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Old 08-19-2013
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Question How many diagnoses to miss in the CS!

How many diagnosis you can miss and still pass?
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Old 08-19-2013
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hi,

out of 12 cases, 10 will be scored. we have to get 70-75% in ICE to pass. It does not matter how many diagnosis you miss.
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Old 08-19-2013
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Quote:
Originally Posted by mskrusmle View Post
hi,

out of 12 cases, 10 will be scored.we have to get 70-75% in ICE to pass. It does not matter how many diagnosis you miss.
I heard it is 65% for ICE ??
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Old 08-19-2013
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It's difficult to split up between the different components of the CS grading system.

This is because if you don't know the correct diagnosis you won't be asking the correct questions (ICE) and you won't be typing the correct work up and differentials (PN).

Although officially they say there is no focus on getting the diagnosis (because they assessed you on that part in the CK) and they always say that the CS is all about communication skills but that's difficult to believe if you miss the diagnosis.

When you miss the diagnosis you won't do the focused exam correctly, you won't even give the right case closure.

Therefore, the CS officials, intentionally make the diagnosis or the differential diagnosis very easy to arrive to. You won't have a case of an Eating Disorder Not Otherwise Specified, you won't have a deep seated intestinal carcinoma. The cases are going to be straight forward, such as asthma, MI, DVT, gastroenteritis, ...etc

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Old 08-20-2013
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so, out of the 12 encounters only 10 are graded, do they let the worst 2 cases slip by or is it random?
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Old 08-21-2013
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You can miss a lot. I had no clue what any of the diagnoses were and I passed.
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Old 01-07-2015
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Default non scored cases

As written in the official usmle website here http://www.usmle.org/pdfs/step-2-cs/cs-info-manual.pdf there are a very small number of cases not scored, but it is not written how many and which ones! I think that one time ago, when the exam was called CSA, they clearly stated that 2 out of 12 were not being scored, but anyway now the real situation is clearly stated by the official website
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