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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 03-30-2016
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Default Step 1 253 Step 2 CK 262 Step 2 CS fail

Hello,

I'm an IMG and I have failed step 2 CS once, passed on 2nd attempt. I was really close to passing on first attempt, but that doesn't matter now, should have prepared better. I have good scores on step 1 (253) and step 2 CK (262).
I am doing 1 month of paid externship at 2 hospitals in NYC, where I will probably get 2 LoRs. I am planning on getting a 3rd LoR from a professor I worked with in my Medical School, who is fairly known worldwide and has publications on international medicine journals.
I am also planning on taking Step 3 before application period to make up (at least a little) for the failed attempt on Step 2 CS.
I have only a couple of abstracts and one Case Report published during Med School. I have graduated 4 years ago.

I know there is no definitive answer, but what are my chances of still matching for internal medicine after failing step 2 CS?

Also, there is not much time, and money is really short right now, but I am thinking about doing another month of paid externship in August so I can get another LoR from a US physician and a little more USCE. Would it be worth the money (around 10,000 USD considering externship costs, accommodation, daily costs, plane tickets and one month salary given the fact that I would have to get a month license from the hospital I work at) and all the time spent on it, since I am still planning to study for step 3 in the meantime?
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  #2  
Old 03-30-2016
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Originally Posted by medbr View Post
Hello,

I'm an IMG and I have failed step 2 CS once, passed on 2nd attempt. I was really close to passing on first attempt, but that doesn't matter now, should have prepared better. I have good scores on step 1 (253) and step 2 CK (262).
I am doing 1 month of paid externship at 2 hospitals in NYC, where I will probably get 2 LoRs. I am planning on getting a 3rd LoR from a professor I worked with in my Medical School, who is fairly known worldwide and has publications on international medicine journals.
I am also planning on taking Step 3 before application period to make up (at least a little) for the failed attempt on Step 2 CS.
I have only a couple of abstracts and one Case Report published during Med School. I have graduated 4 years ago.

I know there is no definitive answer, but what are my chances of still matching for internal medicine after failing step 2 CS?

Also, there is not much time, and money is really short right now, but I am thinking about doing another month of paid externship in August so I can get another LoR from a US physician and a little more USCE. Would it be worth the money (around 10,000 USD considering externship costs, accommodation, daily costs, plane tickets and one month salary given the fact that I would have to get a month license from the hospital I work at) and all the time spent on it, since I am still planning to study for step 3 in the meantime?
Like you said, a lot of factors come into play. Given your excellent scores and good overall cv, I would say you have a decent chance of trying your luck if you are done with step 3 as well. With your great scores, some PDs could be willing to consider the attempt on cs as an anomaly. If I were in your position in a financially tight situation, I would spend less on externships or usce and apply broadly to a large number of programs (at least 200) to increase my chances (it would be ideal if you could do both, but that's not always possible).
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  #3  
Old 03-31-2016
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Originally Posted by dsrp View Post
Like you said, a lot of factors come into play. Given your excellent scores and good overall cv, I would say you have a decent chance of trying your luck if you are done with step 3 as well. With your great scores, some PDs could be willing to consider the attempt on cs as an anomaly. If I were in your position in a financially tight situation, I would spend less on externships or usce and apply broadly to a large number of programs (at least 200) to increase my chances (it would be ideal if you could do both, but that's not always possible).
Thanks!

I will try to do both.
I was already considering applying to as many programs as I can afford.
Do you think it is worth applying to a second specialty, like Family Medicine?

Also can anyone tell if it is true that some specialties that don't involve a lot of patient interaction like Radiology or Anesthesiology would be more willing to overlook a Step 2 CS attempt?
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  #4  
Old 03-31-2016
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Originally Posted by medbr View Post
Thanks!

I will try to do both.
I was already considering applying to as many programs as I can afford.
Do you think it is worth applying to a second specialty, like Family Medicine?

Also can anyone tell if it is true that some specialties that don't involve a lot of patient interaction like Radiology or Anesthesiology would be more willing to overlook a Step 2 CS attempt?
Its tricky when you are considering back up speciality. The residency would probably shape your career and future goals, so you do not want to be stuck doing something you are not really motivated about. But that is entirely up to you. I guess there is no harm in applying to back up specialities if you can and depending on the interview season and your future goals you would have to make a decision.
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