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  #1  
Old 06-14-2013
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Embarrassed Failed the CS; Will Strike Back Soon

I am yet to recover from my result...

I failed cs in the ICE component passed in others...

I gave in philadelphia in may

I prepared for about a month and quite effectively.....

My English is good so communication was not much of a problem....

I felt what must have made me slip was the patient note...

I had practiced as much as possible still I am not very clear how to improve...

I know this blow would affect me for a while but i am going to strike back soon......
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Old 06-14-2013
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That's the spirit...you WILL strike back and strike HARD. Just wondering if there was a problem with PN of yours or what. but plz go through everything and ponder over the weakness more this time. You are gonna be fine and good luck
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Old 06-14-2013
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Default CS Result

I gave in Philli and failed in ICE as well. Though all my partners told me to take it in Chicago / Houston..
I had prepared it to the best of my effort. Soooooo upset.
cases were easy and i had confidence that at least I will PASS.
But here I am sooooooooooo depressed, un able to recover what happened.
No way to know where I should improve. I had started preparing for Step1 after my exam on March 25. Now i want to continue with my Step 1 for a while and forget about CS. May be next year.
Plz advise regarding my decision. All my partners passed and whom I tought at other centers.
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  #4  
Old 06-14-2013
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i would suggest you to take asap as the concepts are still fresh in your mind. you will need less time to practice cases as well as the PN.
Quote:
Originally Posted by mahlaqatk View Post
I gave in Philli and failed in ICE as well. Though all my partners told me to take it in Chicago / Houston..
I had prepared it to the best of my effort. Soooooo upset.
cases were easy and i had confidence that at least I will PASS.
But here I am sooooooooooo depressed, un able to recover what happened.
No way to know where I should improve. I had started preparing for Step1 after my exam on March 25. Now i want to continue with my Step 1 for a while and forget about CS. May be next year.
Plz advise regarding my decision. All my partners passed and whom I tought at other centers.
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Originally Posted by kdm0101 View Post
That's the spirit...you WILL strike back and strike HARD. Just wondering if there was a problem with PN of yours or what. but plz go through everything and ponder over the weakness more this time. You are gonna be fine and good luck
Thanks for your encouraging words....
What went wrong is kind of a mystery to me....
I did not commit any grave mistakes...
What they exactly want is still an enigma to me...
Only thing i can remember is i could not complete the first PN due to time limit..others were quite okay
Physical examination was good,,,No i was not clumsy,,
What is the mystery behind failing in ICE??????

I gave this exam when i was not at my prime health....what with my morning sickness and all playing its part...
Whatever be it i am not falling to this blow...
I will continue with ck preparation and go again to face this beast...
A big congrats to all those who passed...
For those who failed I would say strike back again soon and hard...
This forum has been my constant companion during preparation....

Good luck....
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Old 06-14-2013
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I am sorry to hear what happened.. This is what I did to prepare, i hope it can help you improve your ICE. I attended a course in florida, ximedus. During simulation exams, 10 patients, i failed in my ICE based on their standards.. What I learned is that doing a specific physical exam maneuver does not give you credit.. You should do it properly.. Example, you have to auscultate the chest both front and back with at least 3 levels in chest area to get full credit.. I talked to someone from kaplan and they teach the same thing.. So basically that is how you are graded.. For patient note, don' t put something in the differential if you dont have enough data to support it.. Just practice..
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  #7  
Old 06-14-2013
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Quote:
Originally Posted by sudha1985 View Post
Thanks for your encouraging words....
What went wrong is kind of a mystery to me....
I did not commit any grave mistakes...
What they exactly want is still an enigma to me...
Only thing i can remember is i could not complete the first PN due to time limit..others were quite okay
Physical examination was good,,,No i was not clumsy,,
What is the mystery behind failing in ICE??????

I gave this exam when i was not at my prime health....what with my morning sickness and all playing its part...
Whatever be it i am not falling to this blow...
I will continue with ck preparation and go again to face this beast...
A big congrats to all those who passed...
For those who failed I would say strike back again soon and hard...
This forum has been my constant companion during preparation....

Good luck....

I think you should have someone look at your notes and correct them/give you tips!
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  #8  
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Perhaps try subscribing to CSE videos and getting an idea from there. I watched Uworld and other physical exam videos over and over to perfect it. Practicing an average of 100 cases will help you as well. I agree that you should not put any differential diagnosis if you don't have at least 1-2 points to support it. Practicing note-typing is imperative. I walked out of the exam feeling if there was anything that was going to save me, it was my solid note performance.

Also, I cannot stress enough please stop paying attention to rumors about which test center is better. We are all medical professionals here. Common sense dictates if the higher ups knew that one testing center is 'easier' than the other, they would investigate. I had a friend who flew to Atlanta from Chicago because a friend of hers told her that SP's in Chicago test center are known to give you a hard time. She compromised her exam severely because she was so exhausted from her flight and the chance of environment got to her. I took mine in Chicago and passed. We each bring a small percentage of our own luck on the exam day. If you are prepared enough, you can overcome even the baddest of luck. Hope this helps.
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  #9  
Old 06-14-2013
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did you do CK befoe CS and did you watch the CSE videos?
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I like your fight and desire...best of luck next time...dont give up on your dreams....this is exam is just so subjective, seen many people who say they made a lot of mistakes come out with a pass and those who say they did well end up with a fail....best of luck next time
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i agree...i wonder if there is some serious problem with your PN...may you are using too many unaccepted short-forms or something else.
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I think you should have someone look at your notes and correct them/give you tips!
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  #12  
Old 06-15-2013
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Quote:
Originally Posted by kdm0101 View Post
i agree...i wonder if there is some serious problem with your PN...may you are using too many unaccepted short-forms or something else.
That might be it, or you are not writing a coherent note or something like that. I would definitely have someone look over a few notes!
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Default very sorry

i am really sorry u did not pass the cs. u may consider taking one of the preparatory courses like Ximedus which i attended in the month of April,those guys are really demanding and they give u honest feedback after the simulation test that u would take there. i don't think passing the test depends on location,i believe u can ace the test anywhere as long as u are prepared. goodluck my friend and keep fighting!
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Thanks guys for all the help and support...

As far as i know the Pn was not incoherent and i had used only common abbreviations...

I had practiced the cases well, watched Cse videos and my Pn was also scrutinised by my cousin who is an IM resident before the exam...

I do accept the fact that my d/d must not have been supported by enough data also I did not write much during the Hx in the scrap paper so typing the Pn was based on my memory,must have missed points in HpI.....

I am considering taking a course to improve for the best....

I just want to come out of this soon....I wake up in the middle of the night and my score report comes in front...ICE...

I would appreciate it if anyone suggests me a good review course i can take in new jersey...

Thanks all
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i personally think that the review courses are overrated but that is my personal opinion which could be wrong acc to lot of ppl and i respect that. one of my friends had failed in ICE in Jan. so she found a partner on forum who failed in CIS but passed ICE. i think that is a very good strategy as they both passed this time. you may think ur notes are good but someone else might point out some fine points in them. I am sure you will find it useful. just move on, put some ice on 'ICE' and start practicing.
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I'm an IMG..took CS in late April in Houston..overall got a fail cuz of CIS component but passed with high performance in ICE & SEP component..Also,would like to know if review courses like Kaplan & ximedus help? Do reply as I am pretty confused right now and need help.
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Quote:
Originally Posted by myraahmed View Post
I'm an IMG..took CS in late April in Houston..overall got a fail cuz of CIS component but passed with high performance in ICE & SEP component..Also,would like to know if review courses like Kaplan & ximedus help? Do reply as I am pretty confused right now and need help.
If your problem is CIS, i would recommend Ximedus. They have 100% passing rate for CIS part so far. They are really excellent at the CIS part.
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Old 06-15-2013
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Sorry to hear about your results sudha1985.
You know that I always wished best for you & hoped that you will pass since you worked hard for it.
I am sure there are many unanswered questions regarding your results and we may never know the answers--CS being such a mysterious beast!
However, I like your courage and spirit and I will do whatever it takes to help you. If you are around Philadelphia, I will be happy to help you with live practice and if not we can discuss on skype etc. since I will be taking a break from studies before I start my journey for Step1.
I recently took my CS too and am not sure what my results might be. But all anyone can do is give their best shot and hope for the best.
As others have suggested you should retake it as soon as possible.
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Quote:
Originally Posted by sudha1985 View Post
I would appreciate it if anyone suggests me a good review course i can take in new jersey...

Thanks all
Since you are in NJ, I recommend Kaplan 5 day course for practical purpose and since I took it I would recommend it since SP interactions will help you and they do tell about some finer points of PE others have mentioned here like you have to auscultate for full cycle of inspiration & expiration @ each point during chest exam by watching their mouth etc. Many people do not realize that they didn't get any points for chest exam since they did it too quickly.
Another example being that you have to count for 3 seconds while listening for each heart sound in order to get points for cvs exam.
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Old 06-15-2013
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If your problem is CIS, i would recommend Ximedus. They have 100% passing rate for CIS part so far. They are really excellent at the CIS part.
I took Ximedus 3-day course, they're pretty good on the CIS and Physical Exam part.. I'm awaiting for the result probably next wednesday, so don't know what the outcome will be, but i felt pretty confident dealing with challenging cases like Psych or LOC, for instance.. My main problem was time management, that's a drawback of knowing too much..
Besides Ximedus and 1st Aid, what helped me a lot was Kaplan Complex cases book.. They give you a lot of insights about the exam.. And UW for the note..
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Old 06-16-2013
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cearamor and others, whats the difference between the ximedus 1 day and 3 day course.I cant decide between the two.
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Old 06-16-2013
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cearamor and others, whats the difference between the ximedus 1 day and 3 day course.I cant decide between the two.
3 day course would be my advice.. 1 day course is basically a simulated exam with feedback from the SPs.. On the 3 day course they have stations for Physical Exam and the CIS.. The 5 day course is too much in my opinion and they focus on differential diagnosis and stuff.. I took the 3-day course but, as I told you, only wednesday I'll know the outcome.. But receiving inputs from professional SPs really helped me to be aware of what was going to be tested.. The only thing I would change in my preparation would be to give me an extra-week before the exam after the course to practice and master what they taught in the course.. I prepared 1 month with First Aid and CSEVideos before ximedus, had a plenty of Mneumonics in mind, but their approach don't use much mneumonics and is more flexible, but you need at least a week doing 1st aid cases on their format with a SP or friend to become 100% confortable with it..
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i participated in Ximedus 5days program in the month of April and it paid off cos the prep is thorough especially CIS and physical exams,the sps give u a decent feedback about your strong areas and areas that u need to work on. i liked their OLDFPCARTTS mnemonics.
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Quote:
Originally Posted by Novobiocin View Post
Since you are in NJ, I recommend Kaplan 5 day course for practical purpose and since I took it I would recommend it since SP interactions will help you and they do tell about some finer points of PE others have mentioned here like you have to auscultate for full cycle of inspiration & expiration @ each point during chest exam by watching their mouth etc. Many people do not realize that they didn't get any points for chest exam since they did it too quickly.
Another example being that you have to count for 3 seconds while listening for each heart sound in order to get points for cvs exam.

Thanks a lot for your kind words and advice.....
I am considering taking the kaplan course in newark...
my Best wishes for your results....
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Old 06-17-2013
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Quote:
Originally Posted by sudha1985 View Post
Thanks a lot for your kind words and advice.....
I am considering taking the kaplan course in newark...
my Best wishes for your results....
Thank you.

This is what I recommend based on my preparation & real exam experience:
1. FA (including MiniCases)----> History taking (helps with CIS & ICE)
2. Watch online videos for PE -----> helps with ICE
3. Watch Drexel DocCom videos to learn empathy (only costs $30 for 1 month and are very helpful) ----> helps with CIS
4. Practice with a live/skype SP (timed to 14 min+9 min)--->helps with TIME management (& of course with SEP,CIS, ICE)
5. Practice PN every day till writing them becomes your second nature----->helps with ICE.
6. Stay away from CSE Video.---> I managed to watch few videos (despite numerous glitches) before Kaplan course but after the course I realized that these videos are so bad that I postponed my test for 1 month just to forget them and relearn it correctly!
If you are doing the Kaplan course then there is more reason to do so.

If you can afford it, do a live prep course (just to have some real SP interactions-helpful for building confidence) but if you do as above and with a good Study Partner it is not absolutely necessary.
Remember, this test has changed and the old recipe of FA+CSE Videos doesn't work anymore.
Feel free to PM me if you need any help.
Good Luck & Keep up your spirits!
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  #26  
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Quote:
Originally Posted by Novobiocin View Post
Thank you.

This is what I recommend based on my preparation & real exam experience:
1. FA (including MiniCases)----> History taking (helps with CIS & ICE)
2. Watch online videos for PE -----> helps with ICE
3. Watch Drexel DocCom videos to learn empathy (only costs $30 for 1 month and are very helpful) ----> helps with CIS
4. Practice with a live/skype SP (timed to 14 min+9 min)--->helps with TIME management (& of course with SEP,CIS, ICE)
5. Practice PN every day till writing them becomes your second nature----->helps with ICE.
6. Stay away from CSE Video.---> I managed to watch few videos (despite numerous glitches) before Kaplan course but after the course I realized that these videos are so bad that I postponed my test for 1 month just to forget them and relearn it correctly!
If you are doing the Kaplan course then there is more reason to do so.

If you can afford it, do a live prep course (just to have some real SP interactions-helpful for building confidence) but if you do as above and with a good Study Partner it is not absolutely necessary.
Remember, this test has changed and the old recipe of FA+CSE Videos doesn't work anymore.
Feel free to PM me if you need any help.
Good Luck & Keep up your spirits!
Thanks a lot...
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Old 06-18-2013
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Novobiocin is right..

CSE videos suck big time.. I watched them a couple of years back and did FA thoroughly yet failed CIS part ... I later realized CSE videos dint help much.. they are pretty monotonous.. n btw, I took my exam in Philly...
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Quote:
Originally Posted by Novobiocin View Post
Thank you.

This is what I recommend based on my preparation & real exam experience:
1. FA (including MiniCases)----> History taking (helps with CIS & ICE)
2. Watch online videos for PE -----> helps with ICE
3. Watch Drexel DocCom videos to learn empathy (only costs $30 for 1 month and are very helpful) ----> helps with CIS
4. Practice with a live/skype SP (timed to 14 min+9 min)--->helps with TIME management (& of course with SEP,CIS, ICE)
5. Practice PN every day till writing them becomes your second nature----->helps with ICE.
6. Stay away from CSE Video.---> I managed to watch few videos (despite numerous glitches) before Kaplan course but after the course I realized that these videos are so bad that I postponed my test for 1 month just to forget them and relearn it correctly!
If you are doing the Kaplan course then there is more reason to do so.

If you can afford it, do a live prep course (just to have some real SP interactions-helpful for building confidence) but if you do as above and with a good Study Partner it is not absolutely necessary.
Remember, this test has changed and the old recipe of FA+CSE Videos doesn't work anymore.
Feel free to PM me if you need any help.
Good Luck & Keep up your spirits!
Wow Novobiocin you're freaking me out. I only studied off of CSE videos and FA. I had a friend who took the new exam when they first changed it in July and she recommended CSE videos. Someone else who took the new exam also recommended it. Pls pray that I see PASS tomorrow.
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Old 06-18-2013
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I agree that CSEvideos sucks big time, but I think that for me it was important for the phrasing and to have some ground to start the preparation.. But for the CIS, they are not in synchrony with the new format that use a PEARLS approach.. Otherwise, I agree 100% with Novobiocin..
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Old 06-18-2013
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Originally Posted by Faith1130 View Post
Wow Novobiocin you're freaking me out. I only studied off of CSE videos and FA. I had a friend who took the new exam when they first changed it in July and she recommended CSE videos. Someone else who took the new exam also recommended it. Pls pray that I see PASS tomorrow.
Don't get me wrong Faith1130. CSE Video still does provide (if you can access them) a structure to the encounter if you have no other option. However, it has failed to keep up with the recent changes e.g. in CIS there are major changes like showing real empathy ( saying "I am sorry to hear that" like a robot doesn't cut it anymore) etc. Also, they have ZERO customer service, meaning once you have paid for it and can't access the contents you paid for, you can practically kiss your money goodbye! I could not access most of the contents (except few videos) during my 1 month subscription and they kept on saying here that they are trying to fix it but nothing was fixed for months and my subscription ran out. I am not sure that even now that is fixed.
I mentioned the grave mistake in the CSE video thread (which seems to have disappeared) like telling pt. with amenorrhea in closure that "we will do an X-ray abd" and asking for permission for everything (it is taken as low on confidence).
As long as you used common sense and avoided being the grave mistake making robot like Dr. Raynolds of CSE video you have nothing to worry about and I wish you the best of luck!
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Last edited by Novobiocin; 06-18-2013 at 06:25 PM.
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Quote:
Originally Posted by Novobiocin View Post
Don't get me wrong Faith1130. CSE Video still does provide (if you can access them) a structure to the encounter if you have no other option. However, it has failed to keep up with the recent changes e.g. in CIS there are major changes like showing real empathy ( saying "I am sorry to hear that" like a robot doesn't cut it anymore) etc. Also, they have ZERO customer service, meaning once you have paid for it and can't access the contents you paid for, you can practically kiss your money goodbye! I could not access most of the contents (except few videos) during my 1 month subscription and they kept on saying here that they are trying to fix it but nothing was fixed for months and my subscription ran out. I am not sure that even now that is fixed.
I mentioned the grave mistake in the CSE video thread (which seems to have disappeared) like telling pt. with amenorrhea in closure that "we will do an X-ray abd" and asking for permission for everything (it is taken as low on confidence).
As long as you used common sense and avoided being the grave mistake making robot like Dr. Raynolds of CSE video you have nothing to worry about and I wish you the best of luck!

Yes I agree on what your talking about. I didn't watch all the CSE videos. I only watched some. I watching them mainly to get an idea and have a feel for how the PEs are done. But then I used majority of the stuff from the training I got on the island during my basic sciences. I do think I did we'll on the CIS part, I show a lot of empathy, said sorry so many times, cracked jokes.

But like everyone says its a mystery to why ppl fail. I just want my result to come and say PASS and just be done with this.
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