This is where French medical students split into passionate camps.
The Purists (Handmade):
The Pragmatists (Commercial packs):
The Hybrid (Most common): Buy a commercial pack as a skeleton. Then, as you do practice questions (annales), annotate your commercial cards with personal notes, corrections, and teacher-specific tips.
| Step | Action | |------|--------| | 1 | Pick a disease (e.g., acute appendicitis, meningitis, STEMI) | | 2 | Create a patient (age, risk factors) | | 3 | Describe onset in 1–2 sentences | | 4 | Add key clinical signs in dialogue or action | | 5 | List differentials through the doctor’s reasoning | | 6 | Include 1 paraclinical step (lab or imaging) | | 7 | End with treatment + one red flag to remember | fiches ecn
Since "Fiches ECN" refers to the Édition du CNAM (National Conservatory of Arts and Crafts) or similar French engineering/management exams, this feature request is likely for a Study Aid / Exam Prep Application.
Here is a complete Product Requirement Document (PRD) and Feature Specification for integrating "Fiches ECN" into a digital platform. This is where French medical students split into
Mr. Martin is lying on his couch, 5 days after knee surgery. He feels fine — too fine. His wife brings him coffee. Suddenly, he sits up, gasps: “I can’t breathe… and my chest burns.” His pulse races. He coughs — a streak of blood.
Claire’s mental checklist (your ECN points hidden in the story): The Pragmatists (Commercial packs):
End of story: Mr. Martin gets treated, oxygen improves his saturation. Claire thinks: “Never skip Wells score.”
Post-2023 reforms added specific features to fiches: