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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 05-01-2014
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Default My tips about CS

Hi everyone,

I wanted to give my contribute about CS preparation & exam experience.
I know there are many posts like this one, therefore I'll try to write something a little bit more personal, which may apply to other people in a similar situation.

About me: I graduated in 2006 and I finished my residency in general surgery last year in July. I also did part of my residency in the UK (18 months). I passed step 1 in December.

Preparation: I don't want to write a lot about preparation: there are plenty of posts about it. The only 3 things that I would recommend are: 1) find one (or several) good study partners 2) practice FA for CS with your SP(s), once or twice. 3) Learn some mnemonics, at least the general ones (that I already forgot )

Now...MY experience: When I started preparing for CS I thought that it would be a piece of cake. My spoken english is, for obvious reasons, good, and I have 7 years of clinical experience, also in an english-speaking country.
While I was studying I wasn't very worried, I thought... I will improvise something, it's like clinic, I did it for years. I prepared for one month while I was doing some research and studying for CK.
The truth is, it wasn't a piece of cake! I don't want to scare you, I passed, but I was SURE I didn't!
The exam is NOT like doing clinic. There are all these stupid rules that one has to follow, like saying I'm sorry, pull the thing below the bed, draping... Things that just do not exist in the real life, but you have to remember in 15 minutes. Anyhow.... Everything is in FA. And, basically, that's it. Remember the rules by practicing and be confident.

My mistakes: Guys... I made so many mistakes... it's funny to think about them now! Beside all the things that I forgot to ask, the diagnosis that I missed completely, patients who I had NO IDEA about what they were pretending to have, the non-sense that I wrote in the PNs... Now the funny part.... Ready?
1) I had one case where a SP gave me a paper with some information written on. I forgot to give it back to him, and I brought it out of the room. Basically I stole it from the patient... lol....The proctor asked me what it was, and went back in the room to give it back to the SP. And that was my first SP!!!
2) I had one patient that I wasn't supposed to examine (he was dressed). I wanted to examine him. I asked like 10 times, and I insisted and insisted, and then we had an embarrassing silence that lasted like 1 minute at least, because I really didn't know what to say or what to do!
The exam is so long! You will be tired and you'll make mistakes (hopefully not like mines)

Conclusions: this exam is so random. I guess it really doesn't matter so much how many mistakes you make unless your english is not good enough or you miss the closures (I did closure for all patients but several times the bell rang while I was talking). I really don't know. I think it's important to be confident and to look professional. My advice is: think like if you were really doing clinic.... The SP are not physician, so you are more prepared than them. You are in a powerful position.

Good luck!
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The above post was thanked by:
bpjavi (05-01-2014), drmalany (05-06-2014), insa_ny (05-02-2014), JLY7 (05-01-2014), KovachMarina (05-10-2014), Mansa (05-07-2014), MedicalExaminer (05-02-2014), MishkaMD (05-01-2014), neox (05-07-2014), nsesereso (05-12-2014), Oncology_freak (05-02-2014), spaduri (05-03-2014), usmled10 (11-22-2014)




  #2  
Old 05-02-2014
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Default

hey thanks for ur experience. and congrats on passing. Must be a huge relief.

so i was just wondering how will we write all the stuff while taking history? as in while practicing in the clinics i tried to do that.. but its impossible to write everything up and at the same time we have to maintain eye contact. I end up NOT writing most of the things and when its time to write a PN i forget half the stuff. Any tips on that please?
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  #3  
Old 05-03-2014
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Quote:
Originally Posted by Oncology_freak View Post
hey thanks for ur experience. and congrats on passing. Must be a huge relief.

so i was just wondering how will we write all the stuff while taking history? as in while practicing in the clinics i tried to do that.. but its impossible to write everything up and at the same time we have to maintain eye contact. I end up NOT writing most of the things and when its time to write a PN i forget half the stuff. Any tips on that please?

I spent about 1 minute before the encounter writing on the blue sheet the general mnemonics (liqoraaa pam etc..), during the encounter you ask qs following the mnemonics and just note yes or no close to the letters. Use abbreviations, for ex. I usually write weeks like xx/52 & months like xx/12. You can look at the sheet while you write, just look at the pt while you are asking and while the pt is answering. In the beginning of the encounter I always said "I will write few notes, is it ok with you?"
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  #4  
Old 05-04-2014
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sure thanks alot vero
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  #5  
Old 05-07-2014
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Default help

hello guys, this is my first day in usmle forums. I passed step 1 and 2 ck but now I have some trouble in how to study step 2 cs. my exam is in august and up to now I couldn't find the right studying resources and method. in every forum everyone is talking in different ways.
do you suggest fa?
csevideos or uw?
I don't have any study partner, so I need to study and practise alone.
can you help me to build a study plan with the right sources?

thanks a lot.
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  #6  
Old 05-07-2014
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Pretty much everyone uses FA for CS. Just review the cases & mini cases with a study partner a couple of times. Someone uses the UW cases, but I didn't.
Good luck!
__________________
Step 1 [240]; Step 2 CS [passed first time]; Step 2 CK [244]; YOG (2006); residency in my own country (2013);13 months USCE/Research; GC holder
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  #7  
Old 05-07-2014
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Quote:
Originally Posted by vero View Post
Pretty much everyone uses FA for CS. Just review the cases & mini cases with a study partner a couple of times. Someone uses the UW cases, but I didn't.
Good luck!
what about csevideos? do you have any idea?
by the way thank you vero!
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  #8  
Old 05-07-2014
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Quote:
Originally Posted by neox View Post
what about csevideos? do you have any idea?
by the way thank you vero!

you are welcome! I never watched the CSE videos. I personally watched on youtube some videos from "bilderbackhealth" about how to perform a correct physical examination. ( it is just for reference, she makes a very long but awsome examination. I think it's for nurses though)
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Step 1 [240]; Step 2 CS [passed first time]; Step 2 CK [244]; YOG (2006); residency in my own country (2013);13 months USCE/Research; GC holder
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  #9  
Old 05-11-2014
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Default Congrats!

Congrats on passing cs! Where dis you take the exam?


Quote:
Originally Posted by vero View Post
Hi everyone,

I wanted to give my contribute about CS preparation & exam experience.
I know there are many posts like this one, therefore I'll try to write something a little bit more personal, which may apply to other people in a similar situation.

About me: I graduated in 2006 and I finished my residency in general surgery last year in July. I also did part of my residency in the UK (18 months). I passed step 1 in December.

Preparation: I don't want to write a lot about preparation: there are plenty of posts about it. The only 3 things that I would recommend are: 1) find one (or several) good study partners 2) practice FA for CS with your SP(s), once or twice. 3) Learn some mnemonics, at least the general ones (that I already forgot )

Now...MY experience: When I started preparing for CS I thought that it would be a piece of cake. My spoken english is, for obvious reasons, good, and I have 7 years of clinical experience, also in an english-speaking country.
While I was studying I wasn't very worried, I thought... I will improvise something, it's like clinic, I did it for years. I prepared for one month while I was doing some research and studying for CK.
The truth is, it wasn't a piece of cake! I don't want to scare you, I passed, but I was SURE I didn't!
The exam is NOT like doing clinic. There are all these stupid rules that one has to follow, like saying I'm sorry, pull the thing below the bed, draping... Things that just do not exist in the real life, but you have to remember in 15 minutes. Anyhow.... Everything is in FA. And, basically, that's it. Remember the rules by practicing and be confident.

My mistakes: Guys... I made so many mistakes... it's funny to think about them now! Beside all the things that I forgot to ask, the diagnosis that I missed completely, patients who I had NO IDEA about what they were pretending to have, the non-sense that I wrote in the PNs... Now the funny part.... Ready?
1) I had one case where a SP gave me a paper with some information written on. I forgot to give it back to him, and I brought it out of the room. Basically I stole it from the patient... lol....The proctor asked me what it was, and went back in the room to give it back to the SP. And that was my first SP!!!
2) I had one patient that I wasn't supposed to examine (he was dressed). I wanted to examine him. I asked like 10 times, and I insisted and insisted, and then we had an embarrassing silence that lasted like 1 minute at least, because I really didn't know what to say or what to do!
The exam is so long! You will be tired and you'll make mistakes (hopefully not like mines)

Conclusions: this exam is so random. I guess it really doesn't matter so much how many mistakes you make unless your english is not good enough or you miss the closures (I did closure for all patients but several times the bell rang while I was talking). I really don't know. I think it's important to be confident and to look professional. My advice is: think like if you were really doing clinic.... The SP are not physician, so you are more prepared than them. You are in a powerful position.

Good luck!
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  #10  
Old 05-11-2014
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Thank you. In Philadelphia
__________________
Step 1 [240]; Step 2 CS [passed first time]; Step 2 CK [244]; YOG (2006); residency in my own country (2013);13 months USCE/Research; GC holder
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  #11  
Old 05-13-2014
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Default hi

but they say the exam has become even more difficult and the notes r supposed to be written in a professional way!!!!is it true?/
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  #12  
Old 05-13-2014
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Quote:
Originally Posted by zaara View Post
but they say the exam has become even more difficult and the notes r supposed to be written in a professional way!!!!is it true?/

I don't know if the exam is more difficult, but I doubt it.
You have to write the PNs in a professional manner, obviously. Imagine you are a resident and you have to write the PNs... you want the notes to be understandable. Don't go crazy about typos and misplelling, but try to be professional.
Practice with your SP the PNs as well after the patient encounter. The biggest problem is the timing.

Good Luck!
__________________
Step 1 [240]; Step 2 CS [passed first time]; Step 2 CK [244]; YOG (2006); residency in my own country (2013);13 months USCE/Research; GC holder
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