I could’ve written this very post three months ago, and I scoured the internet reading as many horror stories as I could to make myself feel better. Pretty sure I read every single one on this website and on reddit. I was certain I failed.
Result: Pass with all three subsections to the right with *s
It’s agony, and nothing will make you feel okay until you get your passing result. Deep breaths, try to put it out of your mind for now.
Took my CS exam earlier this week and pretty convinced that I failed. I just can't seem to think straight in the room and during my note after. The time constriction ruins me. I did not take this exam lightly and read every case in first aid. I also practiced at least a dozen of them with a partner. However, on test day, it all goes to hell. I forgot so many things and I'm pretty convinced that it will tank my ICE score. I'm mostly writing this to document what I did well and didn't do well for my inevitable retake. Can anyone tell me how bad this is?
Mistakes: -Missed a few important social history questions. For example alcohol use in a gallstone case (not a real case, I made this up as a comparison). -Only listed 1-2 diagnoses on almost all of my cases. I hindsight 1-2 of those were way out of left field with only 1-2 supporting evidence. I read the practice note on the USMLE website and saw that they say you will lose points for diagnoses without evidence so I tried to limit what I included. Think this messed me up in hindsight. -Missed many important diagnostics. Very basic things that just slipped my mind. At least 3 times I missed staple, obvious diagnostics for common complaints. (Think rectal exam for bowel case; again I made this up) -Straight up forgot to scroll down and fill out diagnostics on one case -Didn't use medical language a few times on the note because I couldn't think of the fancy names -Definitely skipped important physical exam pieces in 3-4 cases. Like the additional stuff (not doing Lhermitte in a meningitis case; again this is not real.) -Several very awkward responses to "challenge questions" and returning to do more physical exam maneuvers during my summaries etc. -Didn't do heart and lungs on every patient because time was an issue for me. Very detailed histories, but shorter/focused physical exams. -Accidentally included physical exam findings as supporting evidence under history findings in one case -Forgot to note physical exam findings that were very relevant on 1 case, but did it in the room.
Good: -Washed hands -Used mnemonics and very systematically collected a good history on almost all patients. -Included positives and negatives in my ROS -Notes included full history/ROS/PE write up with positives and negatives -Got many challenge questions and established good rapport with most patients -Feel like I got the correct diagnosis with lots of evidence for 10/12 cases, but my second diagnoses when included were weak and poorly supported.