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USMLE Step 2 CS Forum USMLE Step 2 CS Discussion Forum: Let's talk about anything related to USMLE Step 2 CS exam


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  #1  
Old 09-24-2014
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Default Help studying for Step 2 CS!!!

Hey guys,

I got three weeks studying for my step 2 exam and I am having difficulty studying for it.
I am and IMG but English is my first language.
Can someone give me a guideline on what they did preparing.
My resources are First aid 5th Edition, CSE videos, Uworld Step 2 CS.


Thanks!!
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  #2  
Old 09-26-2014
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Quote:
Originally Posted by gutiman213 View Post
Hey guys,

I got three weeks studying for my step 2 exam and I am having difficulty studying for it.
I am and IMG but English is my first language.
Can someone give me a guideline on what they did preparing.
My resources are First aid 5th Edition, CSE videos, Uworld Step 2 CS.


Thanks!!
add me....saima.hayat1
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  #3  
Old 10-04-2014
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Quote:
Originally Posted by gutiman213 View Post
Hey guys,

I got three weeks studying for my step 2 exam and I am having difficulty studying for it.
I am and IMG but English is my first language.
Can someone give me a guideline on what they did preparing.
My resources are First aid 5th Edition, CSE videos, Uworld Step 2 CS.


Thanks!!
FA and uworld is what I used. I also spent one day at a clinic practicing with a doctor, that helped me a lot.

Just practice, but build on your interaction skills more than your knowledge. how you talk to the patient + your PN note = pass.

I posted a post in another thread let me copy paste that here for you.
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  #4  
Old 10-04-2014
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Here are my suggestions:

Prep: FA cases, do them with a friend. Read the PN again and again, then write it/type it yourself.
Uworld cs prep: it was like $60 and it is great to help writing the PN.

Go to a clinic if you know someone. The rooms for CS are just like the clinics. I practiced with two doctors during the course of one day and it helped seeing actual patients.

Tips and tricks:
These are not cases I had, iI am providing examples for learning purposes only.

Smile. At all times. Make jokes. If your patient says ' I am a student' during your exam, you can ask ' so what are you studying?'. If she says I am pre med. You can say oh good luck with that, let me know if you need any help, if you want to shadow to get an idea of medicine, Id be happy to let you do that with me.
PRETEND YOU ARE A DOCTOR. IN THAT ROOM, YOU ARE THE DOCTOR. BELIEVE IT.

For encounters with pediatrics, phone ones or real ones, show concern. And reassure. Say things like, I am so sorry you must be so worried, is this your first child...well you know, it's probably not serious but just to make sure nothing is going on, I would like to examine ...
If anyone brings up any concern, i.e. grandfather of child on the phone says I can't come in with the baby cuz that's why I have her, her mom had a car accident so I have no car, she's at the hospital.
You say: oh I am so sorry to hear that, is she alright?

If you make mistakes, laugh them off. If you call the patient the wrong name, and they correct you, say Oh I am so sorry about that, it's been such a long day. Or say something like I was on call I am so sorry for that.
Don't freak out going **** I called the patient the wrong name I am going to fail. Nooooo you are not.
Like I said, you are the doctor. Doctors make these kinds of mistakes all the time.

If your patient is hard of hearing, stand in front of her, be loud, ask her if she can hear you ok.

If you patient has a headache, ask her are you comfortable? would you like me to dim the lights?

If you are asking about family hx and the patient says ' both my parents are deceased' make a sad face, show concern, and say I am so sorry, when did they die? and then ask about cause of death.

Lightly touching patients on the shoulder to show concern is OK! If your patient says I tried to quit smoking so many times but I couldn't. Say " hey I am very happy that you tried, most people don't even get that far, we're going to help you with that ok? We have great people here who will walk you every step of the way."

Any time you have to say social worker for abuse or addiction or anything, say "I am going to talk to the social worker here and get someone to help you, our department is great, I am sure it'd work out well for you".

If your patient is rude ( that's a real possibility btw), if she says I have been waiting so long, apologize. Say " I am so sorry we have so many patients today but all my focus is on you right now."

If your patient demands pain meds, say ' I know it must be so difficult to deal with the pain, but I really want to get to the bottom of this so I am going to do some tests and then the nurse will come in with a pain reliever, ok? '

At the end of every encounter, shake hands. Eye contact. Ask ' do you have any questions? ... are you sure? did i answer all of your questions? do you understand what's going on? is there anything else i can do for you ?' etc etc.

If your patient appears sullen though not presenting with psych/depressive symptoms, ask anyway. If the patient is giving you yes no answers and not looking at you and responds to everythin with ' whatever you say'. Ask ' hey you seem quite sad, is everything alright? what's going on? '

I think most students end up focusing too much on the history and PE and forget to be nice to the patient.

Mnemonics are good. Use them. I'll try to find mine and put them in one of the cs prep threads.

But most people who fail do it on the ICE and I think it's because most IMGs don't know how the casual patient interaction here is and are too mechanical with the patients , too focused on hx and PE.

I'll be happy to answer any cs questions on PVT msgs or in this thread. I hope I helped someone.

practice, practice, practice. good luck.
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  #5  
Old 10-06-2014
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Here is my suggestion to all of you, how you can prepare for your step 2 CS exam at http://en.wikipedia.org/wiki/USMLE_S...linical_Skills. Here you can get tips about improvement in your clinical skills..
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