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Old 08-25-2016
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Default need some hope and honest reply

hi all, i recently did step 3 and feeling horrible.. i know it s natural feeling but i have reasons to panic.. coz if a fail it will b red flag on my match application.. nd i dont wanna repeat this exam again..

so my day 1 was difficult.. as everyone hv experienced.. i was nt sure for any of answers.. but i tried to b calm and get it done on time though i randomly guessed ans for abstract...

day 2 mcq s were ok but nt tht gr8.. i was stuck between 2 choices most of tim..

i wanted to do well on ccs but did many silly mistakes which i shud nt hv and now feeling how stupid i m to make such mistakes..
1) in IWMI case i gave nitrate to patient nd forgot to cancel order.. i ordered PTCA but nt cath.. is it required to order cath along with PTCA?
2) in pregnant patient i dint focused on treating high BP which was main complaint.. though at end screen i orderd hydralazine but thts nt first line treartment... i also orderd urine protein.. i forgot to order folic acid supplementation
3) in SCC patient after office visit i shifted pt to ED just for doing biopsy.. tht ws blunder .. feeling awful.. after biopsy i sent pt home and scheduled for office visit for test results

4) for child with hb less than 6 i orderd blood transfusion at end screen but forgot to do type and cross match
5) one case i managed badly.. patient was nt able to take orally but i gave him medicines orally
6) forgot to order suicide contract in mild depressed patient
- while i admitted any pt i used to forgot to order bed rest n npo n diet ordered them after some time..

how bad it is .. kindly advice.. m so much panicking.. i wud nt b able to handle failure....
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Old 09-02-2016
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Every one feels the same as you are feeling after step 3. So relax and do not think about it. If you have done well in ccs overall it's fine and it also depends how your MCQS went. I know CCS helps in passing but the score is overall,you can give nitrates in IWMI if your patient is not hypotensive. So it depends on scenario.If you have not done any invasive test or big blunder,It's ok.Every body thinks that CCS is easy,but it is not easy and level of difficulty is too high in CCS ,but if you go to their website and see the feedback of Fred cases ,you will realize that ,they only wants us to do baseline management without doing blunders.Few of my friends even did blunders in CCS ,but they are passed.It is basically your overall performance,Just relax .I hope everything will be fine for you.
Best regards,
Sara(step 3 tutor,Skype Id:sj.usmle)
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