My experience was an overall good one, looking in retrospect, but I want to tell you that you are doubtful from the moment you walk out of the testing center until you receive your results. But as long as you have studied 4 solid days or more for this exam, you will do fine.
Now, I say 4 solid days because that's what I studied 4 solid days. But I should tell you that I am an AMG and we have done sort of practice CS exams since our first year in medical school so we are very familiar with this examination.
Now, with that being said, my bf is an IMG and he needed much more time. So, practice this until you are comfortable. The thing I most struggled with on the CS was the patient notes. I finished the encounter on time except for one case in which i had to do a neurological examination. But I did not worry about this because this is expected. Just make sure you do your HEENT, CV, Resp, Abd, Ext and you'll be fine. I'm not saying this is all necessary, but this is what I did and I passed & you will too!!
Remember that this test is mostly English proficiency and interpersonal skills. So don't cut back on that!! Always smile. Always tell the patient "I'm glad you came in today. I'm happy to help you." and "Sorry to hear that this is troubling you. We will work together to resolve this or come up with good plan for management. I'm here for you, Mr/Ms. Whatever" Be kind always. Offer that water for cough. That drape on the lap for warmth. That tissue for tears. And you will excel.
And please please do not forget to practice your patient note. You should write without having to think much: vitals general cv: rrr no m/r/g pmi nondisplaced resp: ctab no w/r/r no point tenderness to palpation Abd: s/nt/nd + bs in all quadrants no organomegaly, palpable masses, bruits Ext: no c/c/e 2+ pulses in all extremities By the way, I wrote all abbreviations here but of course you should write some of these things out on the actual patient note.
Atlanta center is great, the SPs are wonderful and you will do well, am sure.