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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 08-21-2013
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Group talk Failed the CS! Gather Here

OKAY so it didn't work out, maybe it will next time,
lets gather here and well probably motivate each other
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  #2  
Old 08-21-2013
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I'm very sorry to hear that you failed

It would help others to know your mistakes and preparation and any personal input you could

Thanks
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  #3  
Old 08-21-2013
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Quote:
Originally Posted by bandagi53 View Post
OKAY so it didnt work out ,maybe it will next time,
lets gather here and well probably motivate each other
That's the spirit.
All I can say is that learn from your mistakes and look forward to move on......
You will do fine with good scores on other Steps.
Good luck.
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  #4  
Old 08-21-2013
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Default this helped

Thanks guys that helped .
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  #5  
Old 08-21-2013
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Originally Posted by bandagi53 View Post
Thanks guys that helped .
A very good friend gave it me and I find it to be very helpful.
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File Type: pdf Desiderata.pdf (15.2 KB)
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  #6  
Old 08-28-2013
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Default Failed ICE- Step 1 score is 242! Shocked!

Quote:
Originally Posted by bandagi53 View Post
OKAY so it didn't work out, maybe it will next time,
lets gather here and well probably motivate each other
I just came to know that I failed in C.S exam. I did fine in CIS and SEP but messed up in ICE component. At the moment I am in the phase of denial. Please tell me how much will it impact on my Residency chances? Thanks!
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  #7  
Old 09-10-2013
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Quote:
Originally Posted by Novobiocin View Post
A very good friend gave it me and I find it to be very helpful.
The file is not opening. Can u pls help me with this. It says that its not a valid pdf file
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  #8  
Old 09-10-2013
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Keep the spirits high guys. .... best wishes for all steps ....
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  #9  
Old 09-11-2013
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What can we do to improve on ICE. my husband failed the ice portion and he was so devastated. But again. You compose yourself and give it another shot. He says he did physical and asked all questions and wrote a good note. So doesn't know what to do on how to improve. Again if someone can help and give their input highly helpful.

He said the only thing he didn't do was put the note in caps lock. And apparently when he attended the Kaplan 5 day course they said to put differentials in caps and beware of grammar mistakes. But can they really fail someone based on grammar if all the information is there? I mean I practiced with him nonstop and he knew the material.
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  #10  
Old 09-12-2013
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Default Private Step 2 CS course in NY

-Few students have taken the course but with a 100 % passing rate so far
-The course is 2 days and given by an MD
- High score on the exam is not guaranteed
- Course is most beneficial for students who have taken Step 2 CK exam
- Main Key of the course is time management
-Course is most beneficial also for students who have not enough time to study
- Only $300 per student

The course focuses on :

Discuss all of the exam's components and what the Standardized Patient will be scoring for each subcomponent.

Effective Physician/Patient Communication Skills including:

*How to demonstrate foster the relationship through facilitative communications
*Using attentive body language
*Use of appropriate empathy
*Validation of Patient concerns
*Determining the Patient's understanding of the information
*Helping the Patient make appropriate decisions
*Discussion and demonstration of Effective Communications skills using:
*Reflection
*Summarizing
*Clarifying information
*A Structured, Chronological format for both the Adult and Pediatric Interview


Effective and fast organization of your scrap sheets.
Time management - at the door and inside the examination room.
- How to encounter the patient in 9 minutes
- How to do physical exam for any type of case in 6 minutes

*How to master a scheme that will make you approach ANY medical case without memorizing questions from FA or Kaplan books, providing that you took CK exam

*How the standardized patients evaluate you "What not to miss"
*How to encounter weird cases including: Suicidal ideation and Delivering bad news *How to get maximum benefit of your blue print


N.B.

- Accommodation could be arranged for out of state students (But only for 2 days)
- Course is private, maximum 2-3 students per session


email : apertiff@hotmail.com
Mohamed Taha, MD
NewYork, NY
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  #11  
Old 10-06-2013
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This exam was my greatest fear ever. Maybe I over-prepared by taking a live course and UWorld, still awaiting results.
If I fail I will mourn and I will stand up again and give another shot. What's done is done and we don't leave the path for stumbling once. We try to compensate with harder work and higher scores elsewhere.
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  #12  
Old 10-09-2013
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So I failed ICE and borderline CIS.
Do I need to take a live course? Will live course improve my ICE?
I really don't know how to improve on this exam. I know I missed stuff, but to the point of failing?? Sigh
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  #13  
Old 10-09-2013
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Originally Posted by AiLSP View Post
So I failed ICE and borderline CIS.
Do I need to take a live course? Will live course improve my ICE?
I really don't know how to improve on this exam. I know I missed stuff, but to the point of failing?? Sigh
Hey, I am truly sorry to hear about your situation. I cannot imagine how you must feel at the moment.

Can you list what sources you used, and how long did you practice for. Did you have a SP to practice with.

ICE involves "data gathering" and "patient note" itself... Did you practice typing patient notes with a timer? and how was it compared to FA.

in my opinion it would be best if you study/practice for 3-4 weeks with a friend as SP. and after that do a live course or even just the simulation exam to see how you stand. and take the exam right after if you receive the go ahead.
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  #14  
Old 10-09-2013
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Originally Posted by Step-step View Post
Hey, I am truly sorry to hear about your situation. I cannot imagine how you must feel at the moment.

Can you list what sources you used, and how long did you practice for. Did you have a SP to practice with.

ICE involves "data gathering" and "patient note" itself... Did you practice typing patient notes with a timer? and how was it compared to FA.

in my opinion it would be best if you study/practice for 3-4 weeks with a friend as SP. and after that do a live course or even just the simulation exam to see how you stand. and take the exam right after if you receive the go ahead.
I used UWORLD and FA. I didn't practice with SP, but I didn't run out of time on any encounter. I think I may be lacking on physical exams or patient notes. So maybe I am just missing PE and diagnoses left and right....
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  #15  
Old 10-09-2013
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Default Step 2 cs failed

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Originally Posted by summer20 View Post
What can we do to improve on ICE. my husband failed the ice portion and he was so devastated. But again. You compose yourself and give it another shot. He says he did physical and asked all questions and wrote a good note. So doesn't know what to do on how to improve. Again if someone can help and give their input highly helpful.

He said the only thing he didn't do was put the note in caps lock. And apparently when he attended the Kaplan 5 day course they said to put differentials in caps and beware of grammar mistakes. But can they really fail someone based on grammar if all the information is there? I mean I practiced with him nonstop and he knew the material.
Yeah I also failed in ICE component and what I remember was that due to shortage of time I didn't bother to correct caps lock items I was concerned to complete my patient note, could that be reason?
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  #16  
Old 10-09-2013
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I failed in CIS ,,it's shocking for me ,I took exam in philadalphia ,I left the exam room 2 to 3 minutes before in each case except 1 CNS case ,may be I was not spending much time with them ,2nd thing which I remember that I was not smiling because I was nervous 3rd thing few patients were obviously not happy with me may be because I was not discussing the things with them according to their standards ,anyhow summary is that I am in big trouble ,I don't think it's center which is faulty ,it's my performance which is responsible but most imp thing is how to fix it next time .Any suggestions will be appreciated .
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  #17  
Old 10-09-2013
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I failed ice. Cant believe it
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  #18  
Old 10-09-2013
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Originally Posted by Mitosis View Post
Yeah I also failed in ICE component and what I remember was that due to shortage of time I didn't bother to correct caps lock items I was concerned to complete my patient note, could that be reason?
I highly doubt that could be the reason. my patient note was all over the place including incorrect spellings which didnt bother to fix because i knew id lose precious seconds clicking backspace. Also I didnt care much for when it should be caps or lower case, and i did fine on the exam. As long as the info is understandable and not encrypted with some short hand or abbreviations which are not excepted/ understandable.
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  #19  
Old 10-09-2013
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Default Guidance to improve ICE

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Originally Posted by Step-step View Post
I highly doubt that could be the reason. my patient note was all over the place including incorrect spellings which didnt bother to fix because i knew id lose precious seconds clicking backspace. Also I didnt care much for when it should be caps or lower case, and i did fine on the exam. As long as the info is understandable and not encrypted with some short hand or abbreviations which are not excepted/ understandable.
Ok then may be my data gathering was insufficient or I lacked the patient note skills, can u help me in deciding whether I should go for CS and how to improve ICE? Or attempting CS for second time is waste of money since residency programs will look for candidates with first attempt pass
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  #20  
Old 10-09-2013
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I thought SPs don't grade us on data gathering anymore, it's all based on the PN. SPs only grade us on SEP, CIS, and physical exams. Correct me if I am wrong. I failed ICE and I don't know which part of ICE...
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  #21  
Old 10-09-2013
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I highly doubt that could be the reason. my patient note was all over the place including incorrect spellings which didnt bother to fix because i knew id lose precious seconds clicking backspace. Also I didnt care much for when it should be caps or lower case, and i did fine on the exam. As long as the info is understandable and not encrypted with some short hand or abbreviations which are not excepted/ understandable.

My husband also thought maybe his note wasn't in caps lock perhaps that was the reason for his failure. I personally practiced with him, he also took the Kaplan 5 day course and just so confused as to why he failed. I know it's not his data gathering because he asked all the required questions ( I would check them off first aid as he asked). Maybe I am thinking when he typed in the physical examination box. For instance, you are supposed to do target physical examination in each case as there is a time limit.

Now correct me if I am wrong; in a female patient presenting with abdominal pain, one should do abdominal examination and a quick superficial heent to check for anemia/ jaundice in eyes, quick look at the throat and a quick examination of the chest and also document these findings in the physical examination box, along with the abdominal examination findings, the general appearance and vitals. According to my husband he said that he only did the abdominal examination and documented that plus vitals. Maybe he was deficient in performing his physical examination and obviously it accumulated. Maybe this was the reason for his failure?

Still unsure. His CIS and SEP were in the high performance. But no matter what he has to face this exam again.

I know this failure does decrease his chance for residency but hope it doesn't completely bring it down to zero 😔
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  #22  
Old 10-09-2013
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Is there any chance of getting into a program (any program) after failed step1 and cs?
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  #23  
Old 10-09-2013
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Default failed my cs exam again in ICE component

i dont know is it worth to take it again,
what wud be my chance to get into residency now after failing CS twice
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  #24  
Old 10-09-2013
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i recently passed my step 2 cs in 1st attempt.


i think one must be very calm during the exams..........do everything in orderly manner, apologize immediately to the SP for any mistakes........maintain ur talk to the patient except while doing physical.

closure is very important......always make the sp feel that u care him/her a lot.........always say i am always there for u for any kind of help.....................

do very brief focused and quick physical exams...dont hurt patient while doing physical......

be friendly and professional to the SP all the time
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  #25  
Old 10-09-2013
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my score card
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File Type: pdf myreport.PDF (20.1 KB)
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  #26  
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Originally Posted by AiLSP View Post
So I failed ICE and borderline CIS.
Do I need to take a live course? Will live course improve my ICE?
I really don't know how to improve on this exam. I know I missed stuff, but to the point of failing?? Sigh
where did you take the exam?
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  #27  
Old 10-10-2013
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Why do people fail ? Bad luck ! Just get over this fact and start preparing again!

We practice all the time with a single SP (lets call him Mr. Smith) who have never appeared in the real exam. Mr. Smith can help in pointing out the mistakes in your basic protocol ( HPI, PH, transition sentences etc). I like to call that the skeleton of the case. You need to practice that over and over again till you are perfect. I always recommend people take 2 days or a week and cram the **** out of that. Make your own basic protocol. Okay After making your protocol perfect, Show your cases to those individuals who have passed the exam. That helps a lot .

Now many guys fails in ICE these days. ICE is comprised of PN and Asking relevant questions. For those who haven't appeared in step2CK, I would recommend that you make DDx list. Then start adding questions in front of the each question. For example if Hypothyroidism is in the DDX of Depression, I would write ABCD HV (Appetite, Bowel M, Cold Intolerance, Depression , Hair , voice changes. If i am sure that he is depressed from some cause, I would only ask question regarding Cold Intolerance to rule out Hypothyroidism and move on. Start doing that early during your preparation. Open your FA. Open the first minicase(i guess its pain or something eg. Abdominal Pain) . Read the statements written at the start of each case. Those lines will help you immensely in building the case. Read DDx list. Now open the Main Case of FA of Abdominal Pain. Read it. Cram the Closure(Remember to make the basic skeleton of the closure)

Closure: Dont miss closure! My closure was something like that. Before Closure I would say, "Give me a minute so that I can write down your Physical exam and make my clinical impression. Is that Okay with you? (Smile)"

Then,

"Thank you so much for your patience and cooperation. So based on your Hx and PE, you may have a condition called _______ . (Explain the Diagnosis). But you may also have a _____ or _____. I am not sure right now. to be sure about anything, I would like to perform some tests like Blood Test and ______. So my nurse is gona come in and she is gona take care of you right .Do you have any questions oR CONCERNS for me?


** Dont forget to hospitalize Emergency cases (MI, SAH etc)

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  #28  
Old 10-10-2013
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Also DONT TAKE THE EXAM IN PHILLY ! I failed there once !
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Old 10-10-2013
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Originally Posted by Nouman View Post
Also DONT TAKE THE EXAM IN PHILLY ! I failed there once !
hi nouman, its good to hear ur story considering that you failed once and passed the second time.

i failed ICE yesterday, it was shocking. i have been mourning, but i have decided to give it another shot, thats the only way i can overcome the grief.

how do i prepare for this ice again, i mus pass this second time.

i plan to pick fa and cse videos,do the minicases with the long cases simultaneously.

but how do i do focussed physical exam, its confusing. some say first do cs and chest for all cases, then do the sysem involved. IS THIS RIGHT??
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Old 10-11-2013
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Quote:
Originally Posted by cs.ice View Post
hi nouman, its good to hear ur story considering that you failed once and passed the second time.

i failed ICE yesterday, it was shocking. i have been mourning, but i have decided to give it another shot, thats the only way i can overcome the grief.

how do i prepare for this ice again, i mus pass this second time.

i plan to pick fa and cse videos,do the minicases with the long cases simultaneously.

but how do i do focussed physical exam, its confusing. some say first do cs and chest for all cases, then do the sysem involved. IS THIS RIGHT??
Acccording to me, I believe that CIS is also judged heavily on Physical Exam, not ICE. Just do the focused exam. Eg. in CHF pts, Check Pulses, Auscultate heart and Carotids, Check for ankle edema. Thats almost everything. You guys already know that you dont hv enough time during the Patient Encounter. The idea is to perform relevant exam without RUSHING the exam, giving adequate commands before and after each exam {eg I am gona listen to ur Heart sounds. (listen to heart sounds). Then say," Your heart sound seems Normal to me.}

Many of us make the mistake of rushing the Hx and PE when the annoucement is made that only 5 minutes r left. Never Do that. Its okay to miss the exam. It is not Okay to miss the closure.

In my Dizziness case, I only Performed GPE and Thyroid exam( can you please swallow for me? ). And the patient was surprised that I performed the case so quickly. She started asking me challenging questions.
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  #31  
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Quote:
Originally Posted by cs.ice View Post
hi nouman, its good to hear ur story considering that you failed once and passed the second time.

i failed ICE yesterday, it was shocking. i have been mourning, but i have decided to give it another shot, thats the only way i can overcome the grief.

how do i prepare for this ice again, i mus pass this second time.

i plan to pick fa and cse videos,do the minicases with the long cases simultaneously.

but how do i do focussed physical exam, its confusing. some say first do cs and chest for all cases, then do the sysem involved. IS THIS RIGHT??
You should practice writing PN. Write 5 PNs daily. Before appearing for your next CS exam, write 100 PN(i wrote more than 100 PN ). Also, Google, "How to write Good Patient Notes". You will find few tips and tricks. Also, gather Data in a systematic way. We are all given sheet where we gather Data. My Data Gathering sheet was so neat.

I divided the whole sheet in 4 portions by making a huge Plus sign. Top left box was the HPI, Bottom left for rest of Hx, Top Right was for DDx and Its question, Bottom Right was for Closure points,Pap smear, Rectal exam and breast exam, Counselling points. I used to write that before entering the room. How I carried each case? From HPI to DDx List questions, then move to the rest of the Hx
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  #32  
Old 10-11-2013
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Default Failed in ice part twice

I PRACTICED FOR AROUND ONE MONTH, DID FA AND USMLE ALL MINI CASES AND LONG CASES, PRACTICED DAY AND NIGHT, WE WERE 3 CANDIDATES AND ONLY ONE OF US PASSED CS, REST TWO OF US FAILED IN ICE PART, I DONT KNOW WHAT WENT WRONG ,
WHAT WOULD BE THE SCENARIO FOR ME IF I TAKE CS 3rd time, is it worth taking now, will i get any chance getting into residency after multiple attempts in CS? m so disheartened n shocked.
should i go for reevaluation?
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  #33  
Old 10-11-2013
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I failed ICE by 1 star, do you guys think it's worth a score recheck?
Thanks!
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Old 10-11-2013
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Quote:
Originally Posted by ahemgautam View Post
I PRACTICED FOR AROUND ONE MONTH, DID FA AND USMLE ALL MINI CASES AND LONG CASES, PRACTICED DAY AND NIGHT, WE WERE 3 CANDIDATES AND ONLY ONE OF US PASSED CS, REST TWO OF US FAILED IN ICE PART, I DONT KNOW WHAT WENT WRONG ,
WHAT WOULD BE THE SCENARIO FOR ME IF I TAKE CS 3rd time, is it worth taking now, will i get any chance getting into residency after multiple attempts in CS? m so disheartened n shocked.
should i go for reevaluation?
I don't really consider myself an expert on CS because i too passed on my second attempt. But for starters i'll recommend taking the Kaplan CS course or at the very least, the 1 day exam. They over stress on minute details which maybe overkill for the exam. But their checklist is definitely helpful. It also helps in breaking the ice with american SPs who give you solid feedback about your eye contact, body language and behaviour in general.

ICE is all about know what to ask and what to write the PN. You need to have a structured note, irrespective of spelling or grammar errors as those things will be overlooked if you are thinking critically.

1 failure decreases your chances significantly, i can vouch for that. 2 failures may have the same/worse affect on your chances, it's hard to predict. If you pass Step 3, get good clinical experience and make contacts....nothing is impossible. All the very best!
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  #35  
Old 10-11-2013
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Quote:
Originally Posted by AiLSP View Post
I failed ICE by 1 star, do you guys think it's worth a score recheck?
Thanks!
Mental peace? Yes. I'd go for it too. The test is $1400, recheck is $80. Won't hurt.

Realistically? Very minute chance of anything changing, unfortunately.
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  #36  
Old 10-17-2013
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Angry Failed in ICE :((

Hi Guys,

Me too failed in the ICE. We were 2 friends studied together and both failed in Houston. I guess the ICE component includes data gathering, PE and PN. Please correct me if I am wrong. It is also very strange to see many people failing the CS especially in ICE component. I think NBME might have set the threshold up higher to pass the exam. I am very close to loose all my self confidence after this result
I studied FA and did every case with my friend. Now I do not know what to do more to pass ICE! I am doing UWorld thoroughly. I wanted to join Kaplan's or NYCSprep's one day mock test but unfortunately they are all booked in New York. What do you guys advise to pass the ICE component?
I am in rush since I have to take CS by Nov 2nd to have my test result in Dec.

And if you had attended goldusmlereview's one day course please share your experience with them.

Any kind of help will be appreciated!

Thanks!
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  #37  
Old 10-18-2013
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Quote:
Originally Posted by glosso View Post
Hi Guys,

Me too failed in the ICE. We were 2 friends studied together and both failed in Houston. I guess the ICE component includes data gathering, PE and PN. Please correct me if I am wrong. It is also very strange to see many people failing the CS especially in ICE component. I think NBME might have set the threshold up higher to pass the exam. I am very close to loose all my self confidence after this result
I studied FA and did every case with my friend. Now I do not know what to do more to pass ICE! I am doing UWorld thoroughly. I wanted to join Kaplan's or NYCSprep's one day mock test but unfortunately they are all booked in New York. What do you guys advise to pass the ICE component?
I am in rush since I have to take CS by Nov 2nd to have my test result in Dec.

And if you had attended goldusmlereview's one day course please share your experience with them.

Any kind of help will be appreciated!

Thanks!
If you are in a rush do the Kaplan Cs course.

Also, look here. and here.
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Last edited by Novobiocin; 10-18-2013 at 10:51 PM.
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  #38  
Old 06-18-2014
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Default failed step 2 cs

Hi guys,
I am an IMG. I took my step2CS last month, received my test scores today and I didn't clear it. While I am terribly disappointed with the results, I wish to retake the exam.

But before I commit to it, I would like to know the realistic chances of getting placed into a residency program.
1) Is there a good probability of getting placed in a program?
2) If so, what are the fields that I can apply for? Is IM a possibility?
3) How much more important are observerships and Letters of recommendation now that I have a failed attempt?

I would really appreciate some help so that I can start planning my next move.
Thank you in advance for the help!
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  #39  
Old 06-18-2014
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I have passed CS but I'd like to post to give my two cents . If you're not sure which part of ICE you failed, try watching CSE video. See that woman how she behaves throughout the exam, asks all questions, examines most stuff and explain the differentials. All within time and alongside taking care of CIS components. Then for PN, compare your notes to the notes in FA after writing it following a case practice with your SP. What do you lack in PN that is there in first Aid patient's note for the same case? You'd get your answer right there. Then practice and re practice so you get better at it. Wish you all best of luck!
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  #40  
Old 06-18-2014
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Quote:
Originally Posted by nikhiljadhav View Post
Hi guys,
I am an IMG. I took my step2CS last month, received my test scores today and I didn't clear it. While I am terribly disappointed with the results, I wish to retake the exam.

But before I commit to it, I would like to know the realistic chances of getting placed into a residency program.
1) Is there a good probability of getting placed in a program?
2) If so, what are the fields that I can apply for? Is IM a possibility?
3) How much more important are observerships and Letters of recommendation now that I have a failed attempt?

I would really appreciate some help so that I can start planning my next move.
Thank you in advance for the help!
hi ,
I am really sorry to know that you failed your Cs...it must be a terrible thing .
To answer your question
1)yes , u can do it . finish all your steps , then give cs and apply for 2016 match with a step 3 .
2)apply broadly , IM , paeds , psy , FM ...that should be your goal .
3) LORs are important , whether you fail or you pass. You have to get them

3 of my seniors failed in CS . Two of them took prematch to programs who donot go for NRMP , coz with a cs fail u dont want to take chances . Once applied for match and he got it. All three had 240+ in ck n step 1 and obs passed cs in the next attempt . all had a step 3 . They matched into Good community hospital IM programs , two of these hospitals had every possible fellowship , one didnt have that many .
your best bet will be to find programs who donot go for NRMP match , and do observerships there .

as for CS ,i suggest that you complete your steps for the ICE part . If you are already thru with them , better do a course like kaplan . i have heard usmlegold review is good , which one of my friends took before his CS , although he is awaiting result . Failing CS is like having a blind spot . Once you know what you are doing wrong you can easily pull thru , the difficualy thing is to find what you are doing wrong. do skype practise with ppl who have passed this exam . thats the best way to deal with CS

Nothing is impossible . Match rate for imgs this year was 49 percent and 30 percent for those with a failed CS . But then if you get scores of 240 or 250 + it will help you immensely as score above 250 the match rate reaches 70 and can help you negate the CS fail . Cs fail will be a red flag ,YES, but everyone has them . Low scores , visa , bad IV , attempts are all red flags . Its like the lesser you have the better it is . Now that you have a red flag better to not get another one

Another thing , its much better that indian Pg entrance , where the match rate is less than 10 percent , and then you again have to give exam for subspeciality and you know how tough they are

talk to ppl with CS failures and how they overcame it . Apply broadly . **** your step exams , pass cs in the next attempt , get good LORS , write a good PS, make contacts and most importantly have faith in urself and everything is achievable
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  #41  
Old 06-18-2014
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Quote:
Originally Posted by manu,p View Post
hi ,
I am really sorry to know that you failed your Cs...it must be a terrible thing .
To answer your question
1)yes , u can do it . finish all your steps , then give cs and apply for 2016 match with a step 3 .
2)apply broadly , IM , paeds , psy , FM ...that should be your goal .
3) LORs are important , whether you fail or you pass. You have to get them

3 of my seniors failed in CS . Two of them took prematch to programs who donot go for NRMP , coz with a cs fail u dont want to take chances . Once applied for match and he got it. All three had 240+ in ck n step 1 and obs passed cs in the next attempt . all had a step 3 . They matched into Good community hospital IM programs , two of these hospitals had every possible fellowship , one didnt have that many .
your best bet will be to find programs who donot go for NRMP match , and do observerships there .

as for CS ,i suggest that you complete your steps for the ICE part . If you are already thru with them , better do a course like kaplan . i have heard usmlegold review is good , which one of my friends took before his CS , although he is awaiting result . Failing CS is like having a blind spot . Once you know what you are doing wrong you can easily pull thru , the difficualy thing is to find what you are doing wrong. do skype practise with ppl who have passed this exam . thats the best way to deal with CS

Nothing is impossible . Match rate for imgs this year was 49 percent and 30 percent for those with a failed CS . But then if you get scores of 240 or 250 + it will help you immensely as score above 250 the match rate reaches 70 and can help you negate the CS fail . Cs fail will be a red flag ,YES, but everyone has them . Low scores , visa , bad IV , attempts are all red flags . Its like the lesser you have the better it is . Now that you have a red flag better to not get another one

Another thing , its much better that indian Pg entrance , where the match rate is less than 10 percent , and then you again have to give exam for subspeciality and you know how tough they are

talk to ppl with CS failures and how they overcame it . Apply broadly . **** your step exams , pass cs in the next attempt , get good LORS , write a good PS, make contacts and most importantly have faith in urself and everything is achievable
thank you manu,

thanks for answering my questions and for your supporting words. i really need those. i have few more questions, if you dont mind.

1) i am trying to apply again for the cs but i am not able to do that. i get the following error message.

{Our records indicate that you are already registered for this Step or Step Component. You may not apply for a Step or Step Component if you are already registered for that Step or Step Component. If you fail or do not complete a Step or Step Component, you may submit another application for this exam, but certain attempt limits and time limits apply when retaking a Step or Step Component. For complete information, refer to Reexamination and Reapplication in the ECFMG Information Booklet and Number of Attempts Allowed to Complete All Steps and Time Limits and Retakes in the USMLE Bulletin of Information.}

why m i not able to apply again?

2) i got borderline score in ICE component, and high performance in the CIS & SEP. will applying for a re-check be of any help?

Last edited by nikhiljadhav; 06-18-2014 at 04:01 PM.
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  #42  
Old 06-18-2014
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Quote:
Originally Posted by nikhiljadhav View Post
thank you manu,

thanks for answering my questions and for your supporting words. i really need those. i have few more questions, if you dont mind.

1) i am trying to apply again for the cs but i am not able to do that. i get the following error message.

{Our records indicate that you are already registered for this Step or Step Component. You may not apply for a Step or Step Component if you are already registered for that Step or Step Component. If you fail or do not complete a Step or Step Component, you may submit another application for this exam, but certain attempt limits and time limits apply when retaking a Step or Step Component. For complete information, refer to Reexamination and Reapplication in the ECFMG Information Booklet and Number of Attempts Allowed to Complete All Steps and Time Limits and Retakes in the USMLE Bulletin of Information.}

why m i not able to apply again?

2) i got borderline score in ICE component, and high performance in the CIS & SEP. will applying for a re-check be of any help?
hi nikhil,

I have no idea about that . maybe you can call ecfmg tomorrow or try tomorrow as the results came out just today.

Recheking doesnt help , thats the general consensus. but its 60 $ , so wht the hell . for the peace of mind you can try it , but donot expect miracles .

have you given your other steps?
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  #43  
Old 06-18-2014
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@manu,p

no i haven't given any other step.
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  #44  
Old 10-04-2014
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I passed on my first try, and I was freaked out because I missed a lot of questions, and I probably missed a lot of DDs...here's my opinion, hopefully it helps someone.

It's all on how you interact with the patient. You have to be nice and make small talk in between asking your questions.
When you're in that room, going through a checklist really doesn't work...I found my brain all over the place. But I smiled at every patient, and I never broke tempo.

Here are my suggestions:

Prep: FA cases, do them with a friend. Read the PN again and again, then write it/type it yourself.
Uworld cs prep: it was like $60 and it is great to help writing the PN.

Go to a clinic if you know someone. The rooms for CS are just like the clinics. I practiced with two doctors during the course of one day and it helped seeing actual patients.

Tips and tricks:
These are not cases I had, iI am providing examples for learning purposes only.

Smile. At all times. Make jokes. If your patient says ' I am a student' during your exam, you can ask ' so what are you studying?'. If she says I am pre med. You can say oh good luck with that, let me know if you need any help, if you want to shadow to get an idea of medicine, Id be happy to let you do that with me.
PRETEND YOU ARE A DOCTOR. IN THAT ROOM, YOU ARE THE DOCTOR. BELIEVE IT.

For encounters with pediatrics, phone ones or real ones, show concern. And reassure. Say things like, I am so sorry you must be so worried, is this your first child...well you know, it's probably not serious but just to make sure nothing is going on, I would like to examine ...
If anyone brings up any concern, i.e. grandfather of child on the phone says I can't come in with the baby cuz that's why I have her, her mom had a car accident so I have no car, she's at the hospital.
You say: oh I am so sorry to hear that, is she alright?

If you make mistakes, laugh them off. If you call the patient the wrong name, and they correct you, say Oh I am so sorry about that, it's been such a long day. Or say something like I was on call I am so sorry for that.
Don't freak out going **** I called the patient the wrong name I am going to fail. Nooooo you are not.
Like I said, you are the doctor. Doctors make these kinds of mistakes all the time.

If your patient is hard of hearing, stand in front of her, be loud, ask her if she can hear you ok.

If you patient has a headache, ask her are you comfortable? would you like me to dim the lights?

If you are asking about family hx and the patient says ' both my parents are deceased' make a sad face, show concern, and say I am so sorry, when did they die? and then ask about cause of death.

Lightly touching patients on the shoulder to show concern is OK! If your patient says I tried to quit smoking so many times but I couldn't. Say " hey I am very happy that you tried, most people don't even get that far, we're going to help you with that ok? We have great people here who will walk you every step of the way."

Any time you have to say social worker for abuse or addiction or anything, say "I am going to talk to the social worker here and get someone to help you, our department is great, I am sure it'd work out well for you".

If your patient is rude ( that's a real possibility btw), if she says I have been waiting so long, apologize. Say " I am so sorry we have so many patients today but all my focus is on you right now."

If your patient demands pain meds, say ' I know it must be so difficult to deal with the pain, but I really want to get to the bottom of this so I am going to do some tests and then the nurse will come in with a pain reliever, ok? '

At the end of every encounter, shake hands. Eye contact. Ask ' do you have any questions? ... are you sure? did i answer all of your questions? do you understand what's going on? is there anything else i can do for you ?' etc etc.

If your patient appears sullen though not presenting with psych/depressive symptoms, ask anyway. If the patient is giving you yes no answers and not looking at you and responds to everythin with ' whatever you say'. Ask ' hey you seem quite sad, is everything alright? what's going on? '

I think most students end up focusing too much on the history and PE and forget to be nice to the patient.

Mnemonics are good. Use them. I'll try to find mine and put them in one of the cs prep threads.

But most people who fail do it on the ICE and I think it's because most IMGs don't know how the casual patient interaction here is and are too mechanical with the patients , too focused on hx and PE.

I'll be happy to answer any cs questions on PVT msgs or in this thread. I hope I helped someone.

practice, practice, practice. good luck.
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  #45  
Old 10-07-2014
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hi! im taking the CS for the 2nd time in a few months from now. i took my CK quite a while ago. im wondering if i should read on any additional material to help me with the differentials? i failed on the ICE and CIS components. i dont really know how and where to start. im thinking FA again CSE again, perhaps a live course (Kaplan? GOLD?). Any insights? thanks!
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  #46  
Old 10-07-2014
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Quote:
Originally Posted by flatwhite View Post
hi! im taking the CS for the 2nd time in a few months from now. i took my CK quite a while ago. im wondering if i should read on any additional material to help me with the differentials? i failed on the ICE and CIS components. i dont really know how and where to start. im thinking FA again CSE again, perhaps a live course (Kaplan? GOLD?). Any insights? thanks!
You have to identify your weak areas. Kaplan course will help you with CIS but not with ICE so much. Please do not watch CSE videos. I think whatever they are teaching there not very relevant. I only saw part of the the free one on youtube but was not that impressed with their encounters. If you have problems with physical, watch free videos by Jessica Nishikawa on youtube. She explains and performs PE amazingly. Also, I used CS blue sheet video also on youtube and made my own mnemonics. I don't think Kaplan was essential for me but they did give me few tips. If you cannot afford Kaplan live course, definitely take their mock exam. SPs will give you good feedback on what to improve. Try to get a good study partner. My partner was my husband, he is not in medical filed but was a very good actor and sometimes would improvise with challenging questions so that it would make me think instead of just repeating what FA says.
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  #47  
Old 10-07-2014
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Quote:
Originally Posted by flatwhite View Post
hi! im taking the CS for the 2nd time in a few months from now. i took my CK quite a while ago. im wondering if i should read on any additional material to help me with the differentials? i failed on the ICE and CIS components. i dont really know how and where to start. im thinking FA again CSE again, perhaps a live course (Kaplan? GOLD?). Any insights? thanks!
Work on your CIS by talking to people. practicing. small talk. read my post above.
FA and Uworld are really good. CSE vids I hear are outdated.
Live courses are a waste of money from what I have heard.
Good luck.
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  #48  
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Default failed cs cleared it on second attempt

We have failed cs. What should we do to improve our cv! Does anyone have a match preference list of programs where we cant apply with cs attempt?
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  #49  
Old 12-04-2014
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Default cs fail

Failed cs taken in Houston in October! Failed in SEP only:googled n found its rare for ppl to fail only in SEP these days! I did my education in English medium and have a fair English: nobody pointed it out. How can this happen? What shoud I do? My step scores are 250+ in both steps. Will rechecking help?
add me at raj.raz3 at Skype to practice.

Last edited by rajusmle2015; 12-06-2014 at 09:47 PM.
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  #50  
Old 12-07-2014
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I have not taken cse yet but I'm reading theses responses so I don't repeat any mistakes. I watched us I don't think it's detailed enough. I got the fa the new one n I'm using it with csevideoz I noticed that the book and the videoas are identicle in history n pe so if u said cse is outdated I don't get it. They are like the new fa. Anyway. I also think a study partner is key so I can practice live on someone. Skype is ok but a real person is better.

Thanks for all ur responses I notice the forums are quiet I guess it's the holidays. It took me a week to get my password updated on this forum I guess maybe cause I was traveling back from another country who knows. Gonna go try to find my old post
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  #51  
Old 12-10-2014
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for those of you who failed the ICE? can you detail what it was that you think you messed up in your ICE component?
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