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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 12-14-2015
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Default Anyone completely surprised they failed Step 2 CS

I just want to get an idea of how many people were completely shocked they failed step 2cs on the december 9th 2015 reporting period.

I have years of clinical experience and prepared for the exam thoroughly. I had no major mistakes on the exam and did not pass the CIS portion.

I am almost certain there is some kind of serious flaw in the scoring of this exam.
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  #2  
Old 12-14-2015
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Just to explain,

1. introduced myself to every patient and shook hands
2. used gloves for every exam
3. asked permission for every exam
4. showed empathy/compassion for pain/chief complaint
5. closed every patient and used simple terms.
6. Asked patient if they had any questions.
7. while I did take notes I made it a point to still make eye contact when talking to the patient.
8. made comments like, "i'm sorry", "it must be difficult", "i understand", "if there is anything you need please let me know"
9. answered all challenging questions fairly well.
10. had no outright bad interactions. One patient had a condition that made her irritable but I still remained calm and understanding.
11. Finished every patient on time, finished every note on time, nothing was incomplete.
12. smiled
13. passed ICE and SEP, failed CIS
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  #3  
Old 12-16-2015
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What center did you take your exam in?
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  #4  
Old 12-17-2015
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Quote:
Originally Posted by greatime View Post
Just to explain,

1. introduced myself to every patient and shook hands
2. used gloves for every exam
3. asked permission for every exam
4. showed empathy/compassion for pain/chief complaint
5. closed every patient and used simple terms.
6. Asked patient if they had any questions.
7. while I did take notes I made it a point to still make eye contact when talking to the patient.
8. made comments like, "i'm sorry", "it must be difficult", "i understand", "if there is anything you need please let me know"
9. answered all challenging questions fairly well.
10. had no outright bad interactions. One patient had a condition that made her irritable but I still remained calm and understanding.
11. Finished every patient on time, finished every note on time, nothing was incomplete.
12. smiled
13. passed ICE and SEP, failed CIS



Thanks much for starting this thread - very useful topic -

Would you mind if I ask following questions -

1) What type introduction you used?

" Hi, Ms. Smith, I'm Dr. Jones, the emergency room physician assigned for your care today, I'll be asking you some questions, examining you, then discussing my findings and impression. Time-to-time I'll be taking notes for myself to make sure I'm gathering the most accurate information about you. I see, you come here with a chest pain, can you please tell me more about it?"

2) Have you asked - triple AAA questions: 1) affecting your life 2) attribution - what do you yourself think - has caused all of these 3) additional concern

3) closure - mutual plan agreement ?
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  #5  
Old 12-17-2015
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Quote:
Originally Posted by greatime View Post
I just want to get an idea of how many people were completely shocked they failed step 2cs on the december 9th 2015 reporting period.

I have years of clinical experience and prepared for the exam thoroughly. I had no major mistakes on the exam and did not pass the CIS portion.

I am almost certain there is some kind of serious flaw in the scoring of this exam.

Did your all patient were already draped?
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  #6  
Old 12-17-2015
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Quote:
Originally Posted by greatime View Post
I just want to get an idea of how many people were completely shocked they failed step 2cs on the december 9th 2015 reporting period.

I have years of clinical experience and prepared for the exam thoroughly. I had no major mistakes on the exam and did not pass the CIS portion.

I am almost certain there is some kind of serious flaw in the scoring of this exam.
Totally agree. Your major mistake is your age, because you mentioned that you already practice many years. This exam is hoax so called "standardized patients" frustrated people who had one chance to make your life miserable, especially if you older, speak with accent, women or minority (tips to recognize IMG).

greatime: stop thinking about your mistakes, contact me privately, I think i may help you for free.
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  #7  
Old 12-17-2015
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Quote:
Originally Posted by jawbreaker13o View Post
What center did you take your exam in?
Los Angeles
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  #8  
Old 12-17-2015
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Quote:
Originally Posted by citadel08 View Post
Thanks much for starting this thread - very useful topic -

Would you mind if I ask following questions -

1) What type introduction you used?

" Hi, Ms. Smith, I'm Dr. Jones, the emergency room physician assigned for your care today, I'll be asking you some questions, examining you, then discussing my findings and impression. Time-to-time I'll be taking notes for myself to make sure I'm gathering the most accurate information about you. I see, you come here with a chest pain, can you please tell me more about it?"

2) Have you asked - triple AAA questions: 1) affecting your life 2) attribution - what do you yourself think - has caused all of these 3) additional concern

3) closure - mutual plan agreement ?

1) Hi, Ms. Smith, my name is John, I'm a medical student, what brings you in today.

2) I did not directly ask how is it affecting your life? It usually came out through further questioning about the problem and history.

3)I did not ask what do you think has caused this?

4) I did not ask if they had additional concerns. I asked if they had any questions about anything.

5) Closure- I closed by saying things along the line of, "In regards to your symptoms and after taking your history and performing a physical exam it is possible you may have this and that and these are the tests/exams/imaging we need to do to get a more definitive diagnosis. Do you have any questions I may be able to answer for you. Thank you for coming in today and I look forward to seeing you again in follow up after we receive the results of your tests."
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  #9  
Old 12-17-2015
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Quote:
Originally Posted by citadel08 View Post
Did your all patient were already draped?
Can't answer that one
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  #10  
Old 12-17-2015
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Default question and concern are rated separably

I think that to ask 3 AAA are good suggestions.

For sure questions and concern are rated separately.

Counselling is also important: cancel for everything you will find along interview or in physical finding on the door for example: increased BP.

1. diabetes, obesity, BP, diet, exercise, low sodium diet, glucose control, taking meds regularly- if have history or on the door info.
2. drugs, alcohol, tobacco, sexual practice
3. Women: vit D and calcium, HRT, mammography, lat PAP smear
4. Last colonoscopy age after 50, especially patients with GI
5. Counsel in every case more specific Counselling related to case (home safety, car accident).
6. vaccination in peds and adults with pulmo (influenza, pneumo)

This is just list anyone welcome to add.
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  #11  
Old 12-17-2015
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Hi, I completely understand, as this happened to me last year. I was 100 sure I passed, as I did everything and even I took gold ismle workshop , only mistake was test centre, so I did recheck , but no gain. So I took exam again in Houston n passed , but I didn't change anything in my prep, as what I used before I did again and passes with above performance. At Los Angeles six others gave me lower performance in cis and 5 at borderline. It was huge loss for me, as it effected my whole application. Hope we can do anything about it. I'm sorry , I really understand as I be been thru it
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  #12  
Old 12-17-2015
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Quote:
Originally Posted by Buzzi View Post
Hi, I completely understand, as this happened to me last year. I was 100 sure I passed, as I did everything and even I took gold ismle workshop , only mistake was test centre, so I did recheck , but no gain. So I took exam again in Houston n passed , but I didn't change anything in my prep, as what I used before I did again and passes with above performance. At Los Angeles six others gave me lower performance in cis and 5 at borderline. It was huge loss for me, as it effected my whole application. Hope we can do anything about it. I'm sorry , I really understand as I be been thru it
Yea, this sounds like the kind of issue that I'm looking for. If there are more people like this we all need to get together to make some change. I spoke to an attorney who said if we can get around 50 students with this kind of issue they can probably make some changes to things like:

How is it graded?
Are videos used?
More transparency?
Is there a double standard of grading for AMG vs. IMG?
Recall of the SP and subjectiveness?

It is a high stakes test. Our entire career/life hinges on it. So if there is some faulty scoring process I would love to expose it.
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  #13  
Old 12-17-2015
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Quote:
Originally Posted by greatime View Post
Yea, this sounds like the kind of issue that I'm looking for. If there are more people like this we all need to get together to make some change. I spoke to an attorney who said if we can get around 50 students with this kind of issue they can probably make some changes to things like:

How is it graded?
Are videos used?
More transparency?
Is there a double standard of grading for AMG vs. IMG?
Recall of the SP and subjectiveness?

It is a high stakes test. Our entire career/life hinges on it. So if there is some faulty scoring process I would love to expose it.
Great Idea. I,m nationally recognize physician with few newspapers writing about me in my country with outstanding records. I never in my life failed anything in test or with patients. I still do not understand what standards they use for IMG, but one thing I know something is totally wrong with this exam. I can join this effort.
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  #14  
Old 12-17-2015
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Yes, that true. Well I passed second time. Still if there is a chance to get this failure removed from my application, I will be with you. So if anything to solve the issue , I'm with you. Hope we can find the way
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  #15  
Old 12-17-2015
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Quote:
Originally Posted by aloalo2001 View Post
Great Idea. I,m nationally recognize physician with few newspapers writing about me in my country with outstanding records. I never in my life failed anything in test or with patients. I still do not understand what standards they use for IMG, but one thing I know something is totally wrong with this exam. For AMG does not make sense to take this exame and for us they should find out more standardized way for assessment.
OK, well good. Keep in touch. We have 3 people so far. So if anyone else wants to join in I will contact the attorney once we get 50 people. The attorney is also under the impression that there is something suspect going on.

The attorney said the group can include students with this situation who have failed since the exam began.

So please step forward if you feel this way. It is likely that if we get enough people the attorney will just take it on contingency and roll with it. So hopefully no financial obligation.
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  #16  
Old 12-17-2015
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Quote:
Originally Posted by Buzzi View Post
Yes, that true. Well I passed second time. Still if there is a chance to get this failure removed from my application, I will be with you. So if anything to solve the issue , I'm with you. Hope we can find the way
Ok, that's 4.

I think there is a way, just need the back up from a large number of individuals.

The problem is usually people just move on, pass the test and are understandably busy with everything else we have to deal with.

I will probably retake the exam soon but I don't mind getting everyone together to try and change this garbage for the sake of hopefully changing the record on our own exams and for the sake of others who will continue to be devastated by this exam.
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  #17  
Old 12-17-2015
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Onset advice, first probably will be the best for you to pass this exam.
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  #18  
Old 07-07-2016
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Quote:
Originally Posted by aloalo2001 View Post
Totally agree. Your major mistake is your age, because you mentioned that you already practice many years. This exam is hoax so called "standardized patients" frustrated people who had one chance to make your life miserable, especially if you older, speak with accent, women or minority (tips to recognize IMG).

greatime: stop thinking about your mistakes, contact me privately, I think i may help you for free.

Can you please help me!
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  #19  
Old 07-07-2016
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i wish usmle would tell us how this exam is graded alogn with all the other steps
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