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Old 4 Weeks Ago
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Steps History: 1+CK+CS+3
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>70% of IMG's fail Step 2 CS based on ICE performance
ICE (Physical exam & Patient note typing)
Most ICE fails are on the Patient note part (close to 85% fails on ICE are based on patient note performance and about 25-35% still fail on second attempt on ICE)

How do I overcome this challenge?
Practice the correct patient note typing technique
Practice the correct P-note format
Invest most of your prep time on note typing
You can fake CIS, try to speak slowly & clearly for SEP, but for ICE, you must dedicate time
Practice practice practice is the ultimate key
Learn how USMLE CS grade your patient notes
Learn common abbreviations that saves you time while typing
Get expert coaching that will improve your performance
Get a copy of a standard patient note template when you submit your note ( these notes were hand prepared by MD's and students that scored very high performance on Step CS)

Our main purpose is for you to pass with high performance
All we do is to motivate and guide you and you do the work
You have to pay the price by typing out at least 5-10 PN's/daily close to your exam
You can do a total 360 for CIS component within 24-48 hrs but seems impossible for the ICE. So as a result you must start practicing fast, efficient, effective, high performance patient notes from the beginning of your prep.

Look for an experienced MD or resident MD or a friend that scored really high on ICE to always eval your patient notes and expect an honest feedbacks or
Contact us with any patient note questions, correct abbreviations for free- free consult via

Send us your patient notes via with enrollment
Please note for eval & feedback, you have to enroll to our patient note packages, is super discounted now for your benefit:
As low as US$19.99 ( one-time) and US$199.99 (unlimited access till your test)
Doesn't get better than this..
Good luck!!
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