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  #1  
Old 06-18-2014
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Default CS Philadelphia experience 2014

Hey guys! I have been a long time passive reader of this forum. Once I took my CS (May 2014), I promised myself to post my experience if I pass it. So the results came out today and I PASSED!

I am a US-IMG and took CS exam at Philly in May. I, like others, was very scared to take the exam at philly due to "rumors" of it being a very difficult center for IMG's. In the end I decided to take the exam there as it was most convenient for me.

My preparation included (1 month -3hrs a day)
First aid core cases x2 with live partners (1x untimed, 1x timed)
First aid mini cases x1 with a friend while going to Philadelphia
Practiced typing notes (x20) on the USMLE sample link provided but USMLE.

It has been over a month since I took the test so I don't remember all the mistakes I made but below are few of them
1) First case I had no idea what the pt had so wrote down whatever I found including multiple negatives and totally guessed the differential/workup
2)Didn't answer challenging question in 1 pt as I ran out of time
3) Forgot to add liver enzyme work up in an alcoholic pt
4) Stuttered and did a very poor physical exam while dealing with a difficult pt
5) Only examined the most pertinent system and did not do heart/lungs unless the chief complain asked for it
6) Two pts were surprised and disappointed when I told them my impression/most likely dx
7) Asked few question repeatedly
8) and many more that I was scared to death about but can't remember at this point

Things I did right
-Knock-knock, firm handshake, introduced myself, asked occupation, CC, empathize, asked open ended questions multiple times, did a full history (except gyn), counselled, summarize, explained physical, closure, give time to ask questions (most cases), ended with a firm handshake and promise to follow up 'once results are back'

Ask me if you have any questions. I will try to answer as best I can! Good luck to everyone who still has to take the exam!
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The above post was thanked by:
Asoka (06-18-2014), Oncology_freak (06-18-2014), seniortaker (06-18-2014)




  #2  
Old 06-18-2014
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Quote:
Originally Posted by STEPaid View Post
Hey guys! I have been a long time passive reader of this forum. Once I took my CS (May 2014), I promised myself to post my experience if I pass it. So the results came out today and I PASSED!

I am a US-IMG and took CS exam at Philly in May. I, like others, was very scared to take the exam at philly due to "rumors" of it being a very difficult center for IMG's. In the end I decided to take the exam there as it was most convenient for me.

My preparation included (1 month -3hrs a day)
First aid core cases x2 with live partners (1x untimed, 1x timed)
First aid mini cases x1 with a friend while going to Philadelphia
Practiced typing notes (x20) on the USMLE sample link provided but USMLE.

It has been over a month since I took the test so I don't remember all the mistakes I made but below are few of them
1) First case I had no idea what the pt had so wrote down whatever I found including multiple negatives and totally guessed the differential/workup
2)Didn't answer challenging question in 1 pt as I ran out of time
3) Forgot to add liver enzyme work up in an alcoholic pt
4) Stuttered and did a very poor physical exam while dealing with a difficult pt
5) Only examined the most pertinent system and did not do heart/lungs unless the chief complain asked for it
6) Two pts were surprised and disappointed when I told them my impression/most likely dx
7) Asked few question repeatedly
8) and many more that I was scared to death about but can't remember at this point

Things I did right
-Knock-knock, firm handshake, introduced myself, asked occupation, CC, empathize, asked open ended questions multiple times, did a full history (except gyn), counselled, summarize, explained physical, closure, give time to ask questions (most cases), ended with a firm handshake and promise to follow up 'once results are back'

Ask me if you have any questions. I will try to answer as best I can! Good luck to everyone who still has to take the exam!
congrats on passing...
did u ran out of time in any case? how many cases did u get which were not given in FA?
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  #3  
Old 06-18-2014
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CONGRATSSSS
can u plz tel me how were your patient notes????
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  #4  
Old 06-19-2014
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Quote:
Originally Posted by Asoka View Post
congrats on passing...
did u ran out of time in any case? how many cases did u get which were not given in FA?
I ran out of time only once. There were other 2 encounter where I had to wrap up quickly but I did end up finishing answering pt's questions.

Last edited by STEPaid; 06-19-2014 at 12:59 PM.
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  #5  
Old 06-19-2014
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Quote:
Originally Posted by DRNMK View Post
CONGRATSSSS
can u plz tel me how were your patient notes????
I modified the FA format for PN. As in I did not start with a new line for PMH, PSH, meds etc. I just wrote everything in one paragraph while separating different sections of hx by a semicolon. After I was done describing HPI I put 4-5 pertaining negatives (sometimes more if I did not find many positives). I did not write "ROS: negative except for above" bc I found it redundant to say that.

I usually started with HPI as it was fresh in my mind, then moved to DDx & workup, and finished with PE note.
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