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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 07-23-2014
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Unhappy my Step 2 CS experience

Greetings Guys,

I haven't posted in this forum for a while, I took my step 2 CS exam in Chicago center 1 week ago and I thought to share my experience with you guys, because I'm now emotionally drained and consumed because of this exam , hopefully this post would be helpful,

I got 212 in my step 1 exam , and that was to add to my stress before this exam

I studied for this exam for 6 weeks, 1st 4 weeks was around 3-4 hours and just practiced history taking with my skype partner , then live practicing all case (history taking, physical and PN typing) for 8 hours everyday for 2 weeks.

my main issue before the exam and during practice was always time management, I used to be very detailed in history taking , doing full PE so i didn't have time for closure and counseling.

So I decided that if I wanted to finish in time, I have to skip some questions in History taking, skip parts of physical examination and stay as focused as possible as long as it didn't affect your final diagnosis or establishing and supporting your DD.

Luckily, when I came out of the exam I was extremely satisfied with this portion , I didn't miss a single closure in my exam, I wrote 3 differentials with supporting evidences and most investigations.

but I did lots , lots of mistakes:

1- there were 2 patients in pain and lying over the bed, the first one I tried to make him sit down and he did, so i sat down and started history taking, the other seemed in severe pain , i asked him how can i make you more comfortable ? and then I sat down while he was lying over !!! I realized after 3 minutes that this was wrong so I stood up and told him that it's important to be keeping an eye on him ,,, the most sarcastic part I was trained about this topic in particular and still made the same mistake, also about the Draping, I can't recall when I draped both patients, usually i made sure that the drape was over the patient before PE, at all cases, but this lying down patient I can't recall if I draped him just before the exam or from the beginning of the encounter

2- I forgot to extend the foot rest in 2 abdominal cases , because I always concentrated to help the patient lying down and draping them adequately , till one the SP pointed that , I quickly apologized and did that.

3-I forgot to ask about illicit drug use in 3-4 cases where I thought it was irrelevant due to DD and patient age and group ,occupation in one, FMH in one, allergies in one .

4- I only used water to wash my hands , though I dried them well, this was because of being afraid to lose time

5-I always counseled about smoking, but there were 2 cases of alcoholic drinking, I think i missed alcohol counseling in one.

6- the patient in one encounter made a strange sound i though he was coughing, so i offered him a napkin, then he told me that something was stuck in his throat and he swallowed it I got blunted

7- my physical was super quick and super focused

8- PN, I ran out of time in the middle typing physical exam in 2-3 cases, I did perform the exams , but couldn't find time to type all of them in 2 cases
9- missed some points in typing of HPI also due to rush.

10- forgot rectal exam in 1 case- a couple of investigations, there were 2 cases although I established a DD, but I am not sure if I missed one or didn't get the right diagnosis, I missed one important investigation (EEG in a case )

11- one time patient was speaking then he stopped for a moment the I asked a question ,to find that he is saying another sentence, i stopped immediately,apologized and let him continue

GOOD things, always knocked , asked for preferred name, asked how to make him more comfortable, asked open ended qs followed by specific ones ,summarized, kept the patient well covered during PE, answered all challenging qs, made closure for all patients, counseled as much as I can, wrote 3 DD for every case with supporting evidences established most of investigations.

I am really hoping I can pass this exam, most of these mistakes are things that i have trained on, but when you get into that day you just get stressed about the time, and the only thing you could think of is to get to your closure before you hear the announcement to leave the room.

I really need your support guys and I wish you all the best with your exams and future

Last edited by MIZO105; 07-23-2014 at 11:47 AM.
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  #2  
Old 07-23-2014
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You sound typically of those who passed exam.
when y mention that ran out of time on PE have y written differentials and stuff?

You are using the method of writing HPI and DD and workup first?
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Old 07-23-2014
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Quote:
Originally Posted by tamta View Post
You sound typically of those who passed exam.
when y mention that ran out of time on PE have y written differentials and stuff?

You are using the method of writing HPI and DD and workup first?
Thanks lot Tamata for your feedback, yes I started all cases with DD investigations , History and left PE,till the end , that's why in 2 cases i couldn't finish all my PE and they were relevant,

I'm really afraid that those mistakes would affect me , and it really haunts me :/
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Old 07-23-2014
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I really need your opinion and support guys , would I be able to pass with those errors ?
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  #5  
Old 07-23-2014
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80% chance you passed.
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Old 07-23-2014
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Quote:
Originally Posted by warfarin90 View Post
80% chance you passed.
Thanks warfarin but would you mind if I asked why 80% specifically
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  #7  
Old 07-24-2014
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Go on CS mistakes threads and you will see that your mistakes fall into PASSING point. My friend could not do 2 closures and passed with all high performances. so calm down and don't drive yourself crash this month.

I can't say any percentages but you PASSED.

I am scared about DD and justifications not sure If i can make all three for all cases
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  #8  
Old 10-09-2014
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I passed
Thanks Guys
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Old 10-09-2014
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I told you man
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