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Old 06-11-2013
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Listening Can I pass ?

Hi everyone

I took my CS exam several days ago in Atlanta. I am IMG.

I did not completely finish 4 or 5 cases . 2 of them, I have already finished my closure and asked" do you have any other questions?", then sp asked a question, when I answered that question, time was over. 2 or 3 of them, I have already gaven my DDx and work up, but I have not yet checked"patient understanding", "agreement" or said "do you have any other questions?", maybe 2-3 words left, time was over.

otherwise I feel ok, cases were not difficult, my spoken english is good, I did not meet difficult sp, most of them gave me a smile when I left, whatever I finish it or not.

can I still pass it ? I feel scared. Can anyone give me some comments. Thanks a lot.
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Old 06-11-2013
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Originally Posted by huddinge View Post
Hi everyone

I took my CS exam several days ago in Atlanta. I am IMG.

I did not completely finish 4 or 5 cases . 2 of them, I have already finished my closure and asked" do you have any other questions?", then sp asked a question, when I answered that question, time was over. 2 or 3 of them, I have already gaven my DDx and work up, but I have not yet checked"patient understanding", "agreement" or said "do you have any other questions?", maybe 2-3 words left, time was over.

otherwise I feel ok, cases were not difficult, my spoken english is good, I did not meet difficult sp, most of them gave me a smile when I left, whatever I finish it or not.

can I still pass it ? I feel scared. Can anyone give me some comments. Thanks a lot.

these are nothing,

you will remember more soon
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Old 06-11-2013
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Thanks for reply. Can you explain what you mean "these are nothing". I did not finish 4-5 cases completely. this is my most worrisome thing.

other parts, such as spoken english, physical exam, I feel ok.

Thanks again



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these are nothing,

you will remember more soon
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  #4  
Old 06-11-2013
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Thanks for your post! I also took it on Atlanta May 17th. And had the same kind of problem, couldn't finish the closing/counseling in 3-4 cases. The main point for me is that I was being overdetailled on the explanation of the plan and so I was running short on the counseling part. Also, got interrupted after counseling during a challenging question. So, if you pass I'll pass!! Than, let's pray man.. I took Ximedus and the guys there were very very demanding and perfectionists so maybe that's why I'm so scared, because according to their standards I'd be on a borderline performance in that case..
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Old 06-11-2013
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Originally Posted by huddinge View Post
Hi everyone

I took my CS exam several days ago in Atlanta. I am IMG.

I did not completely finish 4 or 5 cases . 2 of them, I have already finished my closure and asked" do you have any other questions?", then sp asked a question, when I answered that question, time was over. 2 or 3 of them, I have already gaven my DDx and work up, but I have not yet checked"patient understanding", "agreement" or said "do you have any other questions?", maybe 2-3 words left, time was over.

otherwise I feel ok, cases were not difficult, my spoken english is good, I did not meet difficult sp, most of them gave me a smile when I left, whatever I finish it or not.

can I still pass it ? I feel scared. Can anyone give me some comments. Thanks a lot.
Are you expecting the results tomorrow? I mean, did you wrote the exam before may 18th?
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Old 06-11-2013
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If you're not expecting the results tomorrow, I'll update you about my situation, and If I pass, you can be relieved!!! We're on the same boat, my friend!! Glad to see I'm not the only one from atlanta freaking out!!
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Old 06-11-2013
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Originally Posted by cearamor View Post
Are you expecting the results tomorrow? I mean, did you wrote the exam before may 18th?
My score will be available in august. Thanks
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Originally Posted by cearamor View Post
If you're not expecting the results tomorrow, I'll update you about my situation, and If I pass, you can be relieved!!! We're on the same boat, my friend!! Glad to see I'm not the only one from atlanta freaking out!!
Thanks please update me tomorrow. Good luck
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Originally Posted by cearamor View Post
Thanks for your post! I also took it on Atlanta May 17th. And had the same kind of problem, couldn't finish the closing/counseling in 3-4 cases. The main point for me is that I was being overdetailled on the explanation of the plan and so I was running short on the counseling part. Also, got interrupted after counseling during a challenging question. So, if you pass I'll pass!! Than, let's pray man.. I took Ximedus and the guys there were very very demanding and perfectionists so maybe that's why I'm so scared, because according to their standards I'd be on a borderline performance in that case..
what do you mean overdetailed, can you give an example please
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Old 06-11-2013
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what do you mean overdetailed, can you give an example please
Explaining what every exam mean, even if the patient didn't ask, like "we're ordering a CT scan, a computadorized xray of your... and some blood tests like a CBC, to see if you're anemic, a TSH, to assess your thyroid level" and the list goes on.. This is a thing that I have, to always explain stuff, the problem is that it takes time, and by the time I was saying "Also, Mr X, I am concerned about your drinking. Since drinking more than 2 drinks a day is associated.. Beeppp [Examinees, your examination is now over]"..

That's the kind of problem I got in the closing of 3 pts..
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Explaining what every exam mean, even if the patient didn't ask, like "we're ordering a CT scan, a computadorized xray of your... and some blood tests like a CBC, to see if you're anemic, a TSH, to assess your thyroid level" and the list goes on.. This is a thing that I have, to always explain stuff, the problem is that it takes time, and by the time I was saying "Also, Mr X, I am concerned about your drinking. Since drinking more than 2 drinks a day is associated.. Beeppp [Examinees, your examination is now over]"..

That's the kind of problem I got in the closing of 3 pts..


good old Dr Mary , you should just not said the 2 drinks,

also Iam pretty sure
oldfpcartts works out
Iam pretty sure , like confident you passed
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Old 06-11-2013
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Also, lost a lot of time during the PE doing stuff not necessarily relevant for the case, like doing full abdomnal in a Neuro case.. I don't know why I did that, I was in autopilot during the some of the PE and when I noticed I was rushing in time doing unnecessary stuff.. In my note, I forget to put a lot of details in the HPI or PE, because I was so nervous that my calligraphy was awful and I could barely understand what I wrote and that ate some precious seconds, making me leaving some information of the HPI and PE missing, but the basic stuff was there..
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Also, lost a lot of time during the PE doing stuff not necessarily relevant for the case, like doing full abdomnal in a Neuro case.. I don't know why I did that, I was in autopilot during the some of the PE and when I noticed I was rushing in time doing unnecessary stuff.. In my note, I forget to put a lot of details in the HPI or PE, because I was so nervous that my calligraphy was awful and I could barely understand what I wrote and that ate some precious seconds, making me leaving some information of the HPI and PE missing, but the basic stuff was there..

that's why FA always says the cs exam not mean do everything perfect but try deal well with sp and do everything important (hx,pe,pn) without detail and perfection.
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Old 06-14-2013
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Psst.. I didn't finish 6/12 cases, and also forgot A LOT of stuff.. I got cut off during the counselling or challenging question because i talked too much.. Also acted like an autopilot during PE. But I passed CS with higher performance rating in all criteria. I'm sure you did your best, and that's all that matters now. No one can do a perfect run. Best thing you can do now is to pray, forget CS (I know it will be hard), and enjoy your life, or focus on more important things like perhaps another exam. I'm sure you'll do great.
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Old 06-14-2013
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Psst.. I didn't finish 6/12 cases, and also forgot A LOT of stuff.. I got cut off during the counselling or challenging question because i talked too much.. Also acted like an autopilot during PE. But I passed CS with higher performance rating in all criteria. I'm sure you did your best, and that's all that matters now. No one can do a perfect run. Best thing you can do now is to pray, forget CS (I know it will be hard), and enjoy your life, or focus on more important things like perhaps another exam. I'm sure you'll do great.
Many Thanks for these encouraging words.
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Old 06-15-2013
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I think you'll be fine. I wasn't able to address all the SP questions in 2-4 cases too. But I passed comfortably. As long you answered at least 1 question you'll get credit for that part. Even if you didn't answer any questions you'll still get credit for the other parts that are graded in CIS. Remember your final grade is an average of the all the encounters.
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  #17  
Old 06-15-2013
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Thanks.

Good luck to your other exams/match.



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Originally Posted by stormshadow View Post
I think you'll be fine. I wasn't able to address all the SP questions in 2-4 cases too. But I passed comfortably. As long you answered at least 1 question you'll get credit for that part. Even if you didn't answer any questions you'll still get credit for the other parts that are graded in CIS. Remember your final grade is an average of the all the encounters.
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Old 06-16-2013
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Originally Posted by huddinge View Post
.
I did not completely finish 4 or 5 cases . 2 of them, I have already finished my closure and asked" do you have any other questions?", then sp asked a question, when I answered that question, time was over. 2 or 3 of them, I have already gaven my DDx and work up, but I have not yet checked"patient understanding", "agreement" or said "do you have any other questions?", maybe 2-3 words left, time was over.
From what you told us, I think you will be fine. Of course we can't judge other things you did (note, communication skills) but I don't think that it matters that you did not finish all your cases. Sounds like you did all the important things!! I also got cut off twice and passed. I really don't think this will be an issue for you. Good luck and let us know once you find out!!
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Old 06-16-2013
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From what you told us, I think you will be fine. Of course we can't judge other things you did (note, communication skills) but I don't think that it matters that you did not finish all your cases. Sounds like you did all the important things!! I also got cut off twice and passed. I really don't think this will be an issue for you. Good luck and let us know once you find out!!
Thanks. Good luck to your other exams/ match.
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Old 06-16-2013
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Hi thanks all for sincere replies.

May I ask another question ?

After I gave my work up plan ( imaging, blood, urine etc). i only said" then I can have a better idea of what is going on " or "better idea of exactly what is causing your problem."

But I did not mention any treatment plans or never said " we can discuss the test results and treatment plans".

did I lose points ?

Thanks again.
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Old 06-16-2013
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Originally Posted by huddinge View Post
Hi thanks all for sincere replies.

May I ask another question ?

After I gave my work up plan ( imaging, blood, urine etc). i only said" then I can have a better idea of what is going on " or "better idea of exactly what is causing your problem."

But I did not mention any treatment plans or never said " we can discuss the test results and treatment plans".

did I lose points ?

Thanks again.
Dude, what I've learned from the people who passed is that what matters in this test is the fluidity of your encounter, even if you forgot some minor tests or said something wrong, if this was something that didn't hurt that fluidity I will probably be fine.. I was really nervous last tuesday expecting the result, but not getting it was important for me to remember that my big picture was OK, and I hope that this is what counts!!
I've talked to some people that failed at the CIS part, some of them recognized that they were acting a little bit robotic, with blunted empathy, not responding to the SPs emotions with emotions, but instead with a memorized sentence like that of CSEVideos "I'm sorry to hear this, blah blah blah".. I think that would be a red flag.. So, the way you've said your sentence is not a major concern, what would be of more importance is if it sounded natural or not..
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  #22  
Old 06-16-2013
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Originally Posted by cearamor View Post
Dude, what I've learned from the people who passed is that what matters in this test is the fluidity of your encounter, even if you forgot some minor tests or said something wrong, if this was something that didn't hurt that fluidity I will probably be fine.. I was really nervous last tuesday expecting the result, but not getting it was important for me to remember that my big picture was OK, and I hope that this is what counts!!
I've talked to some people that failed at the CIS part, some of them recognized that they were acting a little bit robotic, with blunted empathy, not responding to the SPs emotions with emotions, but instead with a memorized sentence like that of CSEVideos "I'm sorry to hear this, blah blah blah".. I think that would be a red flag.. So, the way you've said your sentence is not a major concern, what would be of more importance is if it sounded natural or not..
Thanks. I will be waiting for your good news this wesdnesday.
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Old 07-10-2013
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Dude... I passeddddddd!!!!! You know what this mean??? This mean that you'll pass too, comfortably!!! Relaxxx now, my friend!!! I have exactly the same experience you had!!!

Quote:
Originally Posted by huddinge View Post
Hi everyone

I took my CS exam several days ago in Atlanta. I am IMG.

I did not completely finish 4 or 5 cases . 2 of them, I have already finished my closure and asked" do you have any other questions?", then sp asked a question, when I answered that question, time was over. 2 or 3 of them, I have already gaven my DDx and work up, but I have not yet checked"patient understanding", "agreement" or said "do you have any other questions?", maybe 2-3 words left, time was over.

otherwise I feel ok, cases were not difficult, my spoken english is good, I did not meet difficult sp, most of them gave me a smile when I left, whatever I finish it or not.

can I still pass it ? I feel scared. Can anyone give me some comments. Thanks a lot.
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  #24  
Old 07-10-2013
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Dude... I passeddddddd!!!!! You know what this mean??? This mean that you'll pass too, comfortably!!! Relaxxx now, my friend!!! I have exactly the same experience you had!!!
I saw your private message. Congratulations!
Good luck to your next step study or match.

God bless you
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Old 07-10-2013
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I saw your private message. Congratulations!
Good luck to your next step study or match.

God bless you
Thanks, my friend! I'll write CK in 2 weeks! But your post was one of the first things I remembered because I identified so much with your experience and I know exactly the anxiety you're feeling right now! So, I really want you to settle down and keep calm!! I definitely made much more mistakes than you did, on the same place, and the fact of not closing 4 cases didn't hurt me at all on the CIS since I passed with high performance! My biggest problem was my note which dropped my ICE to a dangerous borderline performance, but enough to pass!! So, I'm 99% sure you'll pass with flying colors, don't worry about those mistakes!!
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