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  #1  
Old 08-17-2011
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Arrow My second CS attemp

Hi
I took my second Cs attemp in Mid july and have done this:

-Did not do closing or councelling in 4 or at least 3 cases(running out of time)the proctor came and drag me out of the room in all these cases.
-many cases i did not do councelling in about 6-8 cases.
-did not reach to diagnosis in 1 case and i was not sure about my diagnosis in another one.
- My feet hit the examination table with a loud sound and i did not even say sorry.
-Did not ask Menstrual history in one or two female cases.
-2 or 3 cases i took pauses when i was asking the patient.I stopped and thought while I was looking to the patient.
-Give one wrong diagnosis to a mother of child.
- I did not complete PNs in all cases ...about half of them I missed past Histroy,Social history ,allergy surgical history ,Surgical hx,Sex hx.
-I missed many positive data in HPI.
-write wrong first diagnosis in 1 or 2 cases PN.
-I torn two gloves in 2 cases and tell the the patient i changed my mind and washed my hands.
-Did not do auscultation of heart and chest in 4 cases .
-Write wrong chest auscultation data in one case.

May be i have done more ...But i am sure that i did this.
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  #2  
Old 08-17-2011
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Thumbs Up I passed with High performance ( I graduated 13 years ago)

I was afraid to open my results ......but my 7 years old son told me please dad open it ....I opened and read the beautiful red notice (Your certificate will be sent) i opened my score report and let my son read WOOOOOOOW

I PASSSED...THANKS to ALLAH (MY GOD) Most generous and most mercifull
Our prayers me and my wife are succeeded ...
Also ,Our very hard practice .

This my 2nd attemp ..and i will post my experience and my results to give help in the forum that helped me a lot....Also ,to knock out many wrong common myths about the exam and from my results you will know that .
The first one say that physical exam is not important and most of the SP do not have physical findings..........Wrong

physical exam is very important and you will find many physical findings.

I will give more details later.

Many thanks to all people in this forum who helped and support me.
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dr.lily (12-01-2011), Parag (11-17-2011), tootsie (11-12-2011)
  #3  
Old 08-20-2011
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Default hey help

i failed cs exam on 1st attempt. i will take cs exam again. can you please guide me how to prepare for second time man? when u gave 2 nd attempt and where?help me my friend........give me some guidance!!!!!!!11
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  #4  
Old 08-20-2011
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Question It's my pleasure to help you

Hi my friend

could you please answer these questions and I will help you by some recommendatios as many helped me:

-Are you fresh or old graduate? If old what's your speciality?
- Did you take any other steps?
-At which components did you fail?It's better to upload your score performance?
-What did you use for your preparation last time??and for how long did you prepare??
-At which center did you take your exam?
- did you type or write your PN ??if typing what about your speed?



My best regards
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  #5  
Old 08-21-2011
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Info

hi good to hear that you cleared your CS i got my result in august n i didnt make it can u please tell me wta u did diff second time i failed in my CIS part and as long as i remeber i didnt do any major blunders yeah may b in few councelling thngs but not big things still i didnt make it i was realy sacred tat i might not make it in patients notes but i ce done pretty good in tat need help thank you
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  #6  
Old 08-21-2011
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Default hey

Hi my friend


1.i am fresh graduate(2010).
2.i completed step 1 and 2 ck.
step 1 -96%tile /224 on first attempt
step 2 ck -94%tile /219 on first attempt
3.in all 3 components i failed.
ICE - FAILED
CIS - FAILED
SEP-FAILED
4.I used only first aid for my preparation last time and for 1 month 1hour / day.
5.At atlanta center i took my exam.
6.i wrote my PN .
7.i did not practice with live partner or online partner.
8.my native language is not english.
9. my typing speed is not too much fast.
help friend ............................
need ur suggestion.......................
help help anyone
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  #7  
Old 08-21-2011
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Default

Quote:
Originally Posted by hardik221186 View Post
Hi my friend


1.i am fresh graduate(2010).
2.i completed step 1 and 2 ck.
step 1 -96%tile /224 on first attempt
step 2 ck -94%tile /219 on first attempt
3.in all 3 components i failed.
ICE - FAILED
CIS - FAILED
SEP-FAILED
4.I used only first aid for my preparation last time and for 1 month 1hour / day.
5.At atlanta center i took my exam.
6.i wrote my PN .
7.i did not practice with live partner or online partner.
8.my native language is not english.
9. my typing speed is not too much fast.
help friend ............................
need ur suggestion.......................
help help anyone

Do not worry you should relax and take a deep breath to start a new fight .....

after i read your answers it's very clear why did you fail.....It's very obvious ..

1 hour per month is not enough .......at all
No practice ........100% gruantee to fail.
first of all we must agree that you need a time to correct all these + training to be fast in typing....
the first thing to start with an online typing course ( typing Master or Mavis beacon) and train your self with it to be fast
How will you know that you became fast???
study one PN very well and try to memorize it and write it on the usmle website in 10 minutes.
In the same time try to improve your language ( i can not estimate your level because you did not upload you score profile)

Please try to upload your profile so we can complete our plan.

you should understand that you will need sometime with a good plan

Can you please upload your performance data???
you can copy the screen or copy and past in word file
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  #8  
Old 08-22-2011
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Default Need a help

I attach my 1st attempt report at may 2011 i need a help from anyone who can figure out what are my points of weakness and how i can fix it as i really confused that my worst points are not the cause of my failure.

i also need to know where exactly is my weakness and what to do to fix it.

what annoyed me and was very wired that in the CIS section if u look to the chart u will find that the greatest number of negative stars i had in any part of it was 4 negative stars and when they sum all the CIS section i got 5 negative stars !!!!!!!!!!!!!
if i got only 4 negative stars i would passed the CIS and passed the exam !!!!!!!!!!

I appreciate any explanation and advice about what i have to do ......
Attached Files
File Type: docx CS report.docx (408.5 KB)
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  #9  
Old 08-22-2011
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Default

Quote:
Originally Posted by Fo'sh View Post
I attach my 1st attempt report at may 2011 i need a help from anyone who can figure out what are my points of weakness and how i can fix it as i really confused that my worst points are not the cause of my failure.

i also need to know where exactly is my weakness and what to do to fix it.

what annoyed me and was very wired that in the CIS section if u look to the chart u will find that the greatest number of negative stars i had in any part of it was 4 negative stars and when they sum all the CIS section i got 5 negative stars !!!!!!!!!!!!!
if i got only 4 negative stars i would passed the CIS and passed the exam !!!!!!!!!!

I appreciate any explanation and advice about what i have to do ......
JUST MISSED PASS...Unfortunate...Read below info then you can get some idea..

"Borderline performance" is an approximate representation of where the scores of high failers and low passers would fall in the profile.
The width of the bands is based upon the idea of measurement precision, and is intended to reflect the approximate variation in scores, both higher and lower, that would be expected to occur if an examinee were tested repeatedly using comparable sets of clinical skills cases.
If a subcomponent is failed, but the band of X's extends into or beyond the "borderline performance" area, this does not reflect a mistake in scoring but does indicate that it represents a relatively high failing performance.



You can also refer usmle cs faq questions in usmle website at http://www.usmle.org/General_Informa...s-Step2CS.html


GL next time...really sorry to see your score card and you are just unlucky there...
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Fo'sh (11-11-2011)
  #10  
Old 11-11-2011
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Default

Congrat for passing with high performance

I have question please ,

did you could not do closure in 3-4 patient at all ?

I know that closure is very important , but for example if some one missed 3 closure at all , how will this affect him .
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  #11  
Old 11-11-2011
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Default

Quote:
Originally Posted by kemoo View Post
Congrat for passing with high performance

I have question please ,

did you could not do closure in 3-4 patient at all ?

I know that closure is very important , but for example if some one missed 3 closure at all , how will this affect him .

I passed despite I did not do closure in 3 or 4 cases ....You can pass but you have to be perfect in all other items in SPs check list ......summary ,paraphrasing,empathy, one question in one time .,no medical terms...etc...and also ,because 2 cases are omitted ....

No closure in more than 2 cases (3 at maximum) is very risky....
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  #12  
Old 11-11-2011
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Default

Quote:
Originally Posted by Fo'sh View Post
I attach my 1st attempt report at may 2011 i need a help from anyone who can figure out what are my points of weakness and how i can fix it as i really confused that my worst points are not the cause of my failure.

i also need to know where exactly is my weakness and what to do to fix it.

what annoyed me and was very wired that in the CIS section if u look to the chart u will find that the greatest number of negative stars i had in any part of it was 4 negative stars and when they sum all the CIS section i got 5 negative stars !!!!!!!!!!!!!
if i got only 4 negative stars i would passed the CIS and passed the exam !!!!!!!!!!

I appreciate any explanation and advice about what i have to do ......

Ohhh ,I am so sorry Just I have read you performance profile now...


Actually It looks clear that you missed the medical side of the exam

You have to read and memorize minicases in FA

then do all cases with time and focus on clinical examinations( at least twice).

repeat and memorize all questions in every case and every system every time through the day and even before sleeping.

Do perfect clinical exam (You would say :NO time and I'll answer PERFECT AND VERY FOCUSED) as you do in real practice to search for physical findings and reach to the diagnosis...

Do not fake clinical exams ...


you can read my posts about CS exam.

Finally , To pass ICE you must know this is a medical clinical exam not an acting exam to test only your communication skills



Best luck and do not worry I was in the same condition and even worse and by understanding and practicing the previous rules I passed with a star toward Data gathering and very high performance in ICE...


My best wishes
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