How to practice cases for the USMLE Step 2 CS exam?

[StepTaker]

It has been frequently stressed upon that practicing cases before the CS exam is of utmost importance and no one should ever think of taking this issue lightly.
However, in this thread I want to mention few points on how best to practice these cases as I've found several colleagues doing it in the wrong way.

Here's a list of important points that you should pay attention to when practicing the cases with your partner.

• Real simulation: What I mean by this is that you should seriously simulate the exam environment as much as possible. Have the SP sit on a couch and if no couch is available then a sofa may do but do not do it on a chair. Also equipment should be available such as stethoscope, reflex hammer, otoscope, ophthalmoscope, pain sticks, box of tissues, and a nearby washing sink. The SP should be wearing a gown (you can wear it over your clothes), there should be a door to knock, PN papers, draft papers, pens, and a laptop if you want to practice typing.
• Your partner: The frequently asked question. "Can I practice with my wife, husband, girlfriend, ...etc?" Well, the answer is yes but this is not the ideal. The ideal partner is someone who's also preparing for the CS. If at all you have no choice but a non-doctor family member then that person should carefully read the SP check list and try to assess you appropriately.
• Timing: You and your partner should be timing the encounter exactly and I personally prefer to make it 23 minutes so that in the exam you are at ease. For that you need a digital or an analog alarm clock and set it to buzz after 10, 15, 23, and 25 Minutes (these are the real times in the exam when you will be hearing the announcements). In the case of 23 minutes set it to buzz at 9, 14, 22, and 23 minutes. Do not rely on the SP to look at the time and tell you the announcements because this will make frequent interruptions and usually the SP will eventually miss the appropriate timing as he/she is involved with you in the history or physical exam.
• SP preparation: The one who's going to do the SP should read the case carefully and should seriously act the role as much as possible. Use of stains for skin rashes or bloody tissue is preferred. Also giving challenging questions during the exam is very important. Note that a puzzle SP face after a question reliably indicates that the question is not appropriate for the case which is exactly what will happen in the real CS exam. The SP should never help the exminee by any means, like for example giving extra information or reminding the examinee of something.
• Assessment: The SP should assess the examinee seriously in all aspects including communication skills such as knocking, eye contact, introduction, greeting, showing compassion, addressing the patient name, clarity of language, professionalism and others. The points missed by the examinee should be carefully discussed after each practice case.
• Which practice cases: First Aid chapter of practice cases is the most popular and perhaps the most adequately written as it has an SP check list and a proposed PN with each case. However, you can also do the First Aid mini cases and USMLE World cases if you have time.
• How many cases: The more you do, the better. Generally at least 30 to 50 cases should be practiced (15 to 25 per partner) and preferably as close to the CS exam day as possible so that you acclimatize right before the CS day.

Thank you very much
I was thinking how to do it and you gave everything that I wanted to know
God bless you

[good_boy_1234]

Originally Posted by StepTaker

In the case of 13 minutes set it to buzz at 9, 14, 22, and 23 minutes.

I know that all the cases have the same time of 15 + 10...may you explain this 23 minutes case, please ?

[StepTaker]

Originally Posted by good_boy_1234

I know that all the cases have the same time of 15 + 10...may you explain this 23 minutes case, please ?

I am saying that you intentionally reduce the time allowed by two minutes (23 instead of 25) so that you train yourself to do the cases faster so that then you find the real thing (25 minutes) easier.

[medicine]

Thanks StepTaker.

Can you plz tell me how to practice physical examination with an online partner.

[StepTaker]

Originally Posted by medicine

Thanks StepTaker.

Can you plz tell me how to practice physical examination with an online partner.

I don't have an experience in online CS preparation and I personally don't think it's a good idea. You have to get used to the exam environment, which means your SP should be on a couch and you actually perform the physical examination on the SP.

[ag2011n]

The trick to success is a study partner & a timed practice of these cases to gain confidence.

[DAVE]

Excellent post

[daviddaniels]

You are real geek. I like you so much. Best motivated and inspiring tips. Every strategies – real simulation, partner, timing, preparation, assessment should be perfect what you’ve mentioned.

At the same time I always believe that no matter if one has strong confident, patience and deliberate about his practice. If one believes his talent and his caliber, nothing will ward off him.

Thank you very much. I am a huge fan of yours.

[jouberth14]

Thanks for sharing!!

[Ayesha omer]

Thanks for the detailed description and sharing your experience!!

[qamr386]

These are some really good tips..The best way to practice is definitely with a study partner, especially when it comes to practicing physical exams. When I wanted get a little bit more practice, I would do the physical exam on a pillow and just "act" out all the actions to practice in real time mode.

[Arnav]

YES YES. I agree very much. This leads successful knowledge!

[mdcv24]

Originally Posted by good_boy_1234

I know that all the cases have the same time of 15 + 10...may you explain this 23 minutes case, please ?

There are only 15 mins cases, with 10 min notes.

[OM17]

Thank you for this nice explanation

[nada awny]

thank you much, I found your post very useful, God bless you