A review of my CS experience (I passed) =)

[2007er]

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Just got a letter in the mail today saying that I had pass. 😀 For those who are still waiting for results, here's a brief review of my experience. If others have similar tips, just post in a similar format:

Overall
I walked out of exam w/ an uneasy feeling that I'd fail. My medschool doesn't have an OSCE...so u could say I came into exam pretty blinded and totally unfamiliar w/ the fundaments of standardized patients. I used First Aid CS. Read through it a few times...I kept pushing back test date.

The Good
-I washed my hands before/after examining patient, alcohol cleaned my stethascope.
-Draped patients before I sat on stool.
-I established good rapport w/ 10/12 patients.
-Sounded sincere, emphathetic, and even apologetic at times
-Made sure patient understood what was going on

The unclear:
-I kept stethascope on my neck the whole time.
-I was too overzealous w/ my physical dx skills and ended up listing a differential (5th on my list) along w/ associated test that didn't quite relate to the case my standardized patient was trying to portray; but the addition was due to me finding an actual physical finding on the patient that was real, and not acting.
-Didn't document PE tests that I do on everyone but wasn't necessarily pertinent to case (i.e. membranes moist, PERRL, no bruits)

The bad:
-I was probably rushing the auscultation part of exam. i.e. 2s for each spot on chest isn't really enough time for a breath/heartbeat.
-sloppy when assessing jvd
-Missed diagnosis on 2 cases (but did list them on the differential dx)
-Missed an important lab test on two cases (not the main test, but important for ruling out other possibilities).
-Got a patient angry by the abrupt manner in which i asked: "So Why..."....When they raised their voice, i just backed off and said..."oh....ok"...and moved on. The patient got angry another time during interview...
-Didn't do full neuro exam
-Repeated the same questions a few times
-My written note was getting sloppy w/ tons of cross out marks so I switched to typing.
-Didn't have consistent format when typing up my notes...i.e. include PMH/allergies in paragraphy of HPI, or listing after the HPI?

 

[bruinkid]

here is my experience
i also found out that i passed today!

overall:
wasn't sure that i passed it.

mess ups-

didn't do heart and lungs on all patients (not even sure if you're supposed to)
didn't do heart or lung exam on a patient with a cardiac complaint.
didn't even start telling one patient what the plan was for him
didn't wash hands on 2 patients
my write ups were crappy

 

[Handsome]

Hello all,
I am an IMG and did the OASIS TRICK on efmg.org and i was striked that it let me register and go ahead. my score is already reported on 28 march 2007.
Does that mean i simply failed???????
what's the chance for an IMG to pass despite being allowed to register on IWA?

It takes around 14 days to get the result by snail mail.

I would appreciate it if I can read replies from IMGs with similar situation.

What makes me concerned is that i did very well during the exam. I wrote nearly full PNs and behaved well with pts. My language was good as i spent 2 months doing elective course in the U.S before the exam. I have never forgot to Knock the door, naming pts, wash hands, taking permission, or exteding the couch for P/E. I answered all the challenging questions when asked. mistakes "which i consider them minor 😕 " include forgetting to do do complete pulmonary exam except auscultation for a case when indicated, not closing all (~1/2) the counters with conclusion. I had one case where i was nearly totally confused with, there i kept repeating same questions for the pt and he looked anxious form me, and i was mingled with the p/e, but i think that even complete failure in one case would'nt affect the pass/fail result along with doing fine in the others, isn't that?

I don't know what to do in such a case where there is nothing to do exept waiting the snail for the mail.


Please I will appreciate any help.
Thanks alot guys.