I have these mistakes in my CS exam! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     58,595 Members     257,007 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 Recommended Threads

USMLE Step 2 CS Recommended Threads Highly Recommended and Useful USMLE Step 2 CS Forum Threads.


Closed Thread
 
Thread Tools Search this Thread Display Modes
  #1  
Old 05-09-2010
lee-usmle's Avatar
Ex-USMLE Forums Staff
 
Steps History: 1+CK+CS+3
Posts: 753
Threads: 106
Thanked 1,937 Times in 457 Posts
Reputation: 1985
Stop I have these mistakes in my CS exam!

Many of us just get puzzled by the possible outcome of our CS performance. And often we start to remember how many mistakes we had right after we leave the center.

So, it becomes very worrisome for us and that is compounded by the fact that waiting for the CS results is usually a couple of months process and not just three to four weeks as in the case of the written Step 1 and CK.

So let's start a thread where each one of mentions what mistakes he had in his CS exam and then to mention whether he/she passed or failed.

Here's my example:

Mistakes:
-Did not wash my hands in one case.
-Did not have time for closure in one case.
-Forget several questions to ask in a case of chest pain.
-Forget to mention pelvic exam as the first work up in the patient note.
-Did not get the diagnosis in one case.
-Forget to offer a glass of water when the lady coughed in front of me.
-Forget to auscultate the abdomen in abdominal examination.

Outcome:
-Passed
Quick reply to this message
The above post was thanked by:
805tataiana (03-16-2013), aim_99 (04-10-2013), akhan1 (04-15-2014), aknz (03-26-2013), arif hasan (09-14-2012), bhavesh kaswala (08-10-2013), Brainious (05-09-2010), chulady (10-09-2011), cingulate.gyrus (03-03-2013), cp25 (02-28-2012), doc_kk (03-28-2012), docsasmit (08-23-2012), docsdr (12-23-2012), docshah (04-23-2013), DocSikorski (12-11-2012), dr mumble (08-22-2013), Dr. N Elham (05-10-2010), dr.e.m (02-20-2013), Dr.Light (10-02-2012), drdhruv (05-13-2012), drserhattunc (03-01-2014), drzamzam (12-23-2011), eternity85 (06-14-2014), freebielady (07-11-2012), gaba1 (05-28-2011), geof1 (05-03-2011), harmonis (11-11-2013), Highlander (09-10-2012), lepidoptera (05-09-2011), lysogeny (06-20-2012), Maha Lakshmi (04-01-2013), maksemous (03-02-2012), neilnf (04-05-2014), nixnj89 (06-12-2013), pkul85 (02-10-2013), rameshchinese (06-06-2011), rammon (06-01-2011), rani001 (01-29-2013), Razia (04-19-2013), Richa (07-27-2011), Rida shah (12-08-2013), sagaar (02-25-2014), saharan (02-03-2014), sane redhead (06-11-2012), shaan.medico (04-06-2014), sharvaree19 (08-21-2010), supaing (09-19-2013), susanbal (07-13-2011), tomymajor (05-12-2010), tootsie (09-10-2011), Torm2 (02-12-2014), tzbs (06-20-2011), vaibhavmanu (06-24-2012), varash (01-06-2014), Vurtil (06-19-2013), Wajahat (02-18-2012), water (04-23-2013), wenskyrose (04-08-2012), Z.Fakhri (02-03-2011)



  #2  
Old 05-09-2010
rasheed's Avatar
Ex-USMLE Forums Staff
 
Steps History: 1+CK+CS+3
Posts: 742
Threads: 137
Thanked 2,108 Times in 437 Posts
Reputation: 2211
Arrow Here's my mistakes

Mistakes:
-Did not have time to finish the physical examination in two cases.
-Missed several differential diagnoses to mention in the PN in 3 or 4 cases.
-Did not show empathy when the lady cried.
-Was considered rude by one of the SP when I asked about impotance
-Did not do percussion in any respiratory exam.
-Did not do minimental exam in a case of dementia

Outcome:
-Passed
Quick reply to this message
The above post was thanked by:
aknz (03-26-2013), beka-CTS (06-14-2013), Brainious (05-09-2010), cp25 (02-28-2012), DocSikorski (12-11-2012), Dr. N Elham (05-10-2010), Dr.Light (10-02-2012), drserhattunc (03-01-2014), neilnf (04-05-2014), oldmd (03-07-2011), pkul85 (02-10-2013), sagaar (02-25-2014), sane redhead (06-11-2012), stepbystep (06-19-2013), tamta (01-20-2014), tangled (03-19-2012), tomymajor (05-12-2010), tootsie (03-01-2012), Torm2 (02-12-2014), varash (01-06-2014), Vurtil (06-19-2013), Wajahat (02-18-2012)
  #3  
Old 05-11-2010
YoramFishke's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 249
Threads: 11
Thanked 279 Times in 124 Posts
Reputation: 309
Unhappy Here's my mistakes

Mistakes:
-I was dragged out of the patient's room by the instructors because of time finished and I stayed there!
-I missed several differential diagnoses, at least in three patients
-I forgot to drape the SP in one case
-I forgot to counsel about safe sex and STD in one case
-Did not ask CAGE questionnaire in two cases

Outcome:
-Awaiting results!
Quick reply to this message
The above post was thanked by:
aknz (03-26-2013), pkul85 (02-10-2013), tomymajor (05-12-2010), Torm2 (02-12-2014), Vurtil (06-19-2013), Wajahat (02-18-2012)
  #4  
Old 05-11-2010
USMLE Forums Newbie
 
Steps History: 1 + CS
Posts: 8
Threads: 0
Thanked 34 Times in 7 Posts
Reputation: 44
Smile Many mistakes but I passed

Mistakes:
-Did not have time to do physical examination in the first case
-Did not mention diabetic follow up in the plan of one case
-Did not mention ophthalmoscopy in a case of diabetic retinopathy
-Did not do ophthalmoscopy in case of trauma
-Forgot to ask about baby's growth and milestones
-Forgot to ask menstrual history in a woman SP
-Forgot to ask social history in two cases
-Forgot to give closure in once case
-Did not do abdominal exam in a fatigue case
-Did not do vibration and touch in a lower limb neuro case
-Did not examine the thyroid in a depression case
-Forgot to mention urodynamic studies in a case of incontinence
-Forgot to ask about drug allergy in once case
-Asked silly questions in several cases
-Did not show adequate empathy and rapport in a case of sexual assualt
-Forgot to mention rectal exam for the SP in case of urinary retention

Outcome:
-Passed! Can you believe it
Quick reply to this message
The above post was thanked by:
aknz (07-02-2013), billy (09-06-2012), deeqwerty (06-18-2010), doc_kk (05-16-2012), drserhattunc (03-01-2014), gaba1 (05-28-2011), hedihav_x (01-24-2011), HouseWannabe (03-10-2011), jerryjr36 (10-28-2011), lili435 (10-09-2014), oldmd (03-07-2011), pkul85 (02-10-2013), sagaar (02-25-2014), sane redhead (06-11-2012), seemaCMC (06-10-2011), shima (04-24-2012), stepbystep (06-19-2013), tamta (01-20-2014), tangled (03-19-2012), tomymajor (05-12-2010), tootsie (10-24-2011), Torm2 (02-12-2014), upendi (04-09-2013), Vurtil (06-19-2013), Wajahat (02-18-2012)
  #5  
Old 07-15-2010
DrSeddik's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 236
Threads: 57
Thanked 439 Times in 106 Posts
Reputation: 452
Default Can you top that?

I had a strange fit of indifference during the exam, I felt that some mistakes I did were on purpose:
- I wore gloves in the middle of the PE in one case
- I did not ask about drug allergy in 4 cases
- I did not ask about menstrual history in 3 cases
- I did not write the abnormal vital signs in 2 cases
- didn't do mental status exam in 2 cases
- Forgot to counsil a patient about smoking + Pot smoking, another patient I forgot to counsil about smoking also.
- Forgot to tell a patient that I need to do a pelvic exam and forgot to write it in the PN, another patient I forgot to tell about rectal exam but I wrote it in the PN
- Forgot to ask about a severity defining aspect in a pediatric patient, a very imp question
- I missed the major diagnosis in 2 cases, one of them was really obvious, and in the 3rd one I put as the 2nd or 3rd DDx
- Forgot to show sympathy in one patient.
- Forgot to do a knee exam in a patient.
- I was in a very terrible state, so I am not sure what I forgot to do else.

So there you go, I am waiting for the results, and if I really did pass, I don't know who is going to fail!!!!
Quick reply to this message
The above post was thanked by:
aknz (07-02-2013), billy (09-06-2012), Dr.Light (10-02-2012), Freewill (04-17-2012), gaba1 (05-28-2011), pkul85 (02-10-2013), sane redhead (06-11-2012), stepbystep (06-19-2013), tootsie (10-24-2011), Vurtil (06-19-2013), Wajahat (02-18-2012), Zagaris (07-16-2010)
  #6  
Old 08-21-2010
USMLE Forums Scout
 
Steps History: 1+CK+CS+3
Posts: 58
Threads: 22
Thanked 141 Times in 16 Posts
Reputation: 171
Default

wish I had read this before my CS!!!!! would have saved me many sleepless nights as I waited for the result..well anyways, since I passed, I can now enlist my own mistakes, and u guys can feel better by reading them!

- came out of the room in 6-7 minutes..
- stared at the patient for maybe 30 seconds when she said doc is my baby going to be alright? and then said , I don't know...
- said er...er...er....um..maybe.
- was almost unable to control laughter when one pt said something funny unintentionally
- made an SP yell by poking an otoscope in her ear.
- I was in the middle of my closing when the bell rang in one case, so I was like-oh no! now I have to go!
Quick reply to this message
The above post was thanked by:
Ahuizotl (04-03-2013), aknz (07-02-2013), doxorubicin (06-07-2013), dr.aysa (10-12-2011), dr.dhruvdesai (03-11-2012), dr.e.m (02-20-2013), drserhattunc (03-01-2014), Freewill (04-17-2012), Highlander (09-11-2012), HouseWannabe (03-10-2011), neilnf (04-05-2014), pkul85 (02-10-2013), rasheed (08-21-2010), sane redhead (06-11-2012), stepdoc1 (03-01-2013), tamta (01-20-2014), tootsie (10-24-2011), Torm2 (02-12-2014), Vurtil (06-19-2013)
  #7  
Old 04-01-2011
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 21
Threads: 6
Thanked 9 Times in 3 Posts
Reputation: 19
Send a message via Skype™ to jhona54
Default HI ,my mistakes

I think I did several mistakes in the exam

1. I always use gloves and did not wash my hands.

2. When I was about to start the PE the SP told me could you please put my cell phone in the table, I took the phone and put it on the table, and then I did not change my gloves again!
3. When I was doing abdominal examination I forgot to pull out the footrest and noticed that at the end of the examination, I said I'm really sorry about that and the patient was having abdominal pain.

and several other mistakes that I don't want to think about them anymore

Let's see if they pass me or not!
Quick reply to this message
The above post was thanked by:
aknz (07-02-2013), pkul85 (02-10-2013), stepbystep (06-19-2013), tamta (01-20-2014), tootsie (10-24-2011), Torm2 (02-12-2014), Vurtil (06-19-2013)
  #8  
Old 05-08-2011
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 127
Threads: 77
Thanked 72 Times in 25 Posts
Reputation: 84
Default These are the mistakes that I can remember..

Mistakes:
1. On my first and third cases, I forgot to do CVS and Resp exam (the Patients CC was not related to these two systems, but still...)
2. Forgot atleast 2 important DDx
3. Forgot to do psoas and obturators sign (it was necessary)
4. Was empathetic, but not sure if it was enough
5. Didn't mention DRE and dont think I wrote it down either

Outcome:
Passed, see my thread
Quick reply to this message
The above post was thanked by:
aknz (07-02-2013), tamta (01-20-2014), tootsie (10-24-2011), Torm2 (02-12-2014), Vurtil (06-19-2013)
  #9  
Old 06-09-2011
harlesmd's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 390
Threads: 40
Thanked 338 Times in 141 Posts
Reputation: 348
Default

These are the mistakes that I did on my CS exam :
1. forgot to record the result of cardiac ascultation in one patient note, I did the PE but I forgot to write it...so stupid !!!! (it was necessary)
2. forgot to ask family history in one case
3. forgot to mention pelvic exam during closure in one case
4. never asked CAGE questions (I dont know if it's necessary because most SPs drink only 1-2 beers on weekend)
5. forgot to do abdominal examination in one case (it was necessary)
6. forgot to ask delivery history when it was very important to rule out some differential diagnosis
7. asked one SP to repeat his answer because I couldn't pick up what he said (it was too fast for me)
8. didn't give enough empathy to one patient with some personal problem in their life
9. did mistake when summarizing patient's history in two cases (the patients corrected some points in my summary )
10. forgot to put the vital sign in one patient note

That's what I can think of now, there will be more coming up......ahhh...I think will fail this exam
__________________
Time is immortal when you believe on something...
Quick reply to this message
The above post was thanked by:
tamta (01-20-2014), tootsie (10-24-2011), Torm2 (02-12-2014), Vurtil (06-19-2013)
  #10  
Old 06-16-2011
USMLE Forums Newbie
 
Steps History: 1+CK+CS
Posts: 7
Threads: 1
Thanked 18 Times in 4 Posts
Reputation: 28
Default

Mistakes
- forgot to do thyroid examination in a case of fatigue .
- still asking history when 5 min left, so I've to rush physical exam and closure.
- forgot to copy vital signs in 1-2 PN.
- didn't counsel for smoking cessation in 1 case.
- one SP asked me some questions during examination and then i answered his questions and did the closure the same time. So forgot to finish my physical examination.

and there are many more that I can't remember of now because my exam was on 29th April.

Outcome:
Passed

Comment:
I posted this because I feel thankful to those who posted in this thread.
after my exam I felt very frustrated, having the flashback of all the mistakes I have done. But after I found this thread, I feel much relieved.

good luck to every one !
Quick reply to this message
The above post was thanked by:
aknz (07-02-2013), dr.e.m (02-20-2013), tamta (01-20-2014), tootsie (10-24-2011), Torm2 (02-12-2014), Vurtil (06-19-2013)
  #11  
Old 06-16-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 12
Threads: 4
Thanked 13 Times in 2 Posts
Reputation: 23
Default

Mistakes:
- I forgot to ask about rash in a ped case, after leaving the room I realized it could be relevant to the Dx
- one patient refused to answer my question about sex Hx & I couldn't convince her too
- forgot to ask about menst Hx in 2 female pt
-I couldn't finish PE in 2 neuro cases, especially one of them was the 1st case, so I had to say "I'll be back as soon as I get the test results, nice meeting u" & leave, although I didn't give any idea about the DDx or Ix !!
- my closing was pretty much the same in all the cases, I gave the 1st 1 or 2 DDx, draw blood for lab tests,imaging studies, I never gave any details about the Dx work-up, that's why I got the lowest performance in information sharing skills, so I would really recommend that u spend more time in closing, even if u have to cut PE short.
- I forgot to counsel about coffee & energy drinks in a relevant case.
- I missed an obvious Dx, should have been the first in the list
- in 2 or 3 cases I had less than 5 DDx & Ix.
- There was a case I had no clue what the Dx was, I asked all the questions possible, I had to go with a close one.
- I was very nervous so I couldn't fake empathy in most cases, I was always thinking about the Hx & what PE I have to do,couldn't look at the clock, coz I thought it would be inappropriate.

Outcome:
PASSED !! sooo happy !!
Quick reply to this message
The above post was thanked by:
Adamentium (02-19-2012), aknz (07-02-2013), Dr.Light (10-02-2012), tamta (01-20-2014), tootsie (10-24-2011), Torm2 (02-12-2014), Vurtil (06-19-2013)
  #12  
Old 07-07-2011
Haisook's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 752
Threads: 124
Thanked 583 Times in 258 Posts
Reputation: 603
Default My Mistakes

I took the exam on July 5th in Chicago. The night before, I had fever and chills I was sleeping all day. I thought I wouldn't make it, but in the morning I felt much better, although I had some nausea, and couldn't have a good breakfast. Anyway, here are my mistakes:

- I forgot to take out the footstep in almost all abdominal exams. I don't know why, but I just forgot.
- did not counsel a patient who smoked 2 cigars a day.
- my PE was not really complete as in FA for instance, but I don't understand how anyone would be able to do it in such short period of time, but I did good closures in all cases.
- I had very similar cases (2 abd. pain, 2 depression), and my PN for them were pretty similar; I don't know if it's my fault, though!
- forgot to add a speculum to the otoscope before examining!
- in one case, I rephrased something the patient said which was not correct, and he corrected me! he seemed kind of pissed!
- forgot to do psoas, obturator, Rovsing maneuvers for RLQ pain.
- forgot to offer the "suicide contract"; i.e. make the patient promise me that he'll call his family or the office in any case of suicidal thoughts or plans.

Outcome:
result not out yet.
__________________
I've regained my honor [99/99].

Last edited by Haisook; 07-07-2011 at 08:37 AM.
Quick reply to this message
The above post was thanked by:
tamta (01-20-2014), tootsie (10-24-2011), Torm2 (02-12-2014), Vurtil (06-19-2013)
  #13  
Old 07-13-2011
USMLE Forums Scout
 
Steps History: 1 + CS
Posts: 39
Threads: 11
Thanked 26 Times in 6 Posts
Reputation: 36
Default

Mistakes:

1. in my first case the patient kept describing things in detail no time for closure. had to make emergency exit.
2. almost cases did not do extra physical exam other than mentioned.
3. many times listed imp n most likely ddx as 3 or last
4. kept writing extra ddx as 6. lol
5. summarized a finding incorrectly one time n patient got pissed


Results:
awaited
Quick reply to this message
The above post was thanked by:
Haisook (08-14-2011), oti nogonno (02-13-2012), tamta (01-20-2014), tootsie (10-24-2011), Vurtil (06-19-2013)
  #14  
Old 07-14-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 50
Threads: 14
Thanked 35 Times in 9 Posts
Reputation: 45
Arrow My mistakes

  • Screwed up the first case completely, no counseling, no closure.
  • Kicked one of the SPs by mistake when I crossed my legs while sitting. (apologized a hundred times)
  • Was not able to reach the final diagnosis in 3 cases.
  • Didn't do the complete physical on most of the patients.
  • Ran out of time in 3 cases.
  • Did not answer one of the patient's question correctly.
RESULT-
Passed with high performance
Quick reply to this message
The above post was thanked by:
aknz (07-02-2013), Dr.Light (10-02-2012), Haisook (08-14-2011), lysogeny (04-27-2013), maksemous (04-17-2012), sagaar (02-25-2014), stepbystep (06-19-2013), tamta (01-20-2014), tootsie (10-24-2011), Torm2 (02-12-2014), Vurtil (06-19-2013)
  #15  
Old 07-14-2011
USMLE Forums Newbie
 
Steps History: 1+CK+CS
Posts: 7
Threads: 1
Thanked 14 Times in 3 Posts
Reputation: 24
Default my mistakes

should have changed my sleep wake cycle 2 weeks earlier so that i would not have felt sleepiness in first few cases
1. first case disaster...cudnt even complete PE
2. did not have time to close in 2nd case
3. did not counsel in 3rd case
4. twice the proctor came in and dragged , and warned if i repeat she will report
5. became hopeless by 4th case and dragged myself along
luckily the lunch break gave some hope to reorganize myself
then was able to smile ,talk like a fren to remaining 7 SPs
5. even then missed 2 clear cut diagnoses
6. did not mention p/v and p/r exams
7.my spoken english was a complete nuisance but even 2 SPs had worse english than mine...i had to make them repeat thrice what they said in two cases....they seemed to mind...
8. do not want to give this exam again even if i have to..
so i suggest u to quickly reenergize urself from the very first case...being informal yet professional will help....no need to overrespect this exam....
but honestly i dont think i will pass....
Quick reply to this message
The above post was thanked by:
Haisook (08-14-2011), Highlander (08-06-2013), jahn77 (12-01-2011), mitsua (03-22-2012), tamta (01-20-2014), tootsie (10-24-2011), Vurtil (06-19-2013)



  #16  
Old 07-15-2011
USMLE Forums Scout
 
Steps History: CS Only
Posts: 47
Threads: 3
Thanked 22 Times in 13 Posts
Reputation: 32
Thumbs Up Worried about mistakes

Mistakes

1. My 1st case was disaster and 2nd case was bad
2. Total 2 cases no closure at all and 1 case NO complete PE
3. Here and there forgotten some small things in data gathering
4. Wrote 7 DD's in few cases(more worrying)
5. No counselings in 1-2 cases
6. Closures just did average. Spent less time and was in hurry
7. Forgot to mention PE findings i did in PN in about 2 cases..off course minor things

Total 4 cases not did well and remaining 8 cases did ok. This is what i felt after exam. But as days are going more n more mistakes are getting in to mind.Good things are good introduction and heart/lung auscultation in all cases

In few cases i wrote 7 DD's without thinking that its exceeding 5 DD

what i mean is in some cases i wrote 2 DD in 1 column...so got total 7

Example: xyz/abc

above is example of 2 DD's in 1 column

I know that we can write less than 5 DD's and acceptable but what about more than 5 DD's..I also wrote more than 5 Labwork in all cases but am not worrying about labwork bcz sometimes we need more than 5 lab orders

my only worry is more than 5 DD's

Anyone who wrote more than 5 DD's and still passed with high performance in Patient notes.

thanks

OUTCOME: Awaiting for results

My general advice: For exam just read standard books and follow ECFMG/USMLE orientation material of CS. Off course practice makes you perfect/comfortable.


NOTE: DO NOT ask me exam cases and exam center. As a responsible doctors we all should respect NBME guidelines.

Last edited by alliswell; 07-15-2011 at 04:47 PM.
Quick reply to this message
The above post was thanked by:
Haisook (08-14-2011), Nini (12-15-2013), stepbystep (06-19-2013), tamta (01-20-2014), tootsie (10-24-2011), Vurtil (06-19-2013)
  #17  
Old 07-16-2011
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 51
Threads: 10
Thanked 24 Times in 12 Posts
Reputation: 34
Default crazy

ok guys, let me say i did better w/ practice than the real thing, that's how tensed i was:
Mistakes:
  • 1st 3 cases i didn't put gen appearance on the PN (so i missed pts on that)
  • wasn't able to shake hands w/ a patient who was holding her side due to pain
  • may have sounded too technical or medical at times
  • forgot to ask questions here and there for every case!!
  • in ALL my sexual hx transitions, i forgot to mention CONFIDENTIALITY!! (bummer!!)
  • for obgyn, I asked for LMP etc but not MENARCHE!! points off again!
  • there were 3 patients in which I forgot to ask SH: civil status, job, smoking...
  • didn't close 2 cases (knocked on to get out)
  • didn't do a complete exam in most of the cases
  • didn't understand some of my handwriting so i had a hard time transcribing it to my typed PN.
  • forgot verbalize the need for rectal exam

i did so much better during practice.. i tried to keep my nerves cool, but looks like i did a bad job on it

:sorry: i will find out 2nd week of august if they'd put me off the hook for this
Quick reply to this message
The above post was thanked by:
billy (09-06-2012), Haisook (08-14-2011), tootsie (10-24-2011), Vurtil (06-19-2013)
  #18  
Old 08-17-2011
USMLE Forums Newbie
 
Steps History: 1+CK+CS
Posts: 7
Threads: 1
Thanked 14 Times in 3 Posts
Reputation: 24
Default

Quote:
Originally Posted by mansarovar View Post
should have changed my sleep wake cycle 2 weeks earlier so that i would not have felt sleepiness in first few cases
1. first case disaster...cudnt even complete PE
2. did not have time to close in 2nd case
3. did not counsel in 3rd case
4. twice the proctor came in and dragged , and warned if i repeat she will report
5. became hopeless by 4th case and dragged myself along
luckily the lunch break gave some hope to reorganize myself
then was able to smile ,talk like a fren to remaining 7 SPs
5. even then missed 2 clear cut diagnoses
6. did not mention p/v and p/r exams
7.my spoken english was a complete nuisance but even 2 SPs had worse english than mine...i had to make them repeat thrice what they said in two cases....they seemed to mind...
8. do not want to give this exam again even if i have to..
so i suggest u to quickly reenergize urself from the very first case...being informal yet professional will help....no need to overrespect this exam....
but honestly i dont think i will pass....

results:
lord's supreme mercy on me
just pass.....(all performances low)
Quick reply to this message
The above post was thanked by:
bullonto (06-17-2013), meilocat (04-24-2014), mohitkmc (01-04-2013), stepbystep (06-19-2013), tamta (01-20-2014), Vurtil (06-19-2013)
  #19  
Old 08-17-2011
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 51
Threads: 10
Thanked 24 Times in 12 Posts
Reputation: 34
Default Passed!!

Passed today by Gods grace. Praise Him. U can do it guys, look at my post above. I think summarizig, counselling, manner and rapport are key points in this exam.
Quick reply to this message
The above post was thanked by:
Nini (12-15-2013), stepbystep (06-19-2013), tamta (01-20-2014), Vurtil (06-19-2013)
  #20  
Old 08-17-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 36
Threads: 15
Thanked 15 Times in 8 Posts
Reputation: 25
Smile I have these mistakes in my CS exam!

Thanks God i passed it. I took my exam in Philadelphia and did major mistakes like
*Forgot hand washing in 4 cases
*Never counselled about alcohol but did in some cases about smoking
*Messed up with differentials in some cases
*Messed up with physical examination in some cases


Still i passed ))))))))))))))
Quick reply to this message
The above post was thanked by:
stepbystep (06-19-2013), tootsie (10-24-2011), Vurtil (06-19-2013)
  #21  
Old 08-17-2011
USMLE Forums Scout
 
Steps History: ---
Posts: 44
Threads: 13
Thanked 39 Times in 15 Posts
Reputation: 49
Default

Hi
I took my second Cs attemp in Mid july and have done this:

-Did not do closing or councelling in 4 or at least 3 cases(running out of time)the proctor came and drag me out of the room in all these cases.
-many cases i did not do councelling in about 6-8 cases.
-did not reach to diagnosis in 1 case and i was not sure about my diagnosis in another one.
- My feet hit the examination table with a loud sound and i did not even say sorry.
-Did not ask Menstrual history in one or two female cases.
-2 or 3 cases i took pauses when i was asking the patient.I stopped and thought while I was looking to the patient.
-Give one wrong diagnosis to a mother of child.
- I did not complete PNs in all cases ...about half of them I missed past Histroy,Social history ,allergy surgical history ,Surgical hx,Sex hx.
-I missed many positive data in HPI.
-write wrong first diagnosis in 1 or 2 cases PN.
-I torn two gloves in 2 cases and tell the the patient i changed my mind and washed my hands.
-Did not do auscultation of heart and chest in 4 cases .
-Write wrong chest auscultation data in one case.

May be i have done more ...But i am sure that i did this.
Quick reply to this message
The above post was thanked by:
stepbystep (06-19-2013), tootsie (10-24-2011), Vurtil (06-19-2013)
  #22  
Old 08-17-2011
USMLE Forums Scout
 
Steps History: ---
Posts: 44
Threads: 13
Thanked 39 Times in 15 Posts
Reputation: 49
Show Teeth Passed with high performance

Quote:
Originally Posted by Grxx View Post
Hi
I took my second Cs attemp in Mid july and have done this:

-Did not do closing or councelling in 4 or at least 3 cases(running out of time)the proctor came and drag me out of the room in all these cases.
-many cases i did not do councelling in about 6-8 cases.
-did not reach to diagnosis in 1 case and i was not sure about my diagnosis in another one.
- My feet hit the examination table with a loud sound and i did not even say sorry.
-Did not ask Menstrual history in one or two female cases.
-2 or 3 cases i took pauses when i was asking the patient.I stopped and thought while I was looking to the patient.
-Give one wrong diagnosis to a mother of child.
- I did not complete PNs in all cases ...about half of them I missed past Histroy,Social history ,allergy surgical history ,Surgical hx,Sex hx.
-I missed many positive data in HPI.
-write wrong first diagnosis in 1 or 2 cases PN.
-I torn two gloves in 2 cases and tell the the patient i changed my mind and washed my hands.
-Did not do auscultation of heart and chest in 4 cases .
-Write wrong chest auscultation data in one case.

May be i have done more ...But i am sure that i did this.

Passed with high performance .....
Quick reply to this message
The above post was thanked by:
stepbystep (06-19-2013), tamta (01-20-2014), tootsie (10-24-2011), Vurtil (06-19-2013)
  #23  
Old 08-31-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 15
Threads: 4
Thanked 6 Times in 3 Posts
Reputation: 16
Default ok now my mistakes.

I GAVE MY CS IN HOUSTON. NICE EXPERIENCE BUT MAN, TEXAS HAS HOT SUMMERS AND I'M FROM INDIA !!!

IST CASE- COULD NOT FINISH,IT WAS MY ONLY NUERO CASE OF THE DAY. ACTUALLY , I STARTED MY PE WHEN THEY SAID 5 MIN ARE LEFT AND THOUGHT THERE WOULD BE ANOTHER ANNOUNCEMENT WHEN 2 MINUTES WOULD BE LEFT. THE CASE ENDED ABRUPTLY. WAS VERY PISSED OFF AND WROTE A LESS THAN PERFECT PN. I REALLY HOPE THEY DO NOT SCORE THIS.I MISSED A PART OF PE AND COMPLETE CLOSURE AND COUNSELLING FOR THIS CASE BUT I HAD SUMMARIZED BEFORE.

2ND CASE- GOOD PERFORMANCE,NO ISSUES.FRIENDLY SP
3RD CASE- GOOD, although I think I messed up the order of d/ds in PN.FRIENDLY SP
4TH- GOOD- THIS SP HAD A LOTTA COMPLAINTS AND WAS VERY DISTRESSED. I had to empathize a lot.SP WAS A GOOD ACTOR.
5th-GOOD- ALTHOUGH I missed one important d/d in PN. Totally slipped my mind and thought about it only when I came back from the exam to hotel.I am not sure if I wrote one imp w/u or not.SP WAS VERY COOPERATIVE AND I ASKED 3 IMP QUESTIONS BECAUSE SHE GAVE ME THE HINT.
BREAK- WAS STILL PISSED ABOUT THE FIRST CASE.
6TH- THE 'rude' PATIENT OF THE DAY. FORGOT ONE IMP POINT IN COUNSELLING BUT WROTE IT IN PN. COUNSELLED HIM ABOUT ALCOHOL INTAKE EVEN THOUGH HE DRANK VERY LITTLE,IT WAS EMBARRASSING!!.
7TH-GOOD-ONE OF THE BEST OF THE DAY.FRIENDLY SP
8TH- ASKED ABOUT SEX HX AND WHEN SHE TOLD ME SHE DID NOT WANT TO TALK ABOUT IT-DID NOT TRY TO CONVINCE HER(MISTAKE).FORGOT TO DO ONE IMP EXAM.-SO AVERAGE.I REMEMBER , SHE ASKED ME TWO CHALLENGING QUESTIONS. SLIGHTLY GRUMPY SP.
9TH-GOOD ENCOUNTER BUT MISSED ONE IMP D/D IN PN BUT WROTE GOOD W/U.-GOOD.
10TH- COULD NOT ESTABLISH GOOD RAPPORT WITH THIS SP. HE WAS KINDA GRUMPY. WHEN I WAS COUNSELLING HIM, HE GAVE ME THE LOOK- WHAT ARE YOU TALKING ABOUT? I THINK I ALSO MISSED SOME IMP POINTS IN DATA GATHERING.HE WAS TRYING TO GIVE ME SOME CLUES AND I COULD NOT PICK THEM UP.IN MY DEFENSE,THE CASE WAS EXTREMELY VAGUE- BARELY AVERAGE.
11TH- GOOD BUT THE CASE WAS KINDA VAGUE.
12TH-SP IN DISTRESS BUT POOR ACTING! WROTE THE MOST LIKELY D/D IN THIRD PLACE. OVERALL GOOD.
I WROTE 5 D/D IN 9 CASES.MESSED UP THE ORDER IN 2.
WROTE 4 D/D IN 2-MISSED 1 IMP IN BOTH.
WROTE 3 D/D IN ONE- MISSED AT LEAST 1 IMP D/D.ALWAYS WROTE MORE THAN 5 W/U- 6-9 IN MOST CASES.
MISSED SOME POINTS IN PN HERE AND THERE.TYPED THE PN.SILLY MISTAKES THAT EVERYBODY DOES.WAS CALM AND CONFIDENT IN MOST CASES.SUMMARIZED IN ONLY HALF- NO TIME.COMPLETED ALL EXCEPT MY FIRST CASE.

STAY- BAYMONT INN. RATING-4/5. QUIET,CLEAN,CAN ORDER FOOD RIGHT TO YOUR ROOM. ALTHOUGH BREAKFAST IS NOT VERY GOOD.
CITY- HOUSTON. RATING-4/5- TOO HOT DURING DAY TIME. LOL!!
I REALLY HOPE I PASS !!!.:sorry: TAKE CARE.
Quick reply to this message
The above post was thanked by:
dr_lizard (08-31-2011), tootsie (10-24-2011), Vurtil (06-19-2013)
  #24  
Old 09-08-2011
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 33
Threads: 11
Thanked 7 Times in 4 Posts
Reputation: 17
Default

Quote:
Originally Posted by mansarovar View Post
results:
lord's supreme mercy on me
just pass.....(all performances low)
I felt exactly the same, my first case I was in the middle of the PE and went out of time, and in the 3r case didnt do closure, 5th case incomplete closure. 3-4 PN with poor phisical exam notes, 1 PN with very poor diferential dx, some missing info like PSH or Fh OR SH in some PN. dindt listen to hearth or lungs in a couple of cases.
Quick reply to this message
The above post was thanked by:
Vurtil (06-19-2013)
  #25  
Old 10-07-2011
novedoc's Avatar
USMLE Forums Newbie
 
Steps History: Step 1 Only
Posts: 6
Threads: 0
Thanked 3 Times in 2 Posts
Reputation: 13
Default My mistakes

I took Cs in august 18 still waiting for results
I did lots of mistakes like in complete physicals , forget to ask relevant question,due to less time and my typing was very poor and my all pt notes were in complete ,Can I pass .I really want to pass coz I don't wana take it again coz it's a lot of money spent coz u have to buy air ticket and rent hotel..

Last edited by novedoc; 10-07-2011 at 03:01 AM.
Quick reply to this message
The above post was thanked by:
stepbystep (06-19-2013), Vurtil (06-19-2013)



  #26  
Old 10-07-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 36
Threads: 15
Thanked 15 Times in 8 Posts
Reputation: 25
Default

Quote:
Originally Posted by novedoc View Post
I took Cs in august 18 still waiting for results
I did lots of mistakes like in complete physicals , forget to ask relevant question,due to less time and my typing was very poor and my all pt notes were in complete ,Can I pass .I really want to pass coz I don't wana take it again coz it's a lot of money spent coz u have to buy air ticket and rent hotel..
Don't worry...ull be all good...exam is more about ethics....doesn't matter if it's incomplete as far as what u did and wrote is right....just chill and pray...best of luck
Quick reply to this message
The above post was thanked by:
chulady (10-09-2011), Vurtil (06-19-2013)
  #27  
Old 10-07-2011
novedoc's Avatar
USMLE Forums Newbie
 
Steps History: Step 1 Only
Posts: 6
Threads: 0
Thanked 3 Times in 2 Posts
Reputation: 13
Default

Quote:
Originally Posted by novedoc View Post
I took Cs in august 18 still waiting for results
I did lots of mistakes like in complete physicals , forget to ask relevant question,due to less time and my typing was very poor and my all pt notes were in complete ,Can I pass .I really want to pass coz I don't wana take it again coz it's a lot of money spent coz u have to buy air ticket and rent hotel..

thanks prion for ur supporting reply ..
Quick reply to this message
The above post was thanked by:
Vurtil (06-19-2013)
  #28  
Old 10-12-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 15
Threads: 4
Thanked 6 Times in 3 Posts
Reputation: 16
Default update.

I passed........!!!!!!!!!!!!!!!!!
Quick reply to this message
The above post was thanked by:
tootsie (12-09-2011), Vurtil (06-19-2013)
  #29  
Old 10-12-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS+3
Posts: 38
Threads: 1
Thanked 34 Times in 13 Posts
Reputation: 44
Default

Mistakes
- Unable to complete nuerological exam in one CNS case.
- Was clueless about the final diagnosis in two cases.
- Forget to drape the patient in one case , but rectified buy say '' oh i am really sorry i forgot to drape you , can i do it now ? pt said '' yeah sure''
- forgot pt name in one case .



Result
passed . so relax guys it not a difficult exam at all . and it doesnt matter which center you choose , all are the same , btw i took it in LA.
Quick reply to this message
The above post was thanked by:
tootsie (10-24-2011), Vurtil (06-19-2013)
  #30  
Old 10-13-2011
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 39
Threads: 16
Thanked 6 Times in 3 Posts
Reputation: 16
Default my mistakes- atlanta july 29

here are the mistakes i made...

1. i started my consult on 4 cases but was unable to finish (only was able to tell them diagnosis and 2out of 4 i was able to inform them of further work up, the other 2 was just able to tell diagnosis)

2. i completely misdiagnosed one case and ony realized it later on in the day

3. on phone case--- my history taking was horrible i forgot to ask pamhugsfoss. I did council but i could tell the lady talking to me on the phone was thinking i was mentally challenged.

4. my patient note on the above case and the misdiagnosed case were horrible. i did not practice writing patient notes which i regretted during the exam. i did do an observership here so i had a general idea of what i was doing.

what i did right...

the above cases were my first 4 cases after these cases we had a break for lunch where i was upset. I gave myself a pep talk and was determined not to give up. this is how i changed things around

1. i started writing a differential diagnosis before i walked into the room, this helped A LOT!

2. on every case- even the first 4- i washed my hand AND PUT ON GLOVES (better to do more and be safe) as i was washing my hands in every case i would ask, is there anything you would like to ask me or tell me about?

3. i would empathize with the patient, some i would joke with while taking history, if a patient pretended to be scared or worried about there diagnosis i would put my hand on their shoulder and would say, it will be ok, here is how what i am going to do to help you with this... INTERPERSONAL SKILLS WITH YOUR PATIENT ARE IMPORTANT.

4. i was able to do the minimal stuff on every case and at least started to council the patient before time was up.

studying: 2 weeks-- used FA, practiced every case with spouse, and last 3 days I used usmle world.

my spouse held fa in his hand would answer my questions as described in the book. he would mark what questions i missed and underline what i didn't say during consult. my spouse was patient so we were able to go through 8 cases a day and finished it in 6 days. then i would go over the cases i REALLY messed up on usually 2 a day.
PRACTICE ALL THE ACTIONS-- IMITATE WASHING YOUR HAND, PUTTING ON GLOVES, AND EXAMINATIONS.

KNOW THIS WEBSITE, MAKE SURE AND READ EVERYTHING ON IT
http://csprotocol.blogspot.com/2006/...e-girl-in.html

KNOW your differentials. the cases are vague so knowing differentials really help with history.

UWORLD- i basically just watched the videos and read ONLY THE CASES THAT ARE NOT IN FA. my cases were general cases nothing crazy like sickle cell.

RESULT: PASSED WITH HIGH RESULTS--- except in interpersonal skills which was borderline due to my lack of counciling the patients, i truly believe me comforting every patient is what made it borderline and not low results. but hey, i passed!
Quick reply to this message
The above post was thanked by:
pass7 (04-03-2012), pkul85 (02-10-2013), tamta (01-20-2014), tootsie (10-24-2011)
  #31  
Old 10-13-2011
USMLE Forums Scout
 
Steps History: Not yet
Posts: 22
Threads: 5
Thanked 2 Times in 2 Posts
Reputation: 12
Default

1. Didn't do closure at all in 1 case and didn't do proper closure in at least 3 cases
2. Didn't councel in 2 cases
3. Forgot to wash hands in one case
4. Didn't answer properly at least 2 chalenging question
5. Didn't ask many relavant question and havent time to peform proper PE in many patients.
6. Didn't reach final diagnosis in at least 2 cases and missed some DDs
7.Many mistakes and misses in patient notes

Result: PASS with borderline performance
Quick reply to this message
The above post was thanked by:
tootsie (10-24-2011)
  #32  
Old 10-14-2011
USMLE Forums Newbie
 
Steps History: 1 + CK
Posts: 3
Threads: 1
Thanked 1 Time in 1 Post
Reputation: 11
Default I have these mistakes in my CS exam!

Took the exam on august, I made these mistakes: forgot to counsel in one case of alcohol and pot smoking, forgot to call the SP by her name in one case, forgot to mention the need for a rectal exam and pelvic exam in an abdominal pain case, I put them on the patient note though, forgot to do relevant physical exam in another case, I wrote wrong few things on the patient note, In one case I told the SP that I was going to measure her blood presssure at the end of the encounter and forgot to do it, got the results 3 days ago and PASSED.
Quick reply to this message
The above post was thanked by:
tootsie (10-24-2011)
  #33  
Old 10-24-2011
Haisook's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 752
Threads: 124
Thanked 583 Times in 258 Posts
Reputation: 603
Default

Quote:
Originally Posted by Haisook View Post
I took the exam on July 5th in Chicago. The night before, I had fever and chills I was sleeping all day. I thought I wouldn't make it, but in the morning I felt much better, although I had some nausea, and couldn't have a good breakfast. Anyway, here are my mistakes:

- I forgot to take out the footstep in almost all abdominal exams. I don't know why, but I just forgot.
- did not counsel a patient who smoked 2 cigars a day.
- my PE was not really complete as in FA for instance, but I don't understand how anyone would be able to do it in such short period of time, but I did good closures in all cases.
- I had very similar cases (2 abd. pain, 2 depression), and my PN for them were pretty similar; I don't know if it's my fault, though!
- forgot to add a speculum to the otoscope before examining!
- in one case, I rephrased something the patient said which was not correct, and he corrected me! he seemed kind of pissed!
- forgot to do psoas, obturator, Rovsing maneuvers for RLQ pain.
- forgot to offer the "suicide contract"; i.e. make the patient promise me that he'll call his family or the office in any case of suicidal thoughts or plans.

Outcome:
result not out yet.
Passed.....!
__________________
I've regained my honor [99/99].
Quick reply to this message
The above post was thanked by:
tamta (01-20-2014)
  #34  
Old 10-29-2011
good_boy_1234's Avatar
USMLE Forums Master
 
Steps History: 1 + CS
Posts: 543
Threads: 91
Thanked 283 Times in 142 Posts
Reputation: 329
Default

Congrats. But what is the footstep in abdominal exam ?
Quick reply to this message
The above post was thanked by:
drzamzam (12-23-2011)
  #35  
Old 12-01-2011
DRFP's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 272
Threads: 35
Thanked 97 Times in 52 Posts
Reputation: 107
Default

Just gave Atlanta
OMG mistakes
Forgot meds and allergies 3 cases
forgot psoas and obturator right upper abdomen possibly lower abd
forgot to wash hands till after touched foot but then did and draped patient

I do not think I passed

I think I did well other

I did not worry too much on 5 DX mostly 3 to 4
tests only 4 to 5 except one case fracture xray MRI and cbc

honestly if the meds don't kill me I hope I pass

I'm afraid I didn't
Quick reply to this message



  #36  
Old 12-04-2011
USMLE Forums Newbie
 
Steps History: 1 + CK
Posts: 1
Threads: 0
Thanked 0 Times in 0 Posts
Reputation: 10
Unhappy Tons of errors

First case felt good abt encounter went to type my note and wrote HPI in first box and rest of history in second box with the physical exam, could not figure out why i was running out of room. 5/5 ddx 5/5 workup. It wasnt until i was in the next case that i realized my error hope this does not fail me automatically cant stop thinking about it.

Obviously the shook me up.....

Next case pt encounter was just not going well. Fumbled with the bp cuff and forgot a neuro exam.

One case i was in the middle of counseling on pt and time ran out so i stopped mid sentence leaving him worried

one case i repeated a painful manuever

one case i put vitals wnl when they had a fever

resting on God to see me through this but it still haunts me as i wait

overall forgot some questions, or forgot to record tests i performed in PN
Quick reply to this message
  #37  
Old 12-04-2011
DRFP's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 272
Threads: 35
Thanked 97 Times in 52 Posts
Reputation: 107
Default

Quote:
Originally Posted by Dr_inthemaking View Post
First case felt good abt encounter went to type my note and wrote HPI in first box and rest of history in second box with the physical exam, could not figure out why i was running out of room. 5/5 ddx 5/5 workup. It wasnt until i was in the next case that i realized my error hope this does not fail me automatically cant stop thinking about it.

Obviously the shook me up.....

Next case pt encounter was just not going well. Fumbled with the bp cuff and forgot a neuro exam.

One case i was in the middle of counseling on pt and time ran out so i stopped mid sentence leaving him worried

one case i repeated a painful manuever

one case i put vitals wnl when they had a fever

resting on God to see me through this but it still haunts me as i wait

overall forgot some questions, or forgot to record tests i performed in PN
We can pray together to the Supreme Being

I too hope my mistakes are few enough and did enough to get a just pass, on this test that is way good enough
Quick reply to this message
  #38  
Old 12-13-2011
USMLE Forums Scout
 
Steps History: Not yet
Posts: 83
Threads: 23
Thanked 23 Times in 15 Posts
Reputation: 33
Default Gave cs today feeling awful

Hi gave cs today. Feeling awful. I think I messed up
1. Forgot to ask cage. Pt was in severe pain and I counseled for alcohol . He said doc just treat me . I dnt knw whether I was wrong or not
2 . My rude pt also dint like me counseling for marijuana. So I dnt knw again if I was wrong
3 forgot gyne host in 3 female Pts
4 2 sp dint understand few words I said.
5) lady sp- I was examining her and I did respectful draping I think. Wen I went to examine her jvp she said can I pull my drape up. I felt awful that I dint even say sry. I knw it shud be as little skin for as little time. But I think I messed big time
6) I left many history questions.
I hope I pass. Worried though.
Quick reply to this message
  #39  
Old 01-08-2012
USMLE Forums Scout
 
Steps History: 1 + CK
Posts: 27
Threads: 6
Thanked 0 Times in 0 Posts
Reputation: 10
Default i had these mistaks , whwt do you think??

didnot close in 2 cases
didnot reach diagnosis in 2 cases
forget to wear gloves in one case
patient notified me to extend leg rest in two cases
didnot change ear cone in one case
forget to mention pelvic exam in one case
forget to ask Family history in one case
forget to ask about allergy in medical history in some cases
this what i have noticed , what do you think???
I am waiting for the result :sorry:
Quick reply to this message
  #40  
Old 02-01-2012
USMLE Forums Newbie
 
Steps History: 1+CK+CS
Posts: 1
Threads: 0
Thanked 0 Times in 0 Posts
Reputation: 10
Default

1. Forgot to my wash hands/glove in 4 cases.
1a. Was stressed out in panic mode for the next 4 cases as I got over forgetting to wash my hands
2. Forgot to drape in 3 cases
3. Did not counsel active heart problem patient on refraining from activity
4. Could not remember the name of some key anatomy/common problems for my write-ups
5. Forgot to mention pelvic exam in the patient room
6. Did a poor job comforting a distressed patient
7. Several cases where I presented an odd hierarchy to my DDx in the pt room (and then ordered it more logically for the pt note).
8. Did not counsel on drug and alcohol use as much as I should have.
9. Missed Family/Social/Allergies, etc. from time to time.

Result: Passed
Quick reply to this message
  #41  
Old 02-01-2012
USMLE Forums Scout
 
Steps History: Not yet
Posts: 83
Threads: 23
Thanked 23 Times in 15 Posts
Reputation: 33
Default i passed

Quote:
Originally Posted by winner21 View Post
Hi gave cs today. Feeling awful. I think I messed up
1. Forgot to ask cage. Pt was in severe pain and I counseled for alcohol . He said doc just treat me . I dnt knw whether I was wrong or not
2 . My rude pt also dint like me counseling for marijuana. So I dnt knw again if I was wrong
3 forgot gyne host in 3 female Pts
4 2 sp dint understand few words I said.
5) lady sp- I was examining her and I did respectful draping I think. Wen I went to examine her jvp she said can I pull my drape up. I felt awful that I dint even say sry. I knw it shud be as little skin for as little time. But I think I messed big time
6) I left many history questions.
I hope I pass. Worried though.
i passed my cs exam....yipee
Quick reply to this message
  #42  
Old 02-13-2012
USMLE Forums Newbie
 
Steps History: 1 + CK
Posts: 5
Threads: 1
Thanked 3 Times in 3 Posts
Reputation: 13
Default

Mistakes:

1. Forgot to use leg extension in 4 patient encounters during abd exam. I did not even notice that since i was having lunch. So i did not even say sorry for that.

2. in one patient encounter I and patient started to talk at the same time, and we stopped at the same time. patient said very politely 'please go on' and i continued. I think i was the one supposed to say 'please go on'

3. one was a disaster, i summarized the findings after hx, i do not how, i said you had trauma. but there was no trauma. I know it is so silly but i wrote in the patient note that wrong piece of info, and all the patient note based on that. I could not concentrate on that patient because he was really rude, speaking very fast, and said me you are speaking so fast, i can not understand you.

4. first case i did the neuro exam but forgot to note + finding on cranial nerves. and forgot to mention a surgical hx that i learned during the encounter.

5. I missed two diagnoses one of them is the disaster one.

6. I asked qs after PE at least at two encounters because i forgot during hx taking.

7. I knocked the doors, introduced myself, wore gloves, gave counselings, summarize the findings, asked for qs and concerns, made closures at all cases. FH, SH, sxH, ALL, MEDS everthing i asked. But i am not sure i was smiling. (Probably not, because i was in a rush all the time, even while starting the encounter)

8. I am not sure if the patients were satisfied with my answers to challengings, -i give false hope etc.- (say you will get better to ca patient:sorry and the diagnosis and workup plan discussions.

9. I draped all the patients but i can not remember tying their gowns except for 4-5 patients. But it was not so uncovered that i did not even realized it was untied.

10. on some patient notes i did not write all the drugs that patients are taking, (i could not interpret my hand writing and i could not get the name and i was running out time and write only 3 drugs instead of 4 or 5 drugs.


I am losing my hope and can not concentrate on anything. I was feeling much better before i took the exam.

Pray for me please. Till the report date...over two months, i can lose my mind, if i keep thinking about this crap.:sorry:

Last edited by guesswhat; 02-13-2012 at 11:37 AM.
Quick reply to this message
  #43  
Old 02-13-2012
DRFP's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 272
Threads: 35
Thanked 97 Times in 52 Posts
Reputation: 107
Default

Quote:
Originally Posted by DRFP View Post
Just gave Atlanta
OMG mistakes
Forgot meds and allergies 3 cases
forgot psoas and obturator right upper abdomen possibly lower abd
forgot to wash hands till after touched foot but then did and draped patient

I do not think I passed

I think I did well other

I did not worry too much on 5 DX mostly 3 to 4
tests only 4 to 5 except one case fracture xray MRI and cbc

honestly if the meds don't kill me I hope I pass

I'm afraid I didn't
Update

2/1/12 PASSED
2/6/12 ECFMG Cert

SOAP here I come
Quick reply to this message
  #44  
Old 02-13-2012
USMLE Forums Scout
 
Steps History: CK+CS
Posts: 18
Threads: 1
Thanked 11 Times in 6 Posts
Reputation: 21
Default Here you go! Tons of bummer mistakes...

So that's what I did on CS, have no idea if I would pass or not!!

1st Case: screwed up big time (BIG TIME) on data gathering. and empathy, I was so nervous that I poked her eye while palpating sinuses, I said sorry 2 times and offered her a tissue! she was my mean patient of the day, so she was masked face after. Patient note and examination was fine though, closure was okay.

2nd, 3rd, 4th, 5th: I did great on those, data gathering, counselling, closure, empathy, and patient note, i think I aced those 4!

6th case: Peds, was just okay, stuttered on challenging Question! It was the father, and boy he got me so nervous!

7th case: she said something in the middle (as if talking to herself) that I should have commented on, and reassured her, but I totally over looked it! data gathering and closure was good.

8th case: Didn't council him about alcohol and weed smoking, (Can't forgive myself), Didn't ask CAGE, also forgot to do a MMS exam and it was very mandatory. otherwise closure, challenging question and data gathering was okay.

9th case: OB/GYN, again didn't council on safe sex (Walked out of the room and literally cursed myself) and didn't tell her about the need for a pelvic exam... data gathering, challenging question, closure and empathy was good though.

10th Case: was good overall.

11th & 12th: were both muscoloskeletal, Totally forgot to tell them about physiotherapy, massaging and ice packs, was good on data gathering, empathy, challenging questions and counselling.

Outcome: Waiting for the results.

My patient notes are good, that's the only thing i'm positive of, and also on SEP I wouldn't even hit the dashed boarder. I did all the tiny stuff like handwashing, draping, smiling. knocking, permission before exam, and a lot of empathy and reassurance, explained all PE findings....etc and I also didn't miss any closure in all 12 cases!

I'm having all the post-traumatic stress disorder symptoms, starting from flashbacks to nightmares plus the whole SIG E CAPS symptoms that i'm feeling right now.

I know I screwed up big time, and dropped a lot (A LOT) of bummer items. missed stuff that I have been training so well not to forget...

Do you guys think I have any chance to pass???
Quick reply to this message
The above post was thanked by:
tamta (01-20-2014)
  #45  
Old 02-13-2012
DRFP's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 272
Threads: 35
Thanked 97 Times in 52 Posts
Reputation: 107
Default

Ray84 I think you passed
Relax now the long wait
Quick reply to this message
The above post was thanked by:
Ray84 (02-14-2012)



  #46  
Old 02-18-2012
USMLE Forums Scout
 
Steps History: 1+CK+CS+3
Posts: 56
Threads: 6
Thanked 16 Times in 11 Posts
Reputation: 26
Default

Quote:
Originally Posted by DrSeddik View Post
I had a strange fit of indifference during the exam, ....I don't know who is going to fail!!!!
what about ur cs result?
Quick reply to this message
  #47  
Old 03-13-2012
USMLE Forums Newbie
 
Steps History: ---
Posts: 2
Threads: 0
Thanked 3 Times in 1 Post
Reputation: 13
Default

i did these mistakes in my exam , do u think i will pass:

-1st case was horrible , ran out of time in middle of PX , didn't counsel left the room with even apologizing

-2nd case answered patient question and did closure in same time and forgot to give diagnosis

-forgot to counsel in 2 cases

cases 3-12 regained confidence and went OK, PN finished just on time.

What do you think? i'm sleepless awaiting for the test results
Quick reply to this message
  #48  
Old 03-18-2012
USMLE Forums Newbie
 
Steps History: Not yet
Posts: 8
Threads: 0
Thanked 0 Times in 0 Posts
Reputation: 10
Default Missed closures

Hi guys, I rarely post messages in this forum but after my cs exam on march 2nd I've been sad, anxious, and scared. I wasn't able to do 3-4 closures. I had practiced prior and took the Kaplan live course. I even passed the Kaplan simulated exam. But the day of the exam, I was so nervous and kinda lost track of my time that I was not able to do 3-4 closures. Every week I have flashbacks and anxiety over this exam. Sigh. I'm just hoping for a miracle...
Quick reply to this message
  #49  
Old 03-19-2012
USMLE Forums Newbie
 
Steps History: 1 + CK
Posts: 2
Threads: 1
Thanked 0 Times in 0 Posts
Reputation: 10
Default

Quote:
Originally Posted by sunMD View Post
didn't understand some of my handwriting so i had a hard time transcribing it to my typed PN.
dude you're awesome. didn't understand your own handwriting?!


Quick reply to this message
  #50  
Old 03-19-2012
USMLE Forums Scout
 
Steps History: 1 + CS
Posts: 35
Threads: 13
Thanked 2 Times in 2 Posts
Reputation: 12
Default

Quote:
Originally Posted by sharvaree19 View Post
- I was in the middle of my closing when the bell rang in one case, so I was like-oh no! now I have to go!
hey that was funny. but thanx for sharing ur mistakes.
Quick reply to this message
  #51  
Old 03-21-2012
USMLE Forums Scout
 
Steps History: ---
Posts: 44
Threads: 13
Thanked 39 Times in 15 Posts
Reputation: 49
Default

Quote:
Originally Posted by nikkar2010 View Post
Hi guys, I rarely post messages in this forum but after my cs exam on march 2nd I've been sad, anxious, and scared. I wasn't able to do 3-4 closures. I had practiced prior and took the Kaplan live course. I even passed the Kaplan simulated exam. But the day of the exam, I was so nervous and kinda lost track of my time that I was not able to do 3-4 closures. Every week I have flashbacks and anxiety over this exam. Sigh. I'm just hoping for a miracle...

Do not worry.

you will pass if you did fine in the other cases.

Remember two cases are not to be counted.

This happened to me in my second attempt and I passed with high performance.

You can read all of my posts about CS exam experiences.


Pray and relax


Best wishes and regards
Quick reply to this message
The above post was thanked by:
tamta (01-20-2014)
  #52  
Old 04-03-2012
legend's Avatar
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 97
Threads: 44
Thanked 13 Times in 9 Posts
Reputation: 23
Listening Mistakes in CS

hey everyone,
i appeared for CS 2 weeks ago, & made some blunders as usualso now i was wondering what to expect after that???A few silly ones that i remember:
  • I didnt turn off the light for any of 3 fundoscopies i did!
  • I forgot to remove gloves after the physical, did counseling with gloves on in at least 8-9 cases, & came out of room wearing the gloves in 5-6 cases.
  • Forgot to do signs of meningeal irritation, in suspected case of meningitis/ SAH.
  • forgot to mention use of OCPs in notes, in a lady on OCPs, whom i counseled as well for those.
  • opened the doorway info box, when announcement was made for SPs to prepare.( proctor saw it immediately & asked me to close, although i hadn't seen even a word till then)
  • warned by proctor once to submit notes on announcement.
So what does everyone think, am i in bad position???
plz share ur views on this!!!!
__________________
The first step to getting the things you want out of life is this: DECIDE WHAT YOU WANT!!
Quick reply to this message
  #53  
Old 04-20-2012
shima's Avatar
Banned
 
Steps History: 1+CK+CS
Posts: 1,106
Threads: 64
Thanked 560 Times in 375 Posts
Reputation: 579
Default

1) leg raise test in back pain
2) did not do a visual acuity test
3) did not write down ABD exam finding
4) called him self with first and last name than said he is the doctor in the clinic in one case.
5) he did not summerize what patient said but finished all cases and gived diagnostic work up, differntial diagnosis, answered questions and did counseling
6) had spelling mistakes, like [bronchieactisis] and [excerbation]
7) one patient was in so pain that he did not do any physical exam other than ABD
8) one case was so weird the guy shook his hand very hard, he forgot to check his JVD, and Edema
9) wrote good notes but missed some points. 1-2 points
10) did not ask name of pain medication
11) 1-2 case did not ask what makes it better what makes it worst.

he wrote these wrong.

1)WNL: than wrote the VS which wore high.

2)he wrote his patient history as a story not section by section

3)he wrote some differential work up in different orders but 1 & 2 are either 2 or 1.

He did show a lot empathy and good personal skills, he is very fluent in english and he did counseling and closed every case

Will he pass. He is so worried he want to die, he is so depressed. He is literally just crying

Please Help, Please Help
Quick reply to this message
  #54  
Old 04-23-2012
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 272
Threads: 9
Thanked 320 Times in 125 Posts
Reputation: 330
Default

1) Missed 1 major diagnosis, and it was easy, just wasnt thinking.
2) Didnt close 1st case, did PE and had to do a quick emergency run.
3) Felt stumped on some DDs (the order), prob cause I havent taken CK.
4) Performed some stuff in PE and forgot to put in PN, nothing significant, just annoying.
5) Forgot to put pelvic exam in 1 workup

Things I did right
1)No awkward moments, gave detailed history, showed a lot of empathy (gave water when they coughed and when doing thyroid exam, offered, helped climb up, lay down, asked to untie gown, move drape), felt natural, didnt feel nervous at all.
2) Did a good focused PE (all had chest, heart, Neuro even), didnt have wierd cases.
3) Counseled all about smoking, and drinking.
4) Even suggested in PN colonoscopy for one who didnt have one, and who had a positive Fam hx of cancer. Asked elderly ladies about mammograms and asked 2 about colonoscopies.
5) Answered all challenging questions, which all seemed like normal questions. I wrote my PAMHUGFOSS and SIQORAAA on blue sheet, and had some DDs in mind b4 entering rm, which helped.
6) Washed hands before ALL PEs and smiled and was cheerful. Used their names.
7) Used leg extensions when I needed too, brought out foot stool even once to help patient down.
8) English is my 1st language, I'm American and I'm going through rotations, so it felt natural.


OUTCOME: Waiting for results.
Quick reply to this message
  #55  
Old 04-23-2012
DrSeddik's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 236
Threads: 57
Thanked 439 Times in 106 Posts
Reputation: 452
Default

I have a post here. I can't edit it anymore. Just wanted to say that I failed this time, but then I passed and I got matched!!
Quick reply to this message
The above post was thanked by:
Dr. Mexito (08-13-2013), LatinGeorge (05-15-2012), tamta (01-20-2014), tootsie (04-24-2012)
  #56  
Old 04-23-2012
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 272
Threads: 9
Thanked 320 Times in 125 Posts
Reputation: 330
Default

Quote:
Originally Posted by DrSeddik View Post
I have a post here. I can't edit it anymore. Just wanted to say that I failed this time, but then I passed and I got matched!!
Congrats!!! When you failed, what section did you perform badly in.
Quick reply to this message
The above post was thanked by:
DrSeddik (04-25-2012)
  #57  
Old 04-25-2012
USMLE Forums Newbie
 
Steps History: 1+CK+CS
Posts: 1
Threads: 0
Thanked 2 Times in 1 Post
Reputation: 12
Smile CS experience and mistakes

Hi guys, just wanted to share my CS experience.
I took my exam on 3.23.12 at the Atlanta center.

First off, Iím an American born FMG. I studied for a month with FA only, I had no SP to practice on so I basically used my teddy bear throughout till the very last week and then I used family/friends.

The following are the mistakes that I made:
- I ran out of time on 2 encounters. The first because I was nervous and the 2nd time was because I got a really difficult patient (wasnít mean, just barely spoke) and I ended up taking too much time with questions.
- I had 3 abdominal cases where I completely forgot to ask the patient to put their legs up, sigh!
- I forgot to do a straight leg test.
- I had a case that warranted gait and Romberg, I did it but forgot to document.
- I normally wrote WNL for all vitals and added only abnormal ones, except I always did that last and ran out of time, another huge SIGH! (I had 2 cases with abnormal vitals that I missed because time ran out.)
- I forgot to check thyroid in one case and it was completely necessary.

My specifics:
- I always counseled right after something needed to be counseled on ie. I would ask social history and immediately counsel, I did this early on so that it wouldnít take up my closure time.
- While washing my hands, I always asked if they had any questions/concerns, this allowed me to control the situation a little bit. If you donít ask them, they will find a random time when youíre not talking to ask their question because they HAVE to ask their question.
- In my opinion, closure was the easiest part of my encounter, I told patients my thoughts on their diagnosis (2 at most), then I told them the bare basics on what I would be ordering (much more specialized on patient note), then if I had time, I would add preventative care stuff or reiterated counsel stuff, and finally I asked if they understood and had any further questions (they never had any questions at this point because it was always covered earlier on).

Once you get in the room time completely VANISHES unless you donít have to do a p/e or you get a phone encounter! Everyone says it and its absolutely true, time management is key! Please only do a focused p/e. For every p/e I always started with the lungs/heart, this gave me a second to pull all of my thoughts together and think about what I had to examine next.

All in all its really not that bad. Treat the SP with respect and kindness, and above all else, think of them as REAL patients, that will go a long way.
Donít sweat it, you guys will do great!
Good luck to all who are taking CS or awaiting results.
Quick reply to this message
The above post was thanked by:
RicMan (11-05-2012), tamta (01-20-2014)
  #58  
Old 04-25-2012
USMLE Forums Scout
 
Steps History: CK+CS
Posts: 18
Threads: 1
Thanked 11 Times in 6 Posts
Reputation: 21
Default

Quote:
Originally Posted by Ray84 View Post
So that's what I did on CS, have no idea if I would pass or not!!

1st Case: screwed up big time (BIG TIME) on data gathering. and empathy, I was so nervous that I poked her eye while palpating sinuses, I said sorry 2 times and offered her a tissue! she was my mean patient of the day, so she was masked face after. Patient note and examination was fine though, closure was okay.

2nd, 3rd, 4th, 5th: I did great on those, data gathering, counselling, closure, empathy, and patient note, i think I aced those 4!

6th case: Peds, was just okay, stuttered on challenging Question! It was the father, and boy he got me so nervous!

7th case: she said something in the middle (as if talking to herself) that I should have commented on, and reassured her, but I totally over looked it! data gathering and closure was good.

8th case: Didn't council him about alcohol and weed smoking, (Can't forgive myself), Didn't ask CAGE, also forgot to do a MMS exam and it was very mandatory. otherwise closure, challenging question and data gathering was okay.

9th case: OB/GYN, again didn't council on safe sex (Walked out of the room and literally cursed myself) and didn't tell her about the need for a pelvic exam... data gathering, challenging question, closure and empathy was good though.

10th Case: was good overall.

11th & 12th: were both muscoloskeletal, Totally forgot to tell them about physiotherapy, massaging and ice packs, was good on data gathering, empathy, challenging questions and counselling.

Outcome: Waiting for the results.

My patient notes are good, that's the only thing i'm positive of, and also on SEP I wouldn't even hit the dashed boarder. I did all the tiny stuff like handwashing, draping, smiling. knocking, permission before exam, and a lot of empathy and reassurance, explained all PE findings....etc and I also didn't miss any closure in all 12 cases!

I'm having all the post-traumatic stress disorder symptoms, starting from flashbacks to nightmares plus the whole SIG E CAPS symptoms that i'm feeling right now.

I know I screwed up big time, and dropped a lot (A LOT) of bummer items. missed stuff that I have been training so well not to forget...

Do you guys think I have any chance to pass???
Update: I Passed with a higher performance in all categories...
Those mistakes are the ones I remembered immediately after walking out of that Philly center, However I kept remembering more and more mistakes until the say I got my results back.

For you guys still waiting, I know it's excruciating, and you always get this feeling that If I passed then who would actually fail...

Relax, This is so NORMAL, and you will be okay.
Good Luck!
Quick reply to this message
The above post was thanked by:
ashake3009 (05-13-2012), tamta (01-20-2014)
  #59  
Old 04-25-2012
DrSeddik's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 236
Threads: 57
Thanked 439 Times in 106 Posts
Reputation: 452
Default

Quote:
Originally Posted by Lena View Post
Congrats!!! When you failed, what section did you perform badly in.
Communication... I guess I just didn't show empathy in all cases, I was trying to show it without words! Next try I did use words
Quick reply to this message
The above post was thanked by:
tamta (01-20-2014)
  #60  
Old 04-26-2012
USMLE Forums Newbie
 
Steps History: CK Only
Posts: 2
Threads: 0
Thanked 2 Times in 1 Post
Reputation: 12
Default

First I would like to say this particular thread helped make the past month bearable, thanks for that

Mistakes I made were numerous
1.In around 4 cases i forgot to pull out the leg rest during abdominal exam and then totally did not think about the foot rest in any of the cases..
2.I did not do fundoscopy in any of the cases, just totally lost it there, forget turning off the lights i just didnt do it
3.Did not measure the BP in a hypertensive case
4.Did not do Psoas/Rovsing/Obturator/CVA in a case which warrented it
5.In one case while i was draping hit the guy's chin, that was so embarrasing it was my first case and i apologised twice
6.Did not ask about Sleep/Occupation/Diet/Exercise in first 9 cases , i remembered only during the second break, actually i forgot about sleep but the others i just ommitted, i asked about diet in Hypt/DM cases, occupation when i felt relevant,
7.Forgot Menstrual H/o in one case, had nothing to do with the case but still
8.Did not summarize in any of the cases, i felt it was not necessary but its up to you
9.Mother of child gave me a growth chart and i stared at it blankly but recovered decently
10.In one case couldnt figure out the diagnosis and asked a hell of a lot of irrelevant questions
11. Empathy part i did it intermittently, when i remembered, and I DID Not smile except when i entered after that it was just glum me
12.Did not do Mental status exam in 2 CNS cases

Things i did ok
Patient Note was good i felt
Knocked Draped Counselled and Closed all cases

Result: Exam on March 22nd Atlanta, Passed!! God Knows How
As I expected Data Gathering was poor but Patient Note was High which I think saved me.(somehow that doesnt make sense, u write what u ask) Rapport was poor, i think i expected that..Spoken English was high which i felt was a given

Step1:241 Step2:256 Step 2CS passed(first attempt) yay, on to Step 3 and residency hopefully
Quick reply to this message
The above post was thanked by:
RicMan (11-05-2012), shima (04-26-2012)
  #61  
Old 05-10-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,185
Threads: 38
Thanked 832 Times in 474 Posts
Reputation: 842
Default

Quote:
Originally Posted by jhona54 View Post
i think i did several mistakes in the exam

1. I always use gloves and did not wash my hands.

2. When i was about to start the pe the sp told me could you please put my cell phone in the table, i took the phone and put it on the table, and then i did not change my gloves again!
3. When i was doing abdominal examination i forgot to pull out the footrest and noticed that at the end of the examination, i said i'm really sorry about that and the patient was having abdominal pain.

And several other mistakes that i don't want to think about them anymore

let's see if they pass me or not!
oh man!!!!!!!!!!!!!!!!!!!!!

Same thing happened to me!!!!!!!!!!!!!! Gahhhhhhhhhhhhhh
__________________
PGY 1
Quick reply to this message
The above post was thanked by:
DrHal (07-20-2012), Shimche0244 (05-10-2012)
  #62  
Old 05-13-2012
ashake3009's Avatar
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 52
Threads: 5
Thanked 18 Times in 14 Posts
Help I have these mistakes in my CS exam!

- I missed closure in one case, it was a neuro case, I had completed the neuro exam and had gone on to examine cvs when the bell rang, I am still kicking myself why did i not go directly to the closure.
- A young pt said that she had tried Marijuana once, I did not counsel her thinking it has only been once, again I think i am a complete idiot I should have counseled her to not to use it again.
- Missed alcohol counseling in one more case, he drank alcohol only on weekends and was CAGE 0/4, I thought what the heck why to counsel him. Now I regret not doing it.
- Did not ask domestic abuse in one of the cases, I don't know if it was needed but I think I missed it.
- In cardiac exam never asked the pt to lift her breast, just heard the aortic and pulmonary area along with the carotids and the tricuspid. Don't know how i missed that.
- In one fundoscopy did not turn off the light.
- Made mistake in one summarisation where the pt had to correct me once or twice.

Results:
Pending
Quick reply to this message
The above post was thanked by:
rani001 (02-27-2013), riya99 (06-21-2012)
  #63  
Old 05-13-2012
Mashee's Avatar
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 148
Threads: 9
Thanked 97 Times in 61 Posts
Reputation: 107
Smile I have these mistakes in my CS exam!

Hi all.
I took my CS on march 24 which was 2 weeks after the CK which was on march 10. During the exam as well as after the exam i was damn sure i was gonna fail...i had missed counseling in 4-5 cases can u believe it???? I was also very nervous and all of the cases felt like i was in a dream or something....missed a major diagnosis on a patient note and also didn't mention genital or rectal exams where i aught to have. I also stuttered a lot and ive never had this problem before...i didnt memorize anything but just tried to put everything into my own words. I'm a US native but i was so nervous in the exam that at times i had to struggle to get my point across.......1 month of agonizing wait......But I passed!

The only thing i had lower performance in was information sharing that was probably because i didnt counsel so many cases. Highest was spoken English proficiency. All others were high performance.

The key is to just keep moving forward and practice how you will enter and all that.

I practiced in my mind as well as on my grandparents. My sources were CSEvideo and First Aid. Thats all u need.

My point of writing this is that there is no need to worry EVERYONE feels like they will fail. I was 110% sure i was gna fail and i even used to cry just thinking about it all. I would search all experiences from this site to find some rays of hope.

Good luck to everyone and always believe in yourself.
Quick reply to this message
The above post was thanked by:
doc_kk (05-17-2012), Kristinemd (03-18-2013), patelMD (05-17-2012), shima (05-27-2012)
  #64  
Old 05-17-2012
USMLE Forums Scout
 
Steps History: 1+CK+CS+3
Posts: 15
Threads: 1
Thanked 2 Times in 2 Posts
Reputation: 12
Default help..let me know if m in deep waters!!

hello friends...
had my CS few days back..in chicago...
the only thing that's giving me nightmares are the patient notes..
i missed one or two things in every pt. note...forgot to document few tests which i performed on th SP..in some forgot to write the occupation..i did ask though..got one diagnosis wrong..forgot to mention organomegaly in abd case..

havent heard anybody failing on patient note..just scared that i might not be the rare one..

the patient encounters were fine..did all the basics..knockin, intro, smile, closure, basic examinations, drape, hand wash...
help me out..wa are my chances..???
Quick reply to this message
  #65  
Old 05-17-2012
legend's Avatar
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 97
Threads: 44
Thanked 13 Times in 9 Posts
Reputation: 23
Default

Quote:
Originally Posted by legend View Post
hey everyone,
i appeared for CS 2 weeks ago, & made some blunders as usualso now i was wondering what to expect after that???A few silly ones that i remember:
  • I didnt turn off the light for any of 3 fundoscopies i did!
  • I forgot to remove gloves after the physical, did counseling with gloves on in at least 8-9 cases, & came out of room wearing the gloves in 5-6 cases.
  • Forgot to do signs of meningeal irritation, in suspected case of meningitis/ SAH.
  • forgot to mention use of OCPs in notes, in a lady on OCPs, whom i counseled as well for those.
  • opened the doorway info box, when announcement was made for SPs to prepare.( proctor saw it immediately & asked me to close, although i hadn't seen even a word till then)
  • warned by proctor once to submit notes on announcement.
So what does everyone think, am i in bad position???
plz share ur views on this!!!!
update thank God i passed CS all in high performance
__________________
The first step to getting the things you want out of life is this: DECIDE WHAT YOU WANT!!
Quick reply to this message
  #66  
Old 05-24-2012
USMLE Forums Newbie
 
Steps History: CS Only
Posts: 7
Threads: 2
Thanked 11 Times in 6 Posts
Reputation: 21
Angry I have these mistakes in my CS exam!

these are my mistakes.
1. was very nervous in the first case.was a neuro case and could finish the exam and just when i was about to finish my closure the encounter was over.she was giving a very lengthy history and boy she made me soo nervous
2. on the very last case barely finished my closure.pretty sure was speaking in a rush for the last 15 sec of the encounter
3. forgot to ask some questions in every case.time flies while u are inside the room and the sp wont be of any help to u.
4. didnt have time to complete full pe as in first aid.however listened to heart and lungs in every single case
5. for the very last case i forgot the name of the dd and entered a wrong dd as my first dd.totally unforgivable
6. summarised all they told me before starting my pe.is that enuf?
7. my closure was as follows

mr/mrs x based on the info u have given me and my pe the most probable cuse of ur prob is this or that (explained in laymens terms after giving a medical term) and 2 tests. we need to run these tests to get to a definitive diagnosis. we ll let u know after we get the results and we ll then sit and discuss and i will presnt to u all treatment options and we can together decide the next course of action. dunno if this is good enough
8. followed the exact same template in first aid for pn. mesed with the order of dd in a few cases

Outcome: I passed
Quick reply to this message
The above post was thanked by:
sarath96 (06-28-2012)
  #67  
Old 05-27-2012
USMLE Forums Scout
 
Steps History: 1+CK+CS+3
Posts: 82
Threads: 0
Thanked 79 Times in 42 Posts
Reputation: 89
Default

I'll contribute. I'm still waiting for my results, but I'll update when I get them. These are things I've written down over the past few weeks ever since I took my exam early this month.

Sorry for the huge post, but I wrote down a lot of stuff!

Mistakes
  1. - Only did a posterior lung/chest exam on a respiratory case, where a full anterior examination was probably warranted
  2. - I did not check CVA tenderness in a case that seemed urinary and I think I did not ask about fever
  3. - I was not able to counsel about smoking in one case (all I was able to say was "about your smoking...well, goodbye")
  4. - 2-3 closures were interrumpted while I was explaining what we were going to do next (wait for tests, follow up in X days/weeks) but basically all the important things had already been discussed (DDx, tests, etc)
  5. - Forgot to ask a patient with LOC very important questions about the episode, including duration, tongue biting, incontinence, and a few others
  6. - In a patient who required a "full neuro exam" I did not check hearing or sensation and I skipped about 2-3 cranial nerves (although there were no focal neuro complaints...)
  7. - Screwed up a peds case - forgot to ask important questions like shaking/seizures, rash, also did not ask about meeting specific developmental milestones (all I said was "did he grow up healthy and well? when was his last checkup? was everything OK?")
  8. - In a case that required a full cardiac/cardiovascular examination, I did not palpate the PMI or listen to the apex because it was a woman and I was short on time. Also, I did not check any of the peripheral pulses.
  9. - Did not warm my stethoscope in any cases, although no one seemed to mind. My stethoscope has a non-chill rim
  10. - Did not send for an EEG in a workup where it was probably needed
  11. - Did not check BP or even do a hypertension followup in a woman who CAME FOR bp check+a symptom. I only focused on the symptom... I later regretted not asking more about the HTN
  12. - Did not ask about obstetric history in a patient who had a gynecologic complaint

Other "mistakes" that I think were less bad:
  1. - One counseling was cut short due to time and I was only able to say "try and stay healthy, continue exercising, I will see you here next time." The rest of the closure was ok (diff diagnosis+plan, etc)
  2. - In a particular case where I was doing a superficial neuro I skipped a Romberg test because it did not seem like the cause was neurologic/vestibular/cerebellar, but it may have been necessary
  3. - Did not tell anyone "call me if anything changes" or what to do if something went wrong, which some people highly recommend especially with conditions that could worsen
  4. - When discussing my differential with one of the patients, I didn't tell him the most likely diagnosis which was cancer (put it on the PN though). I don't know if telling the SP the CORRECT diagnosis matters as long as you put it on the PN
  5. - Touched a patient and my hands were so cold she jumped, but I apologized immediately and warmed them up (afterwards I washed my hands with boiling hot water to avoid this)
  6. - Forgot to specify family history in 2-4 PNs (I forgot them because they were unremarkable/negative)
  7. - Did not listen to mitral area in any of the female patients because of the hassle of having them lift their breast and feeling pressed for time
  8. - Occasionally had the patient lie down and forgot to extend the foot rest. I did it after a few seconds, but after they had already lied down. I apologized and said "Oh, sorry! Let me help you."
  9. - I always draped before starting to take the history. However, I usually did not fully unfold the drape, and for example, when examining the abdomen, sometimes the lowermost parts of the legs and feet were exposed. Also, I usually draped them in the sitting position, and did not FULLY cover their legs.. (it would cover just below the knees, basically)... don't know if that's enough draping since lower legs and feet/ankles were left exposed

Now, the positive.
  1. - Always knocked and used a warm, friendly greeting.
  2. - Always showed adequate empathy. It's not just saying "I'm very sorry to hear that."
  3. - Called all patients by last name several times (at least 2 minimum, but most 3-5 times). One last name was weird, so I said "Hi, Mr. X.. did I say that right? Oh, sorry! I wasn't sure how to pronounce it. Hi, Mr. Y"
  4. - On my difficult patients that were annoyed/angry/quiet, I'm pretty sure I managed to overcome their obstacles and was able to communicate with them alright, although it was kind of hard (2-3 cases)
  5. - Also I'm pretty sure I managed to answer all "challenging" questions correctly, speaking clearly and confidently.
  6. - Asked onset, duration, progression, severity, associated factors and prior episodes of ANY symptoms
  7. - LIQORAAA for all pains
  8. - Modified PAMHUGSFOSS where I did a complete ROS, asked PMH, allergies, surgical history, hospitalizations, family history, ob/gyn, occupation, sleep, full social, sexual, weight changes, appetite, diet, energy/fatigue and travel history for pretty much EVERYONE
  9. - Asked anywhere between 60%-80% of questions on the First Aid history checklists for similar cases
  10. - Had time to do a posterior lung+basic heart auscultation on pretty much everyone
  11. - I think I did most important physical exam maneuvers, at the very least the system or body region in question
  12. - Correct diagnoses and workup for pretty much all cases
  13. - Short summary after the HPI+ROS in all cases
  14. - Complete PN, except for the questions I forgot to ask in the history, and the FH I forgot to write (see above). I always ran out of space for the HPIs, which was frustrating!
  15. - PN had correct spelling, grammar, capitalization and punctuation, though I don't know if that matters (probably not)

All in all I felt confident leaving the test. I will post back when I have my results...

I passed with great results - I will share my performance profile (see attached image)
Attached Thumbnails
I have these mistakes in my CS exam!-mwsnap034.jpg  
Quick reply to this message
The above post was thanked by:
alenaS (09-29-2013), MIZO105 (09-15-2014), Oncology_freak (05-02-2014), rani001 (02-27-2013), RicMan (11-05-2012), tamta (01-20-2014)
  #68  
Old 05-28-2012
DRFP's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 272
Threads: 35
Thanked 97 Times in 52 Posts
Reputation: 107
Default

I think the thing that helped me to pass was the History taking, I beefed it up the third attempt (Passed) it was the weakest thing I had along with focused exams

1. Take a good long history
2. Focused exam, do not do CN and DTR's in a HTN case or a Lung case for example

also get the latest FA for CS since the exam has dramatically changed

Major rule....... DO not tell the patients the Diagnosis, tell them maybe what you suspect but if you suspect cancer its a big no no to tell them CANCER, you must first run tests, no History or physical can give you conclusive on cancer, think about it! Tell them you suspect a serious condition you need to run tests to define it, something like that.
Quick reply to this message
  #69  
Old 05-28-2012
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 12
Threads: 3
Thanked 7 Times in 4 Posts
Reputation: 17
Default I have these mistakes in my CS exam!

hey all
i took my cs on apr 9th.
These are the mistakes I remember.
Pt 1..no closure. Ran out of time.
pt 4--no specific examination (which was the most important for the diagnosis)
--forgot to drape the pt
--wrong diagnosis
Pt 6--An abd case, I stupidly checked BP in both arms. imagine!! I stupidly thought of aortic dissection cos of the acute nature. So, didnt auscultate the abd and incomplete closure.
Also missed FH in his pt note.
Pt 7..didnt auscultate in abd exam
..Didnt mention the need for pelvic exam but wrote it in pt note.
Pt 8..a depressed pt,no MMSE
Pt 10..didnt ask a specific question vital to the diag,so missed the diag in pt note.

The last Pt,didnt address her by name cos I forgot her name as I entered the room, but quickly looked at the table with her data on it and addressed her by name from then onwards.
Soo I am scared. Cant wait for June 20th. If i fail, then its death sentence for me cos I will be looking at 2014 match, and I'm an old grad..
Any fatal experiences that still passed?
Quick reply to this message
  #70  
Old 06-20-2012
ashake3009's Avatar
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 52
Threads: 5
Thanked 18 Times in 14 Posts
Default CS result

Hey guys,
I passed, it was tough waiting so long for the result, but now i feel really very relieved.Now can concentrate on my CK.....I had high performance in all the aspects, did touch borderline only in Professional manner and rapport..rest all the crosses were in the white zone on the right. Thanks a lot to the ones on this thread, you really helped me when i was feeling low. And lastly it was god's grace that made it.Thanks everyone!!
Quick reply to this message
  #71  
Old 06-20-2012
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 12
Threads: 3
Thanked 7 Times in 4 Posts
Reputation: 17
Default

hey all
i took my cs on apr 9th.
These are the mistakes I remember.
Pt 1..no closure. Ran out of time.
pt 4--no specific examination (which was the most important for the diagnosis)
--forgot to drape the pt
--wrong diagnosis
Pt 6--An abd case, I stupidly checked BP in both arms. imagine!! I stupidly thought of aortic dissection cos of the acute nature. So, didnt auscultate the abd and incomplete closure.
Also missed FH in his pt note.
Pt 7..didnt auscultate in abd exam
..Didnt mention the need for pelvic exam but wrote it in pt note.
Pt 8..a depressed pt,no MMSE
Pt 10..didnt ask a specific question vital to the diag,so missed the diag in pt note.

The last Pt,didnt address her by name cos I forgot her name as I entered the room, but quickly looked at the table with her data on it and addressed her by name from then onwards.
Soo I am scared. Cant wait for June 20th. If i fail, then its death sentence for me cos I will be looking at 2014 match, and I'm an old grad..
Any fatal experiences that still passed?


hheyyyy allll....i passsssssssssedddddddddddddddddddddddddddddddddddd ddddd..happpyyyyyyyyyyyyyyyyyyyyyyyy
Quick reply to this message
The above post was thanked by:
riya99 (06-20-2012), tamta (01-20-2014), TenderLovingDoc (06-20-2012)
  #72  
Old 06-20-2012
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 23
Threads: 2
Thanked 14 Times in 10 Posts
Reputation: 24
Default Hey You All!

I took my exam in April 2012 @ Houston, I had tons of mistakes and I felt like crap after the exam.
*Screwed the Physical Exam in one Pt and ran out of time couldn't close.
*I ran out of time in the middle of P/E for another Patient also.
*Forgot lots of questions couldn't do the heart and lung exam for more than 3 pt.
* 1 patient had hoarseness i didn't even look at his throat.
*Poked the eye of a Pt with Ophthalmoscope.
* Mispronounced the name of 2 patients.
* Lots of error in PN.

I practiced with a partner for a month and main focus was First Aid, First aid is enough for the exam put your emphasize on first aid and don't get distracted by other sources,I watched some of CSE videos it's good just to get a sense of the exam and what to expect.So guys don't worry trust your abilities and believe in yourself,no matter how much you think you screwed up, your chances of passing is higher than failing. I was 110% sure that I would fail but I Passed so guys be optimistic and good Luck.
Quick reply to this message
The above post was thanked by:
RicMan (11-05-2012), riya99 (06-21-2012), TenderLovingDoc (06-20-2012)
  #73  
Old 06-20-2012
USMLE Forums Newbie
 
Steps History: 1 + CK
Posts: 9
Threads: 2
Thanked 2 Times in 1 Post
Reputation: 12
Default My Experience.

First I Congratulate all who succeeded...!!!
I wish to share my experience as so do's & don'ts can be reviewed and also people can suggest me what I have did wrong and where should I concentrate.
Center : Atlanta
Preparation time : 20-25 days 2hrs/days.
Practice: with my Non-Medico Sister-2 cases a day.
Material: U-World/First Aid/Target USMLE online coaching

*My First case I addressed a 16 yr girl Mrs and myself changed and took the encounter till end, but my anxiousness and apprehension was very obvious and I didn't sound confident as a resident physician or attending.

*Subsequently 2 nd case not that nervous finished the encounter with closure, probably with missed few questions

*3rd case - ran out of time while doing physical examination and I was behaving more like an anxious student in the examination running for time.

*4th case to my misfortune was some case of depression who never opened his mouth despite my multiple attempts to convince him that i am there to help him and if he co-operates shall try to sort out things for him. Then went out of time with H/O itself.

Subsequent all 8 cases managed to finish with closure, but I was hurrying in physical examination & Closure, as I took more time in H/O.
Over all
*My P/E seemed very obvious I was just acting it out very rapidly.
*For one Obese Female pt while trying to undo the gown to my ill luck her inner wear strap also started to come... I apologized twice for that, she gave a angry stare.
* With 2 patients had difficulty in asking one question each which I have to repeat to them.
*with 2 patients had difficulty in getting to the point what they where trying to tell, so had to ask repeated questions to make that context clear.
* But rest I felt I did reasonable, though in anxiety I should have missed many more.
*With pt notes - Investigation & DD did well I am sure.
Rest of the notes rushed up to finish, in abbreviated manner with skipping.

At last - Result: I got flunked; ICE: Pass, CIS&SEP: Fail.

1.I think I should have been cool and behaved more confidently as I am the pts treating physician rather than an panic stricken first year medical student.
2. Time management with regular practice is a must which I didn't (medico preferred-they can tell us where we went wrong while practicing).

At the end of the exam - I was definitely sure I am going to fail - and I was right.

If anybody can advice me what all I shouldn't have done and what to concentrate specifically I would be much grateful.
My American Dream is staggering now after my long journey with Step-1 -246 & CK-239.

Thanks in advance, looking for valuable suggestion.
Quick reply to this message
The above post was thanked by:
tamta (01-20-2014), vishwareddy (07-26-2012)
  #74  
Old 06-27-2012
mle guy's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 263
Threads: 16
Thanked 335 Times in 164 Posts
Reputation: 345
Default

My mistakes:
  • missed counseling in a psych case. I ran out of time and was doing PE at that time when I had to get out of the room.
  • Did not ask questions and did not document in the note a very important DD for a neuro case.
  • Did not do drugs counseling in 1 case, when it was required.
  • For an MSK case, I did not do the full MSK examination because I forgot it.
  • Did not ask Hx of abuse when it was warranted
  • Messed up another neuro case. No proper HPI and did not do the relevant neuro tests.
I practiced a lot for the PN so that went fine. I did not document anything that I had missed in the Hx or the PE.

I did all the basic rituals like: knocking on the door, introducing yourself, saying patients name, maintaining eye contact, hand shaking, saying good bye etc. I guess that saved me in the end.

I passed with borderline score in data gathering but the high score in PN saved me in the ICE component. CIS and SEP were high because of the basic rituals that I mentioned earlier.
So don't forget to do the common things in every case even if you miss important points in the Hx and PE.

Good luck!
Quick reply to this message
The above post was thanked by:
bscsc (10-05-2012), raja5 (06-09-2013), RicMan (11-05-2012)
  #75  
Old 02-09-2013
XpaezX's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,216
Threads: 41
Thanked 1,290 Times in 702 Posts
Reputation: 1305
Default My mistakes

Hi guys just took CS exam a week ago

Wanted to revive this thread because it is a really nice thread and can help other people who are about to take their exam and/or have taken it and are waiting for their results

What I Did wrong.
  1. Got nervous in the first 2 cases, the second case I tried to show good empathy to my patient, she was overly serious and I couldnt steal a smile
  2. Wore gloves in all my patients, with 3 of them I removed their glasses and then forgot to change gloves.
  3. did extremely focused Physical exams + general exams.
  4. did focused Neuro exams.
  5. During 1 of my encounters I already had finished my summary and closure and then the pt asked me a challenging question; while I was answering time ended and had to leave saying "got an emergency have to leave"
  6. In a phone encounter forgot to ask some past medical history questions.
  7. during some of my encounters I felt I was talking to fast.. eventho the patients didnt show any signs of struggling to understand me, 1 patient asked twice "what?" I do have a fairly good english, but nervousness + time pressure were against me I suppose.
  8. In some pts eventho I asked CAGE questionnaire i forgot to put in on the PT (FML, lol)

What I did right.
  1. Smiled, introduced myself by name, my role in the clinic and What I was gonna do.
  2. Asked for permission before every PE maneuver.
  3. Explained what I was doing and what I was finding.
  4. Asked for permission to write notes.
  5. Said sorry, this must be tough, I see several times.
  6. While wearing my gloves asked for anything else.. extra concerns etc, the superbowl game happened 1 day before, so I tried to have a conversation while putting my gloves, either that or tried to talk about the weather (a storm was gonna hit)
  7. Asked pretty much everything on first aid + extra ROS.
  8. ASked CAGE questionnaire on every patient that required it.
  9. Counseled on every patient about everything (sex, smoking, drugs, alcohol, depression)
  10. Congratulated patients on things they did right.
  11. Offered support and understanding several times during the encounter while trying not to sound like a repeating machine or a clown.
Lets see IF I will pasS!
Quick reply to this message
The above post was thanked by:
alenaS (09-29-2013), Dr. Mexito (06-22-2013), Novobiocin (06-17-2013), raja5 (06-09-2013), stepdoc1 (03-01-2013), tamta (01-20-2014)
  #76  
Old 03-02-2013
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 20
Threads: 1
Thanked 4 Times in 3 Posts
Reputation: 14
Default nervous :(

Hi, I am Alaleh. I took my exam 23rd of FEB and I am soooo worried now about it. I don't feel good at all. Thank you for your experiences which made me feeling better. Does anybody can share the score report only the chart part??? I don't know why I think that probably would make me less worried
here is my experience:
- I did knock, greet, hand shake, ask if room comfortable, ask if I can take notes in all the cases
-I finished all the cases on time but in 2 cases when I asked if they have any question, they said no because the time was done.
-I closed all the cases and counsel as well
-I forgot to mention colonoscopy to a patient with LLQ pain but I wrote it in note.
-I washed my hands in all cases
-I summarize in all the cases
-showed empathy in all the cases
-finished all the PNs on time
-was not sure about the final diagnosis for 3 cases but I put something there and I think at least one of them is correct and the 2 rest are close enough
-forgot rovsing and obterator and psos in periumbilical pain ( I dont know if it is necessary )
-I don't remember if I said thank you after Ph/EX in all the cases!!
- One patient asked me to prescribe new brand OCP for her and she had hypermenorrhea, so I said first wait to find out the underlying cause of your problem and in the meantime I will give you pamphlet about the advantages and disadvantages of these pills and then we can discuss about it later! I don't know if this is right?!


I don't remember more, but I would really appreciate if you tell me I can pass based on this experience or not?!!! I am so nervous and cannon concentrate for my CK which have it in 2.5 month

Update: I passed
Quick reply to this message
  #77  
Old 03-13-2013
USMLE Forums Scout
 
Steps History: CS Only
Posts: 29
Threads: 9
Thanked 2 Times in 2 Posts
Reputation: 12
Default

here are my mistakes :

1. pt with dementia forgot mini-mental exam
2. forgot to council about alcohol in related cases
3. case i didnt know the diagnoses
4. forgot the leg rest in many cases
5. forgot gloves in 1 case
6. didnt do neuro exam in relevant exam
7. one of the SPs almost laughed at me
8. forgot things in my PNs
9. got things wrong when i did the summaries
10. asked SPs Q about history while examining

any hope for passing ???
Quick reply to this message
The above post was thanked by:
maludinesha (04-25-2013)
  #78  
Old 03-19-2013
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 34
Threads: 5
Thanked 9 Times in 5 Posts
Reputation: 19
Default

hi ppl i gave my cs exam on feb 27th i made many mistakes so worried since then having nightmares since then about results!!
1. ran out of time in 1st case just as i was about to shake hands with him and leave.
2. dint answer one challenging ques properly,the pt was not happy with my answer, could make it out from her looks, but i do did answer smething relevant.
3. in one case of irritability pt was irritable from the begining, she was very rude to me, she shouted at me in the middle of exam by saying R u even listening to me doc!!! wen i askd her to repeat the reply,but i said sorry to her then and told her to plz repeat it as i wanted to re confirm tat...
4. one case in the closure i askd the pt whther i have addressed all his concerns he said not really and i askd whether he had ne ques he said no...couldnt make out the proper dds for this case;-(
5. forgot drug counselling in one case.
6. pt note dint write negatives for any case but ensured i filled all columns dint leave any column blank.
7. showed empathy, compassion, washed hands, introduction, draping, asked permission for all exam, washed hands.
8. in around 2 cases was not sure of my DDs, but did write all 3 DDs.
So worried since then, feel like i am floating away into depression since then, cant sleep, eat, cant conc on any things in life...;-(
Quick reply to this message
  #79  
Old 03-27-2013
USMLE Forums Newbie
 
Steps History: Not yet
Posts: 9
Threads: 4
Thanked 5 Times in 2 Posts
Reputation: 15
Unhappy Mistakes

Hi everyone!! First, thanks for having created this amazing thread!!! It has been so helpful! I took the CS two days ago and these were my mistakes.

- forgot to do CVA tenderness in a case where it was relevant (urinary sxs)
-forgot to tie back the gown 2-3 times
- forgot to pull out the foot rest in 2-3 cases
-Totally forgot HEENT and lymph nodes in respi case. ( more than one) Cant believe i missed that (((
- Forgot to mention pelvic exam in one case, to both SP and PN
-forget Family history in 2-3 cases
-Ran out of time in one encounter and i was so nervous that i didnt even apologized!! i only looked at the SP and skake his hand and smile
-Before leaving the room i forgot to remove the gloves in two occasions
- forgot to mention to the SP major diagnosis in 2 cases, but i mentioned it in the PN
- Totally forgot to counsel one patient on smoking and drinking who really need it ( forgot also cage!! ( Try to do so to the rest of the SP even if cage was 0/4.
-In one case i walked into the room very biased of the major diagnosis that i wasnt smooth when asking about the sexual hx. Then i noticed and i apologized and explain to the SP the importance of it but she was a little shocked (
-forgot to mention to the SP rectal exam and colonoscopy but put it on the PN
-In all PN ,vital exams were normal and just wrote WNL
-Forgot to ask about menstrual Hx in a female pt
-In CVS never asked pt to lift bra
-Forgot to palpate thyroid in fatigue case
- i didnt check orthostatic vital signs in a case where they were relevant but wrote it in the PN
- forgot to ask about possible abuse in a msk case and pt was young female and after leaving the room i kinda noticed she looked anxious. But the history was so typical that i kinda overlooked it
- I was so nervous and im not a US native so during the exam at times i stuttered and had to struggle to get my point across. But SP seemed to understand me and i always asked for any more questions


I did all the tiny stuff like using gloves, draping, smiling, knocking, intro, permission before exam, explained PE findings, summarizing, *asked for questions, empathy and reassurance (only in one case i didnt understand what the pt was telling me and asked him to repeat it but he looked so tired that i overlooked it. **
My PN were okay although in several i missed ddx and had trouble with pertinent findings since everything was normal!!!*

I really dont know if im gonna pass. I think i did so many things wrong!! *Im already having nightmares!!! can anyone tell me what are my chances?!! Im desperate!!
Quick reply to this message
The above post was thanked by:
venky2600 (07-01-2013), Vurtil (06-22-2013)
  #80  
Old 04-24-2013
USMLE Forums Addict
 
Steps History: 1 + CS
Posts: 167
Threads: 37
Thanked 67 Times in 42 Posts
Reputation: 77
Default

I did my cs exam in houston
I did well in history taken but I'm worried about communications skill , I knock the door, clarify sp name, introduced my self, ask the sp if he comfortable in the room, I used open end question at least twice, used transational statements, answered some but not all challenging questions, ask permission for physical exam and summarized the sp history( one of them corrected my summarization)

I'm worried about counseling and closures. There were about 5 cases not smoking, drinking alcohol, use condom ... So I didnt counsel them because nothing to counsel about !
Also, the closures, I was mentioned two to three dd and two investigations but I felt myself was not confident as I have to be.
I knew all case with dd and investagtions. Two of them I think not correct dd order
I forgot some details in patient notes like I didn't write vital signs in all PN
I wrote heent: mouth, pharynx and eye wnl

Lets see if I will pass
Quick reply to this message
The above post was thanked by:
Vurtil (06-22-2013)
  #81  
Old 04-27-2013
XpaezX's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,216
Threads: 41
Thanked 1,290 Times in 702 Posts
Reputation: 1305
Default Passed !

Quote:
Originally Posted by XpaezX View Post
Hi guys just took CS exam a week ago
Outcome: PASSED
Quick reply to this message
The above post was thanked by:
dr_serge (08-12-2013), HRK2011 (04-30-2013), Novobiocin (06-17-2013)
  #82  
Old 06-12-2013
USMLE Forums Addict
 
Steps History: 1 + CS
Posts: 167
Threads: 37
Thanked 67 Times in 42 Posts
Reputation: 77
Default

Quote:
Originally Posted by HRK2011 View Post
I did my cs exam in houston
Outcome : Pass with high performance in ICE and abobe borderline in other components ...
Quick reply to this message
The above post was thanked by:
Dr. Mexito (07-01-2013), dralan (06-12-2013), shima (06-12-2013), skyline24 (06-22-2013), Vurtil (06-22-2013)
  #83  
Old 06-19-2013
USMLE Forums Newbie
 
Steps History: Not yet
Posts: 9
Threads: 4
Thanked 5 Times in 2 Posts
Reputation: 15
Default outcome!

Quote:
Originally Posted by stepbystep View Post
Hi everyone!! First, thanks for having created this amazing thread!!!
OUTCOME: PASSED!
Quick reply to this message
The above post was thanked by:
Monkey Jones (07-06-2013), skyline24 (06-22-2013), Vurtil (06-22-2013)
  #84  
Old 06-30-2013
USMLE Forums Newbie
 
Steps History: CS Only
Posts: 4
Threads: 2
Thanked 0 Times in 0 Posts
Reputation: 10
Unhappy I have these mistakes in my CS exam!

1. I screwed up my 1 st case and did not complete my closure
2. Did not counsel to quit smoking for two cases
3. Did not perform mini mental exam for a depression case but mentioned mental status exam in PN investigation part.
4. was not able to answer a challenging question coz did not understand wat she said.
5. my SP did not look happy when i told him my DD, he said I am trying to scare him.
6. did not do well on a case coz the DD which I had in my mind did not match with the patients symptoms.
completed my patients notes on time but never got time to recheck for mistakes.
otherwise no problem with communication except one or two here and there
performed physical examination in an orderly fashion, explained why I am doing the examination.
did the closure well for most of the cases.
Quick reply to this message
  #85  
Old 07-01-2013
venky2600's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,186
Threads: 119
Thanked 758 Times in 426 Posts
Reputation: 768
Send a message via Yahoo to venky2600
Post i have these mistakes in my CS exam

OMG ! i'm really getting night mares since i gave my Cs exam about my mistakes and SP's...hope i pass

my mistakes:

1) ran out of time in 2 cases--1 is at closure(explained differential and tests to do) and the other is at challenging question(did explain differential and counsel too about stress counselor) answering time. but i told them i'm sorry got an emergency call.
2) messed up really with 2 cases----forgot the main differential and explained 2nd differentials as the causes.(same goes to the pt. note)
3) didnt do MMSE in 1 depression case.
4) didnt check ROM in back pain case.
5) didnt check spurling sign in neck pain case.
6) didnt show much empathy for pain killer abuse case where it was needed much.(totally forgot that painkiller causes nephropathy instead explained consideration of stones that causing hematuria to her).
7) my english was bad at times..(SP's asked me that they didnt understand my words thrice).
8) forgot to ask social and sexual history in 1 back pain case totally.

but i did respectful draping in every case, introduced myself well, asked if they have any questions in all cases except one,asked permission for every case before doing physical exam,counselled in all cases ,8 out of 12 patients seemed satisfied to me after encounter.
2 months more is killing me already......hope i clear this biggie..wish me luck guys....goodluck all
Quick reply to this message
  #86  
Old 07-02-2013
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 198
Threads: 12
Thanked 129 Times in 83 Posts
Reputation: 139
Default

I had my exam yesterday and i completely screwed it up.
1) in one pt note i wrote history in the section of physical exam and viceversa..( i dont know why..)
2) i couldnt complete closure i.e the challenging question part in 3 cases.
3) didnt write workup in one patient note
4) couldnt diagnose 2 cases properly and my D/D was messed up completely
5) forgot to read paient's name in the first case but when i entered and realised this i said- hello mr....umm am sorry how do you pronounce your name..
6) though my english is okay sorts still i fumbled way too much
7) forgot to wash my hands in one case and the patient asked me to to
8) couldnt answer challenging questions properly esp a neuro seizure case where the man wanted to go home asap..i just ran out of words there
these are very few..am too scared about the results..i hope i pass on the borderline in all three..:sorry::sorry::sorry:
Quick reply to this message
  #87  
Old 07-10-2013
USMLE Forums Scout
 
Steps History: Not yet
Posts: 15
Threads: 5
Thanked 4 Times in 4 Posts
Reputation: 14
Default closures

hi, I ran out of time in two cases and couldn't do the closure
anyone had similar scenario and passed? plz I need feedback
I also missed investigations in one case coz I was nervous apart from this I hope I did ok
Quick reply to this message
  #88  
Old 07-10-2013
USMLE Forums Scout
 
Steps History: Not yet
Posts: 12
Threads: 8
Thanked 1 Time in 1 Post
Reputation: 11
Default

Quote:
Originally Posted by vishakh View Post
dude you're awesome. didn't understand your own handwriting?!


it occurs with me a lot, nobody takes my notebook from like the ninth grade! and still i am working on it, haha
Quick reply to this message
  #89  
Old 07-10-2013
USMLE Forums Newbie
 
Steps History: 1 + CS
Posts: 3
Threads: 0
Thanked 1 Time in 1 Post
Reputation: 11
Default

Just took CS, made a ton of mistakes and keep remembering more!
1. Forgot to do rebound or special maneuvers for an abdominal complaint
2. I felt like I was being a little awkward but overall I think it went ok, not sure if SP liked me
3. Forgot to do percussion/egophany/fremitus for a respiratory complaint...just auscultated but I feel like this was enough for me to get an accurate DDx
4. Couldn't answer patient's 'tough' question at the end, missed the most likely diagnosis and subsequently my workup was off
5. went okay
6. didn't transition between my HPI/past hx questions very well and the patient got frustrated ("what does all this have to do with my problem?"), also made this person repeatedly do a maneuver that was uncomfortable for her during the course of the physical exam, also failed to do a complete respiratory exam (e.g. no percussion or egophany, but did do fremitus) even though the complaint may have called for it
7. went well with the exception of speaking softly at one point during closure, patient had to ask me to repeat what I had said
8. only had one DDx on my pt note
9. SP didn't seem to like me, kept looking at me weirdly. I consequently felt nervous and stuttered a bit
10. went OK, not sure if I got the ddx but it was a very vague case
11. seemed to go OK
12. really f'ed up the history; did a good HPI and ROS for an MSK complaint but then didn't ask about PMH/PSH/Meds/all/FH/SH I think the diagnosis was very straightforward though, and this stuff wouldn't have likely been relevant anyway

As you can read above, I feel like my physical exams were poor. Very few of my notes had supporting physical exam findings under the DDx section (didn't think most of the SPs had findings to be honest). I'm an AMG, English is my first language.

I think I did a pretty good job with summarizing and counseling. I did the easy stuff (smile/eye contact/shake hands/use patient's name/glove/drape/ask before doing any part of PE). I sometimes inserted empathetic comments when it didn't feel natural to do so, some SPs looked like they didn't believe me overall I tried to convey empathy with my facial expressions with the occasional "that must be so frustrating" or "it sounds like this is having a big impact on your ability to go about daily life" kinds of things.

Ugh, anyone with similar experiences who passed? I feel like I failed (especially on ICE )
Quick reply to this message
The above post was thanked by:
add1 (07-15-2013)
  #90  
Old 07-16-2013
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 76
Threads: 12
Thanked 60 Times in 23 Posts
Reputation: 70
Default c.s mistakes

I took my exam on 25th of June in Philly and here are my mistakes.

1-Screwed up my first case because of time shortage and couldn't reach at diagnosis because of vagueness of symptoms. SP was friendly and tried to relax me with nice gestures.
2- forgot to counsel in few cases, actually there was nothing to counsel about but i didn't try to mention something like colonoscopies etc.
3- Missed out important PE steps in 2 cases atleast.

thankgod i can't think of other mistakes cause i tried to suppress them right after i came out of exam center. Preparing for step 3 with hope that i will pass:sorry:
Quick reply to this message
  #91  
Old 07-29-2013
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 126
Threads: 15
Thanked 61 Times in 34 Posts
Reputation: 71
Default Here is my kilometric list of mistakes

I'm not a native English speaker so I prepped for at least 5-6 weeks, doing 5-7 cases everyday.

took my test in Atlanta :

1- ran out of time I'm at least 6-8 cases.

I honestly don't know what happened, I don't feel like I was overly nervous and I practiced a lot with 13 and 14 minutes.

I think I gathered my data well, perform most of the important pe maneuvers and told every patient their DD and workup. I usually ran out of time during counseling.
During the cases I made a few comments that could be interpreted as counseling, if the sps are nice. Did not AFAIK ask any of those patients if they had any questions...

I think the sps actually tried to help me, they threw the questions at me without having to tell them anything. I tried to chit chat with them and develop a relationship. But I'm really worried about cis.

My English is generally impecable, but when I get nervous my mouth gets a little bit crazy and I think I spoke too low, although the sps did not mention anything.

I forgot some critical things for the Pn, but I they are reasonable... I

2- missing at least 3-4 dx Pe maneuvers
3- a few truly important workup
4- I couldn't break through a patient with possible abuse

Let's hope for the best, I think I have a 60-70 % chance of failing cis/ice/



lol, god help me
Quick reply to this message
  #92  
Old 08-04-2013
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 48
Threads: 6
Thanked 15 Times in 10 Posts
Reputation: 25
Default Feedback please

some of my mistakes
1. Didn't do ant chest ex in 3 resp cases as all were female.... Want opinion on these from you guys ??
2. Didn't do complete neuro in dizziness case, as the diagnosis suggested orthostatic hypotension
3. Forgot to pull out leg stretcher in 2 cases
4. Forgot hand washing in 1 case
5. Didn't had diagnosis in 2 cases, though I wrote 3 dd.
6. Didn't do sensory exam in diabetic case
7. forgot counselling about illicit drugs in one case
8. didnt had time to answer question at the end in two cases

I am really worried about the PE part. Rest was ok I think.

I hope I pass, God willing.
Quick reply to this message
  #93  
Old 08-12-2013
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 24
Threads: 4
Thanked 6 Times in 5 Posts
Reputation: 16
Thumbs Up Post after you have the result

Guys, all who post here, you information is very valuable for us - those who are preparing for the exam. But it would be more beneficial for us to know the outcome - either these mistakes are fatal or no, so please link your stories with your results.

Best wishes to everyone!
Quick reply to this message
  #94  
Old 08-12-2013
USMLE Forums Addict
 
Steps History: Step 1 Only
Posts: 144
Threads: 27
Thanked 40 Times in 29 Posts
Reputation: 50
Default

So, I took my CS in philly and well after it was over I don't know if I was relieved or more stressed. I could remember all the things I did not do and as that is considered normal I will not stress about it. But, here are the blunders I did make and your input is appreciated. I know I can't change anything but for my peace of mind

1) For my Abd pain case, I forgot to mention Rectal/Pelvic examination in my investigations. IT was imp as one.

2) For one of the the cases I forgot to do the CNS examination. It was one of the differential but I ran out of time as I had left that for the end

3) 2 cases were so vague that I had no idea as to what the differentials were even. Just had a general idea and did a general examination..

4) The patient notes, had no time to read them after typing them. had to hit submit.

5) could not fill all the 3 D/D's in some cases

6) just remembered that maybe forgot to mention abt organomegaly in abd case. Did it on pE though! Ugh!

Pretty sure there are more. But, I think I handled the patients ok, answered their questions and concerns.

How bad is this?
Quick reply to this message
  #95  
Old 08-21-2013
USMLE Forums Scout
 
Steps History: 1 + CK
Posts: 99
Threads: 10
Thanked 127 Times in 34 Posts
Reputation: 137
Default

1. Bombed the first case. I was a wreck inside! Pretty sure I got the diagnosis correct, but I was taken aback by the challenging question. I said Õ'm sorry I don't know, I'll find out and get you the most up-to-date information'. *face palm*

2. Forgot to pull out the leg rest in half the cases. Seriously! I noticed in the middle of the examinations and apologized profusely. The SP's didn't seem annoyed though. :/

3. After the first case I was so confused, I forgot to tell the next SP my name. I just said 'Good Morning, I'm the physician on duty today etc.' *face palm x2*

4. Ran out of time during one closure.

5. In a joint pain case, I forgot to check the gait. Did MSK and neuro exams though.

6. Forgot JVP in a breathlessness case.

7. Did certain PE's maneuvers but forgot to document them.

8. Started off with open ended questions usually, but sometimes drifted into close-ended ones. I remember asking 'You don't have any SOB, do you?' *face palm X 3*

9. Said something unintentionally funny, realized it a second later, and looked so horrified that the SP started laughing. I giggled too...wasted 30 sec. Take away a few points from CIS.

10. Realized a patient's BP was in the grade II HTN range while typing the PN. I didn't notice it before...I'm pretty sure we were expected to counsel the patient about it. FAIL.

11. Forgot to mention LFTs in a patient with RUQ pain. DAMN. Too much stress! Newbie mistake...

12. Rarely filled out all three differentials.

13. Forgot to elicit the spurling and lhermitte signs in a case of neck pain, and then stubbornly added them to the workup even though I knew it wouldn't get me any points.

14. Was still wearing gloves during the counselling of the first diagnosis

15. Forgot the SP's name in several cases after the introduction.

16. Broke eye-contact for 10-15 sec at a stretch several times to take down notes.

17. Repeated questions often (was operating on jet lag and no sleep the night before!)

18. Never did any fundoscopies, otoscopies, or used a torch to look into facial orifices.


Exam date and venue: 3rd July, Philadelphia
Prep time: 10 days.
Outcome: PASSED
Quick reply to this message
  #96  
Old 08-21-2013
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 48
Threads: 6
Thanked 15 Times in 10 Posts
Reputation: 25
Default

Quote:
Originally Posted by chromodame View Post
some of my mistakes
1. Didn't do ant chest ex in 3 resp cases as all were female.... Want opinion on these from you guys ??
2. Didn't do complete neuro in dizziness case, as the diagnosis suggested orthostatic hypotension
3. Forgot to pull out leg stretcher in 2 cases
4. Forgot hand washing in 1 case
5. Didn't had diagnosis in 2 cases, though i wrote 3 dd.
6. Didn't do sensory exam in diabetic case
7. Forgot counselling about illicit drugs in one case
8. Didnt had time to answer question at the end in two cases

i am really worried about the pe part. Rest was ok i think.

I hope i pass, god willing.
Thanks God I passed
Quick reply to this message
The above post was thanked by:
MIZO105 (09-29-2014)
  #97  
Old 08-21-2013
venky2600's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,186
Threads: 119
Thanked 758 Times in 426 Posts
Reputation: 768
Send a message via Yahoo to venky2600
Smile

Quote:
Originally Posted by venky2600 View Post
OMG ! i'm really getting night mares since i gave my Cs exam about my mistakes and SP's...hope i pass

my mistakes:

1) ran out of time in 2 cases--1 is at closure(explained differential and tests to do) and the other is at challenging question(did explain differential and counsel too about stress counselor) answering time. but i told them i'm sorry got an emergency call.
2) messed up really with 2 cases----forgot the main differential and explained 2nd differentials as the causes.(same goes to the pt. note)
3) didnt do MMSE in 1 depression case.
4) didnt check ROM in back pain case.
5) didnt check spurling sign in neck pain case.
6) didnt show much empathy for pain killer abuse case where it was needed much.(totally forgot that painkiller causes nephropathy instead explained consideration of stones that causing hematuria to her).
7) my english was bad at times..(SP's asked me that they didnt understand my words thrice).
8) forgot to ask social and sexual history in 1 back pain case totally.

but i did respectful draping in every case, introduced myself well, asked if they have any questions in all cases except one,asked permission for every case before doing physical exam,counselled in all cases ,8 out of 12 patients seemed satisfied to me after encounter.
2 months more is killing me already......hope i clear this biggie..wish me luck guys....goodluck all
outcome : PASSED

prep. time : 12 days

thank god and forum members.....all the best for all
Quick reply to this message
  #98  
Old 08-22-2013
beka-CTS's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 739
Threads: 77
Thanked 1,080 Times in 334 Posts
Reputation: 1090
Default Passed

Case 1 : Ė didnít do MMSE in forgetfull pt , missed some Hx qs -
Case 2 : Ė asked the pt to stay in laying position, -

Case 3 : Ė pt had green color on tongue ( didnít asked bout it) Ė forgot suicide question; she had ob/gyn abnr, but I forgot to do abdominal exam and to mention pelvic exam with pt and note

Case 4: Ė pt was uncomfortable when I asked bout dressing problems, forgot to do MMSE

Case 5: Ė Forgot to pull the leg rest

Case 6: Ė Pt was the last one and I thought she was depressed, not good Chest exam, No HEENT

Case 7: Ė forgot to pull the leg rest

Case 8: Ė okay

Case 9: Not confident questioning , didnít mention the diagnosis, wrote SIADH instead of DI.

Case 10: Okay

Case 11: Okay

Case 12: Okay, didnít understand the name of drug pt said it was anti-tussive thatís how I wrote it.

Didnít listen to Mitral Valve in Females !!!!
Quick reply to this message
  #99  
Old 08-23-2013
USMLE Forums Newbie
 
Steps History: 1 + CS
Posts: 3
Threads: 0
Thanked 1 Time in 1 Post
Reputation: 11
Default

Quote:
Originally Posted by xhmj View Post
Just took CS, made a ton of mistakes and keep remembering more!
1. Forgot to do rebound or special maneuvers for an abdominal complaint
2. I felt like I was being a little awkward but overall I think it went ok, not sure if SP liked me
3. Forgot to do percussion/egophany/fremitus for a respiratory complaint...just auscultated but I feel like this was enough for me to get an accurate DDx
4. Couldn't answer patient's 'tough' question at the end, missed the most likely diagnosis and subsequently my workup was off
5. went okay
6. didn't transition between my HPI/past hx questions very well and the patient got frustrated ("what does all this have to do with my problem?"), also made this person repeatedly do a maneuver that was uncomfortable for her during the course of the physical exam, also failed to do a complete respiratory exam (e.g. no percussion or egophany, but did do fremitus) even though the complaint may have called for it
7. went well with the exception of speaking softly at one point during closure, patient had to ask me to repeat what I had said
8. only had one DDx on my pt note
9. SP didn't seem to like me, kept looking at me weirdly. I consequently felt nervous and stuttered a bit
10. went OK, not sure if I got the ddx but it was a very vague case
11. seemed to go OK
12. really f'ed up the history; did a good HPI and ROS for an MSK complaint but then didn't ask about PMH/PSH/Meds/all/FH/SH I think the diagnosis was very straightforward though, and this stuff wouldn't have likely been relevant anyway

As you can read above, I feel like my physical exams were poor. Very few of my notes had supporting physical exam findings under the DDx section (didn't think most of the SPs had findings to be honest). I'm an AMG, English is my first language.

I think I did a pretty good job with summarizing and counseling. I did the easy stuff (smile/eye contact/shake hands/use patient's name/glove/drape/ask before doing any part of PE). I sometimes inserted empathetic comments when it didn't feel natural to do so, some SPs looked like they didn't believe me overall I tried to convey empathy with my facial expressions with the occasional "that must be so frustrating" or "it sounds like this is having a big impact on your ability to go about daily life" kinds of things.

Ugh, anyone with similar experiences who passed? I feel like I failed (especially on ICE )
Outcome: Passed
Predictably ICE was my lowest component but I didn't have stars in the borderline zone. Good luck everyone!
Quick reply to this message
  #100  
Old 08-24-2013
StepTaker's Avatar
USMLE Forums Staff
 
Steps History: 1+CK+CS+3
Posts: 3,263
Threads: 147
Thanked 4,474 Times in 1,546 Posts
Reputation: 4570
Default

Instead of posting into this thread we recommend that each member start his/her own thread of CS exam mistakes and we'll tag it.

We have created a new tag of CS Exam mistakes here's the link
http://www.usmle-forums.com/tags/CS-Exam-Mistakes-.html

That tag will have all the threads by members where they mentioned about their CS exam mistakes, which renders posting in this thread unnecessary.

This thread will be closed.

-
__________________
Want to support us! Order your books from our Best USMLE Books Page!
Quick reply to this message
The above post was thanked by:
Novobiocin (08-24-2013)



Closed Thread

Tags
CS-Exam-Mistakes-

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:

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


RSS Feed
Find Us on Facebook

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