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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 01-07-2015
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Default Step 2 CS report

I failed my Step 2 CS exam recently. I failed on ICE subcomponent, CIS and SEP were fine.
Because of poor Step 2 CS report, I mean, you can find in your report only ICE SEP and CIS scores, I don't know what I did wrong in ICE subcomponent.
I know if I send an application for rescoring 99.99% is that things will not change. But will I receive a detailed report of my ICE performance if I apply for rescoring in order to know where are my mistakes?
Or there is an other way to receive a detailed report to find out what's good and what's wrong.

Thank you!

George.
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  #2  
Old 01-07-2015
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Hi Gigea,

Sorry to hear about your experience.. As for your question, no, I don't think they ever provide detailed assessment. The ICE component comprises of two subs: 1) your history taking, PE and 2) PN.

As per bulletin on 2014, SP no longer grade examinee with history checklist, that means the major bulk will be your PN + relevant PE.

Common mistake in prep is that people practice on patient encounter but not as much for the PN. Practice writing PN whether you are the SP or examinee. Do so on the usmle.org template as there's character limitations.

From some PMs that I got, I noticed the common pitfalls on the PN are:

1. Unorganized.

2. Not including pertinent negatives --> most often forgotten. It's as important as your pertinent positives, as that is how the scorer know how you effectively exclude your DDx.

3. Not supporting the DDx very well --> this is also mentioned in the cs bulletin. It's better to list less DDx but well supported than more ddx with weak justifications.

4. Not finishing the PN. Start with DDx --> Labs --> Hx and PE.

See if you can relate to some of that common pitfalls and make corrections in your future practice. All the best!
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Old 01-12-2015
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To clarify my 2nd point, what I meant by not writing the pertinent negative was in the HPI section. When I took my exam on Feb last year a lot of people wrote the negatives on HPI and left out those findings on the supporting dx section. From what I saw they still passed as long as it was mentioned in the HPI.

Personally, I included the pertinent negatives in my supporting dx section too.
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  #4  
Old 01-13-2015
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Quote:
Originally Posted by IMlover View Post
Hi Gigea,

Sorry to hear about your experience.. As for your question, no, I don't think they ever provide detailed assessment. The ICE component comprises of two subs: 1) your history taking, PE and 2) PN.

As per bulletin on 2014, SP no longer grade examinee with history checklist, that means the major bulk will be your PN + relevant PE.

Common mistake in prep is that people practice on patient encounter but not as much for the PN. Practice writing PN whether you are the SP or examinee. Do so on the usmle.org template as there's character limitations.

From some PMs that I got, I noticed the common pitfalls on the PN are:

1. Unorganized.

2. Not including pertinent negatives --> most often forgotten. It's as important as your pertinent positives, as that is how the scorer know how you effectively exclude your DDx.

3. Not supporting the DDx very well --> this is also mentioned in the cs bulletin. It's better to list less DDx but well supported than more ddx with weak justifications.

4. Not finishing the PN. Start with DDx --> Labs --> Hx and PE.

See if you can relate to some of that common pitfalls and make corrections in your future practice. All the best!
I recently took my exam and my PE's were never 100%. I forgot stuff like Percussion at times, JVD, MMSE, Gait, and some of my Ddx never even had any Physical findings to support them. Does that mean a guaranteed fail?
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