR/EHR consulting market in the U.S.?

North America which is a cumulative market for the U.S. and Canada has major share in the market in 2014 primarily attributed by favorable government policies such as pay for value and rapid inclination towards installation of EHR platforms across care providers segment. According to the National Coordinator for Health Information Technology (ONC), adoption of EHR systems among non-federal acute care hospitals in the U.S. has increased more than five-fold since 2008. Moreover, 77% of primary care doctors and 73% of specialists are using electronic medical records to record patient encounters as of 2016. Factors responsible for market growth in the U.K. and Germany include rapidly increasing geriatric population, growing need for remote monitoring, increased pressure of health care cost containment, and increasing demand for improved patient care. Moreover, the Government of Italy under Italian Health Service is developing EHR systems for e-prescriptions and for the transfer of medical data.In the end user segment, hospitals are among the most prominent buyers as around 59% of the hospitals across the globe have installed some form of EHR in 2013 compared to 34% in 2012. Majority of the hospitals have adopted client server-based EHR systems in order to improve the health care of the patients. However, several hospitals are expected to opt for cloud-based EHR systems during the forecast period from 2015 to 2023 due to continued advances in the area of cloud computing. As government and non-government organizations encourage physicians to adopt EHR systems is assessed to be one of the contributing factors driving the growth of the ambulatory centers segment. Additionally, the U.S. Federal Government allocated US$ 27 Bn with the intent to encourage EHR adoption across the nation as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act, 2009.Get Free PDF Brochure For Current Size and Value of the U.S. EHR Market with Expected Future Development @ Transparency Market Research

How do I get off antidepressants?

Tapering very slowly is the best way to reduce or discontinue antidepressants. This is because they cause physical dependence and withdrawal---even a single dose of an antidepressant changes your brain in physical and functional ways.Not everyone can avoid withdrawal symptoms, even at ultra-low tapering amounts, but usually you can smooth out your ride some by instituting a much slower and less drastic taper. If your pain or debilitation is too great after reducing your dose, you can reinstate the dose you were taking just previously to try and restabilize your system. Reinstatement does not always work for people who are in withdrawal (and can make things even worse for some people, especially if they wait a while before reinstating), but it can be live-saving in some cases.Quitting cold turkey is a terrible idea and can cause disability, hospitalization, or even death. It can take months or years to taper at an appropriate rate that does not leave you quite debilitated, but the severity of withdrawal symptoms varies from person to person and some individuals have an easier time tapering or withdrawing.Following are some notes and resources which may help you taper and withdraw. This is neither comprehensive nor meant as a how-to guide---I am not qualified to write that, and I advise looking around the internet for comparing and contrasting resources that will help you find what works best for your own tapering.Tapering Resources:The best online collection of tapering information I have come across is located here: Important topics in the Tapering forum and FAQ - Tapering It is a community-based website that specializes in dealing with the problems patients encounter when discontinuing their psychotropic medications. They explore and share personal and scientific sources for how to best taper and cope with the complications of trying to quit antidepressants and other brain-altering drugs.There is also information there about supplements and alternative therapies, but such things are not to be taken lightly or experimented with if you are in a state of hypersensitivity due to withdrawal. You can read about supplements and other substances here: Important topics about tests, supplements, treatments, diet - Symptoms and self-care And about non-drug methods of healing and recovery here: Non-drug techniques to cope with emotional symptoms - Symptoms and self-careProfessional Assistance:Definitely speak with your prescribing doctor on how to most safely discontinue your medication (and about any supplements or alternative therapies you are considering), but understand that most doctors--even psychiatrists--are not very well educated about the dangers of their medications and the slower tapering speeds that many people require in order to remain at least partly functional. Try searching for a doctor who is experienced and interested in helping you taper and discontinue antidepressants if you can manage to find someone and afford to be seeing him.There is a partial multi-site directory of such doctors here: Recommended doctors, therapists, or clinics - Tapering, but finding someone mostly consists of calling physicians (psychiatrists, addiction specialists, experts in practiced psychopharmacology, etc) until you find someone who has the required expertise. They are quite rare, unfortunately, so do not stake your ability to safely reduce antidepressants on finding the right doctor.About Professional Advice:If you fall into a state of disabling withdrawal due to your antidepressant taper, most doctors (even psychiatrists) may reject your symptoms, refuse to treat you, or attempt to proceed with misguided methods of treatment which can cause further harm to you. Finding a safe practitioner, if you see one at all, is even more important in those instances, if you can manage it.Do not accept the suggestion of taking more drugs or different drugs as a means of alleviating your withdrawal symptoms. In the minority of cases, people find them helpful as an aid, but most of the time they cause more harm, more complication, and more withdrawal. Benzodiazepines, anticholinergics, and antidepressants with longer half-lives are not a cure for dependency or withdrawal, and they are psychoactive agents which can cause all the same symptoms and damages as you are trying to avoid in tapering off your current antidepressant. Whether or not you choose to try them is up to you, but it is important to understand that they are not a fix or a cure.Seeking Additional Help:Supplementing your taper with a side effect-educated psychotherapist, high quality outpatient drug rehabilitation expert, or other form or healthcare professional can sometimes reduce the strain and danger of lacking a good psychiatric resource, which is the position most tapering patients find themselves in. I highly recommend having a professional network in place if you plan to taper or discontinue, especially because your ability to establish it may be diminished by your efforts to be free of drug dependence. Having a pain counselor or someone to discuss iatrogenic harm or practical difficulties with can be enormously beneficial even if you are not suffering from psychological withdrawal symptoms.There are some websites, scientific articles, and support groups online that you can look to for advice and encouragement during withdrawal and post-medication healing. Places like SurvivingAntidepressants (Surviving Antidepressants), MadInAmerica (Mad In America - Science, Psychiatry & Community), RxISK (Prescription Drugs, Side Effects, Interactions), SSRI Stores (SSRI Stories | Antidepressant Nightmares) Beyond Meds (Beyond Meds), and the websites and resources of psychiatrists, doctors, and researchers dedicated to dealing with the issue of psychotropic drug damages and withdrawal syndrome---people like Dr. Joseph Glenmullen, Dr. Peter Breggin, Dr. David Healy, Dr. Stuart Shipko, Dr. Kelly Brogan, and a few dozen publishing scientists.You can read articles, posts, and books on the subject of successfully quitting antidepressants, as well. To start you off, here is a psychiatrist-written guide to stopping antidepressants, a brief post which outlines some steps you might find important, a free book (in pdf format) about reducing the risks of discontinuing psychiatric drugs, and a Quora post I made about recovering from the changes medications can cause in our brains and bodies:Guide to Stopping Antidepressants6 Ways to Prepare for Withdrawal from an Antidepressanthttp://www.willhall.net/files/ComingOffPsychDrugsHarmReductGuide2Edonline.pdfMarcus William's answer to How can one reverse brain damage from drugs?

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