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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 10-07-2014
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Default GOLD, c3NY, or NYCS?

anyone who recently took any of these CS prep course? pls share ur thoughts. im an IMG. i failed CS once in the ICE and CIS components. thank you for your help.
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  #2  
Old 10-07-2014
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i didn't take any but i think if you are going to spend money on them, you need to go with the well established ones i.e kaplan.
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Old 10-07-2014
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tell me about your exam. what do you think you did wrong?

the key to cs = being nice + good PN.
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Old 10-08-2014
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hi! i think i failed to ask a few questions needed in some cases, and do neuro exam in some, failed also to do some basics like asking patient who's coughing if he/she wanted water. in writing PN i wasnt particular in putting my most likely diagnosis, i think i put what came into my mind first. i do think that i deserved to fail because i got really nervous during the exam and got lost. i just tried to finish the exam, i left the patient room earlier most of the time. i wasnt really feeling good at all. that's why now im really having anxieties about the preparation.
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Old 10-08-2014
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Quote:
Originally Posted by flatwhite View Post
hi! i think i failed to ask a few questions needed in some cases, and do neuro exam in some, failed also to do some basics like asking patient who's coughing if he/she wanted water. in writing PN i wasnt particular in putting my most likely diagnosis, i think i put what came into my mind first. i do think that i deserved to fail because i got really nervous during the exam and got lost. i just tried to finish the exam, i left the patient room earlier most of the time. i wasnt really feeling good at all. that's why now im really having anxieties about the preparation.
try again and this time give it your best time.
just be calm, take a xanax the night before if you need it.
confidence is key. they are not really accessing your medical knowledge but rather your skills at talking to patients and making them feel good.

i made a very long post in the thread ' failed cs' see if you can find it.
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Old 10-08-2014
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I passed on my first try, and I was freaked out because I missed a lot of questions, and I probably missed a lot of DDs...here's my opinion, hopefully it helps someone.

It's all on how you interact with the patient. You have to be nice and make small talk in between asking your questions.
When you're in that room, going through a checklist really doesn't work...I found my brain all over the place. But I smiled at every patient, and I never broke tempo.

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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The above post was thanked by:
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  #7  
Old 10-12-2014
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Default HEY :)

I took USMLEGold prep in new york. It was a three day course.
Day one: was about doctor and patient interaction.How to talk to the patient?What questions to ask? what you should notice in the exam room.
Day two:was all about how to do a proper physical exam.
Day three: was a mock exam with 12 pateints exactly the way the eaxam would be at the center.
I am an IMG,and english is ok but i had no idea what to expect in the CS exam.I studied the cases in the firstaid for2 wks, then I went and took this program. It was very helpful in my opinion.It made me become more interactive with the patients as well as learn how to do the right physical exam.I gained a lot of confidence in the mock exam after every patient, they would let us go back in to the room and discuss one on one with the patients to see what we didnt ask or should have done. I found study partners there as well, so we studied together and incorporated everything usmle gold taught us. Both Dr. azerrad and Dr.Ali were amazing! not only did they help me in class, but they would call me on the daily to check up on how i was doing...How studying was going... If we needed any help.They were both amazing and really cared.They even found me a study partner when i had no one to study with.When i walked into my actual test , i was actually confident because i knew exactly what to expectand did everything with ease.( i took another mock before i went in just to mak esure i improved,definately worth the money).I just got my results this week and i did really well i took my exam in august 2014. p.s i had friends who took kaplan its triple the price and not as one on one as usmle gold is or as precise.
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