Dr. KnifeHappy's CS Experience: Passssssseddd!!!! - USMLE Forums
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Old 06-24-2015
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Stethoscope Dr. KnifeHappy's CS Experience: Passssssseddd!!!!

Hello fellow MD aspirants!!

Took my CS middle of May in Houston [Got my results today, June 24: I PASSSSSED!!!!)
Materials used: First Aid CS & CSEVIDEOS (2 weeks), 1 study partner for 2 weeks.
Total Prep Time: 4 weeks (intense 3 weeks, 5-8 hours per day).
----------------------------

THINGS I DID RIGHT

-Made sure I maintained eye contact, and shake each patientís hands upon entrance and exiting the room, perfected on introduction.
-I asked for permission to take notes while asking questions.
-All my patients were draped, but I acknowledge that and asked if they were comfortable in the room.
-I didnít use gloves, I instead used hand sanitizers for all my patients upon PE and I thought it was faster.
-I only performed focused physical examination, but I made sure I always did chest & lung examinations on all.
-Counselled all my patient who were smokers, drinkers, or poor diet.
-I was polite, spoke slowly, and smiled at the right time, and apologize when necessary.
-My notes were thorough, filled as much as i can, and used FA techniques for my notes, also used up all the space I had.
-Draped appropriately during physical exams, asked the patient permission before performing any aspect of the PE and thanked them afterwards.
-Provided a patient that was coughing with water and they really appreciated it.

THINGS I DID POORLY ON

-Ran out of time on 3 patients during counseling, because patients had at least 2-3 questions. I thought it would be just 1 question.
-I didnít exit the room properly when I ran out of time because I was nervous, I just shook hands and told the patient I have to go.
-Forgot a very important question on a case I had, but made up for it with my notes.
-I had no clue on what two patientís dx was.
-I was sweating, and flushing really bad I am sure the SP noticed I was nervous for the first case.
-Some patients were not responsive to my empathy, I thought maybe they didnít like me, and that I did or said something wrong, or maybe it is part of the acting.

SUMMARY

-Study with a partner so you can enhance your communication skills and physical exam. It increases your confidence and makes you more fluid with your transitions.
-Exam was divided in 3s...3 cases and a break....long break after the 6th case.
-The cases are similar to FA, so I think FA book is enough + csevideos, but don't go into the exam thinking it is a walk in the park. NO, I had some stars on borderline for ICE, but above borderline in CIS, and then one high performance star on SEP.
-I read all the mini cases, and practiced all the long cases on FA at least twice with my study partner. [Practice with my white coat on, the pneumonic- PAMHUGSFOSS, LIQORAA, and used a timer, I also practiced patient note taking, focusing on my speed]
-You will not have time to do all the physical exam on FA, so be focused on your examination.
-Time goes by really really fast so keep that in mind, and some SPs have more to say.
-I had no pediatric case on my exam. Only one phone case.
-The first case is the most nerve wrecking.
-The exam is totally doable, don't lose hope, don't be scared. But be confident, and be humble....being cocky will get you nowhere.
-PUT YOUR TRUST IN GOD, AND ASK FOR HIS GUIDANCE. I OWE MY SUCCESS TO HIM. God bless you all.
__________________
~When FEAR knocks, let FAITH answer the door.~
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seniortaker (06-24-2015), UsmleSam (06-24-2015)




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