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  #1  
Old 07-04-2015
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Default Step2 cs experience ( freaking out)

I took my cs 2 days ago, and am freaking out now, I started to remember my mistakes in the exam and am worried if am gonna pass or not. I missed one closure because time at one case I thanked the sp but I forgot to tell him that I have an emergency and that I will be back because it was my first case and I was nervous. The second case went fine but I had one diagnosis I was sure about and I explained it to the sp and I counciled him and went out and wrote 2 diagnosis in the pt notes. Third was ok and I got out before 2 mintues and wrote 3 full diagnosis. 4th was bad attitude sp. He was half wearing gown cuz he had shoulder problem I gave him good diagnosis but when I finished physical exam I put the gown as it was and not fully covered. 5th and 6th 7th were ok and I got out akso 2 mibtues earlier counciled and showed some empathy. 8th was ok too the problem is that I cant tell if the sp is satisfied with my performance or not in most cases. Even 9th 10th 11th and 2th were ok but I am still worried. I forgot some few parts in the physical in some cases. The things that I am sure about

1- I knocked entered saying hello calling the names of the sp and shaking hands smiled introduced my self and took permission to ask questions and take notes
2- I asked how would like to be addressed in half of the cases and forgot to do so in other half am not sure
3- I said how can I help u. What brought u to the hospital to all of sp
4- I asked am sorry for your situation in most of cases
5- I made transition to pmh. Fh. Woman health . Sh in all cases
6- asked woman health in all cases
7- washed my hands before exam in all cases. thanked most of sp for letting me examining them
8- closed all of my cases except first one
9- answered all challening questions in all cased
10- asked do you have any question for me
11- shaked hands at the end and thanked them

The problem is you cant tell if they are happy with me or not and with my mistakes I am really worried now
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  #2  
Old 07-04-2015
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Common guys !!!
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  #3  
Old 07-05-2015
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although i havent taken my test yet,i think you did fairly well.no major mistakes.you should hopefully pass.
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  #4  
Old 07-06-2015
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Your mistakes are nothing compared to mine...took it last month and experienced awful flashbacks

1. Must have forgotten to ask some relevant questions/ Asked couple of questions twice or the info has been given by the SP previously

2. Misdiagnosed 4-5 patients (or at least not the most likely diagnosis)/ used general term in 2 cases (i.e. pituitary dysfunction) instead of specific diagnosis

3. Forgot special tests on 2 case and there were things such as rebound tenderness that I've done but didn't put on my pt notes.

4. a SP claimed he had unilateral weakness but I couldn't tell the difference in PE

5. Didn't give any malignant diagnosis tho told SP like we need to conduct imaging study see if there is any abnormality

6. Might fail to catch challenging questions (always so bad at it...2 SPs have gave me the hints of right ddx but I missed!!!

7. For ped case I told the parent a wrong diagnosis although remembered and wrote the correct one on notes. Not sure if I put the physical exam on workup

8. Must have bunch of misspellings

9. Several SPs I either had no idea what to counsel (no smoking/EtOH/drug/healthy life style) or simply forgot

10....maybe even more stupid mistakes ;(

11. Always being polite, say I'm sorry to hear that, ask permission, wash my hands, proper drape method, did very focused exam (only check heart & lung in 2-3 SPs), closed every case - no summary but gave possible diagnosis and workup, told them to wait for the nurse get blood work done & asked if there was any question/concerns, shook hands in the beginning and the end of encounters


P.S. in my case I knew for certain if they were not happy with me....4-5 SPs gave me blank faces or weird looks...very emotional
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  #5  
Old 07-07-2015
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Quote:
Originally Posted by dr.sudan View Post
I took my cs 2 days ago, and am freaking out now, I started to remember my mistakes in the exam and am worried if am gonna pass or not. I missed one closure because time at one case I thanked the sp but I forgot to tell him that I have an emergency and that I will be back because it was my first case and I was nervous. The second case went fine but I had one diagnosis I was sure about and I explained it to the sp and I counciled him and went out and wrote 2 diagnosis in the pt notes. Third was ok and I got out before 2 mintues and wrote 3 full diagnosis. 4th was bad attitude sp. He was half wearing gown cuz he had shoulder problem I gave him good diagnosis but when I finished physical exam I put the gown as it was and not fully covered. 5th and 6th 7th were ok and I got out akso 2 mibtues earlier counciled and showed some empathy. 8th was ok too the problem is that I cant tell if the sp is satisfied with my performance or not in most cases. Even 9th 10th 11th and 2th were ok but I am still worried. I forgot some few parts in the physical in some cases. The things that I am sure about

1- I knocked entered saying hello calling the names of the sp and shaking hands smiled introduced my self and took permission to ask questions and take notes
2- I asked how would like to be addressed in half of the cases and forgot to do so in other half am not sure
3- I said how can I help u. What brought u to the hospital to all of sp
4- I asked am sorry for your situation in most of cases
5- I made transition to pmh. Fh. Woman health . Sh in all cases
6- asked woman health in all cases
7- washed my hands before exam in all cases. thanked most of sp for letting me examining them
8- closed all of my cases except first one
9- answered all challening questions in all cased
10- asked do you have any question for me
11- shaked hands at the end and thanked them

The problem is you cant tell if they are happy with me or not and with my mistakes I am really worried now


I'm pretty sure you passed. I wouldn't worry about it. I did mine and thought I failed with the amount of mistakes I made, but I passed.
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