June 2013, Philadelphia, Trickster Step 2 CS Experience - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CS Forum

USMLE Step 2 CS Forum USMLE Step 2 CS Discussion Forum: Let's talk about anything related to USMLE Step 2 CS exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 08-23-2013
USMLE Forums Scout
 
Steps History: 1 + CK
Posts: 99
Threads: 10
Thanked 137 Times in 34 Posts
Reputation: 147
Experiences June 2013, Philadelphia, Trickster Step 2 CS Experience

Outcome: Pass
Prep time: 10 days
Prep materials: First Aid CS + UW videos
Hotel: The Hilton Inn at Penn
USCE: none
Step 1 and CK: 260 +, 270+

June 2013, Philadelphia, Trickster Step 2 CS Experience-capture-1-.png
click image to enlarge


Here's an account of my ruminations on the silliness that is the CS exam. I am including a snapshot of my performance bands so you can get an idea of the gravity of the mistakes I made (the ones I can recall anyway).

I gave the CS soon after the CK and having had a year of internship behind, I wasn't too worried about the CS.

While I did pass the exam comfortably, I was startled by my mediocre CIS and ICE performance bands. In hindsight, I realize more than ever that this exam is simply about doing things a certain way. I could have easily failed it regardless of the great feedback I received from faculty during a leading internship program in my country.

I read First Aid CS twice in 10 days, but didn't bother really practicing with a partner. A couple of days before the exam, I grabbed a relative and went through a couple of cases with them to get a sense of timing. I watched UW videos and went through the motions of the physical examinations on a pillow. Having given CK recently, I felt confident about the ICE section.

One of the most important things I did was to practice typing the patient note. I almost went into the exam arrogantly confident of my fast typing, and the thought of the tragedy that could have ensued terrifies me! I happened to casually open the software on the USMLE website to type out a patient note from a First Aid long case and realized it takes more than fast typing to create a good note in 10 minutes. Whew. After that, I practiced a few more notes to make sure I was able to do it in 8 minutes.

CIS: I wasn't the least bit bothered about CIS. I figured all I had to do was be human. :P More on that in a bit.

SEP: I speak as well as a native, so that wasn't an issue.

Exam Day

I drove to Philly from DC the day prior to the exam and stayed overnight at the Inn at Penn. Nice place, only a 5 minute walk from the testing center. I was too excited and couldn't sleep the entire night, but I function well even when sleep deprived so that wasn't really a problem.

The Testing Center
The proctors were very friendly and polite. The environment was very comfortable. We went through the drill of watching the tutorial and then fiddling with the bed and instruments.

The Exam
I blew the first case. Frankly speaking, had I practiced more, I could have gone through the motions mechanically well, but as matters stood, my nerves got the better of me. I missed a few important questions, forgot the patient's name, got confused at the challenging question etc. I forgot to note the vitals outside the door too, and only realized her BP was high (unrelated to the case and PMH) when typing the note.

After the first case, I took a deep breath and reminded myself that I'd done this a billion times in real life. The rest of the cases went marginally better. I ran out of time in one case only, and that wasn't so bad either - I was nearly done with the closure any way but the SP wasn't! I told him I had an emergency of course!

All the cases were pretty straightforward (covered in First Aid, more or less), and the histories were so freaking obvious that I had a reasonable differential in 7 minutes or so usually. I did extremely focused PE's, just so I could mention it in my PN. I rarely found anything significant, so I must have not been thorough enough. I never did any fundoscopies/otoscopies. I used the hammer and q-tip for neuro exams, but not other instruments in addition to my steth. I used gloves, never washed hands.

CIS: Never summarized H&P's (simply forgot! Should have practiced more!), rarely listed a differential for the SP, offered only a couple of lab tests to the SP, missed 1 challenging question, broke eye contact a lot (I brazenly took notes for 10-15 seconds at a time, that the SP could read! I don't know what came over me....at the point it all seemed like a ridiculous facade, and I figured the SP would understand!), occasionally slipped into close-ended questions during the history, and did not ever get insight into the patient's thoughts and feelings about their problem. I was extremely polite though, and showed natural empathy - probably saved me a fail in CIS.

I feel that the reason I did poorly in CIS is because unless you drill the specific words and mannerisms into your routine with practice, it's simply difficult to fake it with fake patients! One SP was being ridiculously aggressive, and it was all I could do not to roll my eyes at the overacting. So guys....practice. And don't take CIS lightly even if you've been the sort of doctor who gets handwritten notes of appreciation from your patient in real life!

My performance in ICE was probably affected by the fact that having formed a clear picture of the differentials in my head, I wasn't very attentive to the PEs. I got no pertinent negatives, and only some positive findings! (some rebound here, some tenderness there...).

I hope my experience can help someone be smarter about their preparation. I wouldn't do anything differently since I passed, and who cares about the performance bands, right? But, if I had to do it again, I would make mechanical algorithms for dealing with the standard long cases in First Aid, and then practice them all twice or thrice with a partner. The exam is highly subjective, the SP's are grading you too according to a checklist, and you need to qualify for the points!

Moral of the story: Practice!! Don't be a smarta** and wing it like I did....this pass could have slid into a fail.

Good luck to all future examinees. The CS sucks, and I'm glad to have put it behind me. On to step 3 now!
Reply With Quote Quick reply to this message
The above post was thanked by:
abstudyin (08-30-2013), Ahuizotl (10-06-2013), drliban (08-24-2013), fati (08-24-2013), Highlander (08-26-2013), MedPharm (08-24-2013), Mo-tongji (08-24-2013), rg99 (10-06-2013), SPIN (08-31-2013)




  #2  
Old 08-24-2013
USMLE Forums Addict
 
Steps History: Not yet
Posts: 109
Threads: 28
Thanked 18 Times in 15 Posts
Reputation: 28
Default

thanks for your article

I have a question how can I get the UW videos

are they included with the cases in the UW Subscription

or should I buy them alone and the cases alone?

please tell me
Reply With Quote Quick reply to this message
  #3  
Old 08-24-2013
USMLE Forums Scout
 
Steps History: 1 + CK
Posts: 99
Threads: 10
Thanked 137 Times in 34 Posts
Reputation: 147
Default

You can't buy them separately.
Reply With Quote Quick reply to this message
The above post was thanked by:
taher (08-24-2013)
  #4  
Old 08-24-2013
MedPharm's Avatar
USMLE Forums Addict
 
Steps History: Step 1 Only
Posts: 106
Threads: 9
Thanked 73 Times in 43 Posts
Reputation: 83
Default

Hey Trickster,

Congrats man ;-)
I'll give CS a go in not even 48 hours here in Philly. A shame we didn't meet earlier here, I live right next to the Inn at Penn.

I am extremely worried about the ICE section. Something I am really worried about is talking to the patient during the physical exam. Do you comment on what you are doing and/or can you sneak a bit of the history taking into that?
Reply With Quote Quick reply to this message
The above post was thanked by:
Trickster (08-24-2013)
  #5  
Old 08-24-2013
USMLE Forums Scout
 
Steps History: 1 + CK
Posts: 99
Threads: 10
Thanked 137 Times in 34 Posts
Reputation: 147
Default

Hey! Yes, during the PE, I made sure to tell the SP what I was gonna do next. Don't want to have to pry their eyes open! And I snuck in Hx questions too. "Oh ... by the way, tell me about x or y". I stopped what I was doing though to make eye contact!
Reply With Quote Quick reply to this message
The above post was thanked by:
MedPharm (08-24-2013)
  #6  
Old 09-02-2013
USMLE Forums Scout
 
Steps History: 1 + CK
Posts: 99
Threads: 10
Thanked 137 Times in 34 Posts
Reputation: 147
Default

Quote:
Originally Posted by lawrencedoc View Post
this is fake ad for UW
What is a fake add for UW? And how?
Reply With Quote Quick reply to this message
  #7  
Old 09-02-2013
val7's Avatar
USMLE Forums Master
 
Steps History: CS Only
Posts: 557
Threads: 29
Thanked 295 Times in 186 Posts
Reputation: 315
Default

Quote:
Originally Posted by Trickster View Post
What is a fake add for UW? And how?
don't worry, I think lawrencedoc is a little paranoid right now...
This does not sound like a fake ad to me
Reply With Quote Quick reply to this message
  #8  
Old 10-06-2013
USMLE Forums Addict
 
Steps History: 1 + CK
Posts: 103
Threads: 6
Thanked 44 Times in 36 Posts
Reputation: 54
Default

This sounds a little like my experience, so it gives me hope of passing first try. Thanks for posting and congratulations!
Reply With Quote Quick reply to this message
  #9  
Old 10-10-2013
USMLE Forums Newbie
 
Steps History: 1+CK+CS
Posts: 1
Threads: 0
Thanked 0 Times in 0 Posts
Reputation: 10
Default grats.

Hey there congratulations to you for passing the step 2 and guess what, I have also passed the step 2 exam! It was a great help having attended the goldusmlereview workshop.
Reply With Quote Quick reply to this message



Reply

Tags
CS-Experience, Score-Reports-

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Looking for CS Partner in Philadelphia; Exam: June 2013 JKMS USMLE Step 2 CS Study Partners 1 06-10-2013 10:15 AM
Looking for CS Partner in Philadelphia; Exam: June 2013 Novobiocin USMLE Step 2 CS Study Partners 5 05-20-2013 08:42 AM
Philadelphia CS Experience kp1132 USMLE Step 2 CS Forum 4 03-15-2013 09:56 AM
Looking for Step 2 CK Partner in Philadelphia, PA or Online; Exam: June 2013 Agnes USMLE Step 2 CK Study Partners 0 12-04-2012 01:15 PM
Trickster Step 1 Score 262/89! Trickster USMLE Step 1 Forum 20 02-21-2012 10:14 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)