COMLEX PE Failed

[Lilyhopeless]

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Hi,

Long time lurker here and I just found out that I failed PE on Biomechanical sections and passed on Humanistic. TBH, I was surprised by the result but then again, no one went into exam and expect a fail. To cut long story short, guys, please advice me what I need to do. Please be brutally honest regarding my matching chances. My stats are below:

-Above averaged DO student (pre-clerkship) at good DO school (whatever that means) but will need a visa
-Would like to match into IM at good community or academic center
-all boards passed on first attempt with good scores both USLME and COMLEX
-No skip year and no failed clerkship
-Strong LoR and Evaluation from attending
-Good extracurricular activities and has research

Really heartbroken right now and can barely function today. Set up a meeting with career guidance and exam review at my school
Need to ask you guys what are my chances; I am going to apply broadly (>100)

Also please tell me what should be the strategy for my application and retake!!!

Thanks in advance!

Edit: I passed on my 2nd attempt!

 

[Dr. Death]

Get a retake date right now. The soonest date you can get. If you don't have a score back by February you won't match. If you apply broadly you should still match.

 

[Lilyhopeless]

Get a retake date right now. The soonest date you can get. If you don't have a score back by February you won't match. If you apply broadly you should still match.

I am going to talk to my advisors soon and then I will see whether how much I will need to prep. But as it is, is there anything you can suggest that I should go over to prep for it.

Also can someone chime in about anyone else who has been this spot and how it all turned out? I am trying to figure a way forward from here

 

[FistLength]

it really sucks, it happens to a few of us every year. I do know someone in your same position and they matched into a very competitive specialty, the failure didn't hinder them.

I would get the mark kauffman videos and watch them/practice them. See if your school can set up a few practice patients for you, and then drill you for any mistakes. I would also practice with a classmate and learn to type your notes, keeping everything timed. study for this like you studied for step 1, you need to pass this time around, thankfully almost everyone does.

 

[Lilyhopeless]

it really sucks, it happens to a few of us every year. I do know someone in your same position and they matched into a very competitive specialty, the failure didn't hinder them.

I would get the mark kauffman videos and watch them/practice them. See if your school can set up a few practice patients for you, and then drill you for any mistakes. I would also practice with a classmate and learn to type your notes, keeping everything timed. study for this like you studied for step 1, you need to pass this time around, thankfully almost everyone does.

Thank you for your reply! I was depressed and completely hopeless by myself this entire time. The funny thing is I did Kauffman, read CS book and skim through PE books. Practiced with friends before too.

But I will, ofcourse, study for it again extremely seriously and has already set up meetings with my dean, career guidance.

You can say that I am looking for words of encouragement and perspective.

 

[Lilyhopeless]

Is there anything else anyone can suggest I can and should do to pass this thing and match?

 

[Wjldenver]

Hi,

Long time lurker here and I just found out that I failed PE on Biomechanical sections and passed on Humanistic. TBH, I was surprised by the result but then again, no one went into exam and expect a fail. To cut long story short, guys, please advice me what I need to do. Please be brutally honest regarding my matching chances. My stats are below:

-Above averaged DO student (pre-clerkship) at good DO school (whatever that means) but will need a visa
-Would like to match into IM at good community or academic center
-COMLEX level 1 598, level 2 599
-Step 1 233 and 238
-all passed on first attempt
-No skip year and no failed clerkship
-Strong LoR and Evaluation from attending
-Good extracurricular activities and has research

Really heartbroken right now and can barely function today. Set up a meeting with career guidance and exam review at my school
Need to ask you guys what are my chances; I am going to apply broadly (>100)

Also please tell me what should be the strategy for my application and retake!!!

Thanks in advance!

1. Consider taking this class in November and schedule the PE exam re-take right after. Your PE exam result should be available in January.

PE Prep Course | West Virginia School of Osteopathic Medicine

www.wvsom.edu

WVSOM's PE review class is excellent. Every student I know which has attended this class passes the PE exam.

2. You need to be a very strategic residency applicant. Applying to 100 programs may, or may not, lead to a match even if you pass the PE exam on a re-take. Some programs will eliminate you from contention since you did not pass the PE exam on your first attempt. Research every program for this disclaimer before you apply.

3. Requiring a Visa is another obstacle. Many residency programs will not sponsor J1 or H1B Visas. Research every program and only apply to the ones which will provide a sponsorship.

Worst case scenario...I know some students who did not pass the PE exam on their first attempt, did not match, and had to try for any position which was available in the SOAP. Applying for positions in the SOAP is a very strategic process as well. Start to research the SOAP process so you can be a successful applicant if you unfortunately end up in that position.

 

[Sardonix]

Thank you for your reply! I was depressed and completely hopeless by myself this entire time. The funny thing is I did Kauffman, read CS book and skim through PE books. Practiced with friends before too.

But I will, ofcourse, study for it again extremely seriously and has already set up meetings with my dean, career guidance.

You can say that I am looking for words of encouragement and perspective.

I would not recommend using the CS book except for the case studies. The two exams have completely different grading rubrics and objectives.

 

[Lilyhopeless]

I would not recommend using the CS book except for the case studies. The two exams have completely different grading rubrics and objectives.

I think that was what did me in too. I believe this time I will use the PE book to study more and CS only as ref for cases. Also this is premature but for my sanity, what do you think of my chances of matching into low-competitive IM residency? Please note that I need a visa. I am trying to apply to at least 100. I screen them out for visa and check their board policy. Many of them just said that they prefer all USMLE board passage on the first attempt. Don't know what it means for DO.

Do people on this forum think that I should also apply FM for backup?

 

[BorntobeDO?]

Thank you for your reply! I was depressed and completely hopeless by myself this entire time. The funny thing is I did Kauffman, read CS book and skim through PE books. Practiced with friends before too.

But I will, ofcourse, study for it again extremely seriously and has already set up meetings with my dean, career guidance.

You can say that I am looking for words of encouragement and perspective.

You should have focused on the PE stuff and skim over CS they are different.

That said I would make sure you are asking all the questions doing old cart or w/e you use. Agree with Sardonix.

 

[Lilyhopeless]

Guys, I am presently studying for the retake and hoping people can advise me on how to improve on my PE. Last I took, data gathering and soap note did me in. I have been practicing with friends who pass and my school believes that I should ask more rigorous ROS next time. For soap note, the school thinks that because of poor ROS, I just don't have enough to write out a good note. Can someone comments on it? And would anyone please read my soap notes for me to see if I have any blindspots?

 

[bogle8]

Guys, I am presently studying for the retake and hoping people can advise me on how to improve on my PE. Last I took, data gathering and soap note did me in. I have been practicing with friends who pass and my school believes that I should ask more rigorous ROS next time. For soap note, the school thinks that because of poor ROS, I just don't have enough to write out a good note. Can someone comments on it? And would anyone please read my soap notes for me to see if I have any blindspots?

Send me a PM with some notes

 

[BorntobeDO?]

Guys, I am presently studying for the retake and hoping people can advise me on how to improve on my PE. Last I took, data gathering and soap note did me in. I have been practicing with friends who pass and my school believes that I should ask more rigorous ROS next time. For soap note, the school thinks that because of poor ROS, I just don't have enough to write out a good note. Can someone comments on it? And would anyone please read my soap notes for me to see if I have any blindspots?

ROS should be related to the compliant. Do your general questions then move on to main body system plus one related. Example:
for a cardiac case: fevers chills weight change fatigue night sweats
Then: sob, does it change with position, does the pain radiate, does the pain move or change with position
Related would be gi: nausea vomiting. Any blood, any reflux, last meal etc.

Your ROS shouldnt be longer than something like that or you won't have time to finish. I think most people fail data gathering by getting stuck in one spot or not covering enough area. Make sure you know your standard lineup cold so you can do it without a written mnemonic

Feel free to pm me your notes if you want also.

 

[NecFasc92]

ROS should be related to the compliant. Do your general questions then move on to main body system plus one related. Example:
for a cardiac case: fevers chills weight change fatigue night sweats
Then: sob, does it change with position, does the pain radiate, does the pain move or change with position
Related would be gi: nausea vomiting. Any blood, any reflux, last meal etc.

Your ROS shouldnt be longer than something like that or you won't have time to finish. I think most people fail data gathering by getting stuck in one spot or not covering enough area. Make sure you know your standard lineup cold so you can do it without a written mnemonic

Feel free to pm me your notes if you want also.

That’s not ROS, that’s exacerbating/ remitting factors.

 

[BorntobeDO?]

That’s not ROS, that’s exacerbating/ remitting factors.

Agreed, but you can do it either place if you forget one.

 

[samac]

ROS should be related to the compliant. Do your general questions then move on to main body system plus one related. Example:
for a cardiac case: fevers chills weight change fatigue night sweats
Then: sob, does it change with position, does the pain radiate, does the pain move or change with position
Related would be gi: nausea vomiting. Any blood, any reflux, last meal etc.

Your ROS shouldnt be longer than something like that or you won't have time to finish. I think most people fail data gathering by getting stuck in one spot or not covering enough area. Make sure you know your standard lineup cold so you can do it without a written mnemonic

Feel free to pm me your notes if you want also.

Yeah I disagree here to a point. That’s not really a ROS.
I hit general, cardiac, lung, and one related to the case on every patient, but very quick: any fever? Chills? Unexplained weight loss or gain? Chest pain? Edema? SOB? Cough? It took less than a minute, and it was probably more than sufficient but I passed. OP should probably cautious at this point.
Are you following any kind of mnemonic for your data gathering? That’s probably the most important thing, just to check all their boxes.

 

[Lilyhopeless]

Send me a PM with some notes

Thank you ever so much! I will send you one right now that I just practiced with my friend.

I followed the old LOPPQRSTA for my last one but I was not efficient with it i.e. I tend to forget to ask all and every question and I think that was not thorough of me. But I have been trying to make sure that I ask every letter in the mnemonic right now.
As well, presently my ROS is from head to bottom and regardless of chief complaint: fever, chill, dizziness, HA, SOB, Chest pain, abd pain, constipation or diarrhea. This is in addition to any provocating or alleviating factor. Hopefully, people can comment on it more!

 

[samac]

Thank you ever so much! I will send you one right now that I just practiced with my friend.

I followed the old LOPPQRSTA for my last one but I was not efficient with it i.e. I tend to forget to ask all and every question and I think that was not thorough of me. But I have been trying to make sure that I ask every letter in the mnemonic right now.
As well, presently my ROS is from head to bottom and regardless of chief complaint: fever, chill, dizziness, HA, SOB, Chest pain, abd pain, constipation or diarrhea. This is in addition to any provocating or alleviating factor. Hopefully, people can comment on it more!

One thing Kaufman does extremely well is having a mnemonic that hits everything.
CODIERS SMASH FM is golden.
I never wrote out fedtacos but many do. Also can muse mothrr for the plan.

 

[Lilyhopeless]

One thing Kaufman does extremely well is having a mnemonic that hits everything.
CODIERS SMASH FM is golden.
I never wrote out fedtacos but many do. Also can muse mothrr for the plan.

I agree with you that Kaufman does it well. The only reason that I still stick LOPPQRSTA is due to the fact that it was what taught at my school and I am so used to it already. I will try it a couple of practice with my friends to see what rolled better. My only complaint with LOPPQRSTA is that while it is good with pain, it does a poor job with anything vague i.e dizziness, SOB etc...

Now I am also using MOTHRR too for planning. Hoping that it will stick like second nature by the retake for me to do it without thinking! Also what do you think of my ROS plan?

 

[NecFasc92]

Agreed, but you can do it either place if you forget one.

Fair 🙂

 

[samac]

I agree with you that Kaufman does it well. The only reason that I still stick LOPPQRSTA is due to the fact that it was what taught at my school and I am so used to it already. I will try it a couple of practice with my friends to see what rolled better. My only complaint with LOPPQRSTA is that while it is good with pain, it does a poor job with anything vague i.e dizziness, SOB etc...

Now I am also using MOTHRR too for planning. Hoping that it will stick like second nature by the retake for me to do it without thinking! Also what do you think of my ROS plan?

Yeah we were taugh OPQRSTA in school, it just didn’t translate well to the PE. ROS plan sounds good to me. It’s similar to what I did. 🙂

 

[FutureInternist]

I agree with you that Kaufman does it well. The only reason that I still stick LOPPQRSTA is due to the fact that it was what taught at my school and I am so used to it already. I will try it a couple of practice with my friends to see what rolled better. My only complaint with LOPPQRSTA is that while it is good with pain, it does a poor job with anything vague i.e dizziness, SOB etc...

Now I am also using MOTHRR too for planning. Hoping that it will stick like second nature by the retake for me to do it without thinking! Also what do you think of my ROS plan?

Good luck.

COMLEX PE - Failed!!!!!!

Are there any kind souls that wish to speak about their experience at the COMLEX-PE? I have no idea what the hell is wrong with this test. I guess I wasn't osteopathic enough for them and so I got a failing grade. I feel that I did everything by the book, literally. I memorized the First Aid...

forums.studentdoctor.net

 

[Lilyhopeless]

Guys, question about ERAS and whether I should be still sending more apps out right now.

Recieved 3 invites for which I am really grateful for. Only one of the programs know me before hand. I noticed that one of the programs that invited me even has remarks about no failed board attempt.

I am wondering whether I should be sending out more apps to programs in my region at this point or it is too late now. As well, I just noticed that I have not covered all the programs in my state and was wondering whether it is still worth it.

 

[zero0]

Is it possible to just completely fail OMM and still pass PE? The more I think back on that horrible day the more I cringe. Ugh the wait is killing me

 

[NecFasc92]

Is it possible to just completely fail OMM and still pass PE? The more I think back on that horrible day the more I cringe. Ugh the wait is killing me

It’s scaled against your peers so it all depends on how you did against those with the same cases on the same day

 

[BorntobeDO?]

Is it possible to just completely fail OMM and still pass PE? The more I think back on that horrible day the more I cringe. Ugh the wait is killing me

It is possible to fail OMM and pass the biomedical domain of PE. Unfortunately the only way you find that info out is to fail humanistic and then they give you the more detailed report. Someone at my school already took that hit tho so now we know.

 

[zero0]

It is possible to fail OMM and pass the biomedical domain of PE. Unfortunately the only way you find that info out is to fail humanistic and then they give you the more detailed report. Someone at my school already took that hit tho so now we know.

This is the worst wait by far. This one exam can disqualify me from the match and ruin my entire career. I doubt I can retake in time. I just have to hope and pray they don't feel like failing me I guess

 

[Prehealth1011]

This is the worst wait by far. This one exam can disqualify me from the match and ruin my entire career. I doubt I can retake in time. I just have to hope and pray they don't feel like failing me I guess

When did you take it if you don't mind me asking? I'm a 3rd year trying to figure out when to take this atrocity.

 

[samac]

When did you take it if you don't mind me asking? I'm a 3rd year trying to figure out when to take this atrocity.

I’d take it August. That way it won’t be back when applications first go out and you can update and have plenty of time for a retake if you need.

 

[zero0]

When did you take it if you don't mind me asking? I'm a 3rd year trying to figure out when to take this atrocity.

My incompetent school didn't release us to take it till January so the earliest I could do was beginning of September. I second the take it in August advice. That's probably the perfect time

 

[Hippocrates II]

This is the worst wait by far. This one exam can disqualify me from the match and ruin my entire career. I doubt I can retake in time. I just have to hope and pray they don't feel like failing me I guess

How is there not a lawsuit against the NBOME against this practice of testing people? They require a test that can totally derail your entire career and prevent you from earning a living after a significant financial and personal investment into your education, and yet there is zero oversight into ensuring they are fairly grading people. Furthermore, there is an incentive on their end to fail a small subset of people regardless of their proficiency to lend credibility to the utilization of this test. They should be required to publish exactly what metrics are being graded, along with what you did right/wrong to determine your pass/fail, and the ability to view a video of the encounter to challenge their grading. Otherwise, they hold 100% of the power and you have absolutely no recourse to challenge a potentially career-defining decision.

 

[hungrydoc710]

Had GI SP today - bombed it. Feeling terrible, and all I can think of is what if this happens again during PE, which becomes an actual problem. Not merely a just re-do it situation, like SP is.

What do you guys wish you had done to better prep... or is it really that random?

Thanks.

 

[darknecrosforte]

Maybe consider abbreviation use as a factor.

Due to the great feedback they give students who fail, I think that I have finally figured out why I failed the data gathering and soap without receiving the infamous irregular conduct designator, which you earn for "fabricating" a finding via careless documentation: I know that I regularly used a few extremely common, but unauthorized abbreviations in my documentation as well as not explicitly separating my 10 system ROS from HPI in each note. Things like 2/2, CMP, bHCG are not authorized and get you dinged. The other mistakes I made were not consistent enough through multiple encounters to be considered something to work on.

 

[hallowmann]

Guys, question about ERAS and whether I should be still sending more apps out right now.

Recieved 3 invites for which I am really grateful for. Only one of the programs know me before hand. I noticed that one of the programs that invited me even has remarks about no failed board attempt.

I am wondering whether I should be sending out more apps to programs in my region at this point or it is too late now. As well, I just noticed that I have not covered all the programs in my state and was wondering whether it is still worth it.

Its not too late to add places if you want to. Some places have deadlines in Nov, Dec, and even Jan, and they genuinely do send out new invites that late. Many places don't send out invites until after Oct 1st too. I'd say if you don't have 5 invites by the end of the week, I'd add more as 25-30% of invites are sent out by Oct 1st.

Is it possible to just completely fail OMM and still pass PE? The more I think back on that horrible day the more I cringe. Ugh the wait is killing me

Don't worry about it. It's genuinely not worth it. It's over and you'll find out in the next few weeks regardless.

 

[samac]

Maybe consider abbreviation use as a factor.

Due to the great feedback they give students who fail, I think that I have finally figured out why I failed the data gathering and soap without receiving the infamous irregular conduct designator, which you earn for "fabricating" a finding via careless documentation: I know that I regularly used a few extremely common, but unauthorized abbreviations in my documentation as well as not explicitly separating my 10 system ROS from HPI in each note. Things like 2/2, CMP, bHCG are not authorized and get you dinged. The other mistakes I made were not consistent enough through multiple encounters to be considered something to work on.

Honestly it’s good you’re thinking about it, but I doubr it.
A 10 point review of system isn’t necessary. A bigger thing - did you put what you’re looking for with each test? If you get a CMP for sodium levels you’re probably gonna get dinged cause a BMP will tell you that.

 

[bogle8]

Honestly it’s good you’re thinking about it, but I doubr it.
A 10 point review of system isn’t necessary. A bigger thing - did you put what you’re looking for with each test? If you get a CMP for sodium levels you’re probably gonna get dinged cause a BMP will tell you that.

Are you DO or MD ? The bolded is not required on comlex pe but is somewhat required on the CS. You absolutely do not have to state what you are looking for as long as it is justifiable. CMP or BMP is fine. Better yet, just state individual electrolytes e.g. “Sodium, Potassium”.

 

[samac]

Are you DO or MD ? The bolded is not required on comlex pe but is somewhat required on the CS. You absolutely do not have to state what you are looking for as long as it is justifiable. CMP or BMP is fine. Better yet, just state individual electrolytes e.g. “Sodium, Potassium”.

Nah dude I’m DO. The way it was drilled into usYou need to indicate what you’re looking for on the CMP such as “electrolytes”.

From the orientation guide “candidates should try to be as specific as possible when referring to diagnostic tests (e.g., serum electrolytes, BUN, creatinine, and glucose as opposed to “blood tests,” “SMA7,” or “chemistry panel”).”
So instead of putting a CMP put the specific thing you’re looking for like “Liver enzymes”

 

[Sleepingdoc]

Hi,

Long time lurker here and I just found out that I failed PE on Biomechanical sections and passed on Humanistic. TBH, I was surprised by the result but then again, no one went into exam and expect a fail. To cut long story short, guys, please advice me what I need to do. Please be brutally honest regarding my matching chances. My stats are below:

-Above averaged DO student (pre-clerkship) at good DO school (whatever that means) but will need a visa
-Would like to match into IM at good community or academic center
-COMLEX level 1 598, level 2 599
-Step 1 233 and 238
-all passed on first attempt
-No skip year and no failed clerkship
-Strong LoR and Evaluation from attending
-Good extracurricular activities and has research

Really heartbroken right now and can barely function today. Set up a meeting with career guidance and exam review at my school
Need to ask you guys what are my chances; I am going to apply broadly (>100)

Also please tell me what should be the strategy for my application and retake!!!

Thanks in advance!

Keep your head up... practice cases with your buddies. And do the exam again in a month or so... definitely need to pass results before the match.

 

[zero0]

How is there not a lawsuit against the NBOME against this practice of testing people? They require a test that can totally derail your entire career and prevent you from earning a living after a significant financial and personal investment into your education, and yet there is zero oversight into ensuring they are fairly grading people. Furthermore, there is an incentive on their end to fail a small subset of people regardless of their proficiency to lend credibility to the utilization of this test. They should be required to publish exactly what metrics are being graded, along with what you did right/wrong to determine your pass/fail, and the ability to view a video of the encounter to challenge their grading. Otherwise, they hold 100% of the power and you have absolutely no recourse to challenge a potentially career-defining decision.

Bless your heart. You still think anyone cares what we do or think anywhere along this process. They hold all the cards and make all the rules. There are no checks and balances. Any perceived means of making an impact is purely an illusion of power, much like voting. The sooner you realize and accept this, the better off you'll be. Now I'm gonna go do something else and try and get my mind off the nightmare that is medical education

 

[Lilyhopeless]

I know, maybe I am greedy, I just received my 6th invitation which I am immensely grateful for. 5 of them are in my state and a couple is from mid-rang University programs. Just want to know whether that is a good number going right now. If I did not fail PE, I would not be so worried. But since I did, I just want to know. Is the number acceptable and will I be able to get to the magic number of over 12?

 

[BorntobeDO?]

I know, maybe I am greedy, I just received my 6th invitation which I am immensely grateful for. 5 of them are in my state and a couple is from mid-rang University programs. Just want to know whether that is a good number going right now. If I did not fail PE, I would not be so worried. But since I did, I just want to know. Is the number acceptable and will I be able to get to the magic number of over 12?

Your doing great, next week will be the biggest week for invites if the various specialties google sheets are to be trusted. Having six before the deans letter releases is very solid.

 

[popopopop]

Since we're talking about abbreviations, is there a resource for approve abbreviations for the PE? I probably overlooked that document.

 

[bogle8]

Since we're talking about abbreviations, is there a resource for approve abbreviations for the PE? I probably overlooked that document.

 

[BorntobeDO?]

As long as the abbreviation is common or easy to figure out you are fine. I used some that were not on the list.

 

[FuturePrissyMD4]

I have a question about PE. I would be really grateful if someone could answer. Do you have to wash hands with soap and water at any time during the encounter or can I use sanitizer both times?

 

[samac]

I have a question about PE. I would be really grateful if someone could answer. Do you have to wash hands with soap and water at any time during the encounter or can I use sanitizer both times?

Sanitizer is fine.

 

[Lilyhopeless]

Guys, I really need positive thought right now!!! Just redid the exam and I am really nervous of how I did. I have done 2 big mistakes and random mistakes that I am really worried about! I know it is water under the bridge now but I would still like your opinions:

I understand that I cannot disclose anything and I have tried my best to do so. If there are any questionable materials, please tell me!
Things that I did bad on:

1. The biggest thing: Unfortunately, in one OMM case, patient was so excited that I lost sight what I need to do so I just proceed to do my PE exam, OMT, debrief, closure and everthing. But at the end, after I walked out, I remember that I forgot to ask about PMH, PSH, Meds, All, FH and SH. So, in essence, anything after CC, HPI and ROS. I am feeling good about my OMT and everything. As well, I believe I was very thorough about HPI and ROS. The only thing that I can do at that time is to just put in that I will return to complete my history in a moment.

2. In one other station, I don't think I did my OMT that well or properly introduced OMM to patient well either. The patient just has so many co-morbidities and was rather strange in giving info. I was running out of time at the end. For all my troubles, patient just said 'that feeling abit better now doctor. Once again, while I have asked patient everything, I was not able to completely type up the SOAP at the end. It was horgwarsh at best.

3. These are more of running sores: I am a slow typer! Generally, I, more or less, completed patient note. I have at most, I think, 3 other notes that I did not complete well. Miss some components of Social history.

4. In some cases, I forgot to ask a couple of questions but I obviously cannot write them down here.

5. I don't know whether that is unacceptable or not, but I did heart and lung exams on all my patients and the pertinent system. Whenever I did my heart exam on a patient, I always asked them to lower their gowns for me and they just dropped it down. With male, I don't think that is a big deal but with female now I am worried! I read somewhere that it is inappropriate to ask patients to drop gown to do heart exam, especially on female. I asked all my patients to lower their gowns and if female, to lift their left breast up so that I can listen to the Tricuspid and Mitrial post! So, in essense, all the female patients' breast were exposed. The only good thing is that after I finished I immediately lift their gown back up and tie it for them! What do you guys think?

6. I was feeling so rushed on a couple stations and I just don't remember whether I have done a good job

Things that I think I did good on:

1. I was generally able to build rapport with all my patients.
2. More importantly, this time I am feeling as if I am more thorough with my notes and my HPI and ROS, hence I was having difficulty typing them up.
3. I felt like my notes were a lot better but who knows?
4. I am able to come up more than 3 plausible differential and couple of problems for the assessment.
5. My PE was more extensive and better written than the last time.
6. Except for that one OMM case I mentioned about, I closed all my cases and allowed the patient to ask any questions and tried to involve them in my plan.
7. I think my OMM was correctly done and noted in my SOAP.
8. I foamed my hand everytime and re-foamed if I touched their feet. Asked them how they want to be addressed everytime
9. While my OMM is kind of iffy, I made sure to do at least 2 techniques every OMM
10. I draped all my patient and was very respectful.
11. I tried very hard to be empathetic: Said sorry when their complaint came up or someone died, asked them about how it affected their lives, do they want me to talk or write any notes,
12. In all cases, I gave them return plan and asked everyone whether they have any questions
13. I am almost certain that I counselled everyone about something or congratulate them on good things they did
14. I made sure to ask their permission for any activities and said out loud what I am doing

I am just so nervous about the PE and what happened now. Also, I really don't think 9 minutes are enough!!!

Can people please comment on what I just wrote and give me their opinions?

 

[Spectreman]

Guys, I really need positive thought right now!!! Just redid the exam and I am really nervous of how I did. I have done 2 big mistakes and random mistakes that I am really worried about! I know it is water under the bridge now but I would still like your opinions:

I understand that I cannot disclose anything and I have tried my best to do so. If there are any questionable materials, please tell me!
Things that I did bad on:

1. The biggest thing: Unfortunately, in one OMM case, patient was so excited that I lost sight what I need to do so I just proceed to do my PE exam, OMT, debrief, closure and everthing. But at the end, after I walked out, I remember that I forgot to ask about PMH, PSH, Meds, All, FH and SH. So, in essence, anything after CC, HPI and ROS. I am feeling good about my OMT and everything. As well, I believe I was very thorough about HPI and ROS. The only thing that I can do at that time is to just put in that I will return to complete my history in a moment.

2. In one other station, I don't think I did my OMT that well or properly introduced OMM to patient well either. The patient just has so many co-morbidities and was rather strange in giving info. I was running out of time at the end. For all my troubles, patient just said 'that feeling abit better now doctor. Once again, while I have asked patient everything, I was not able to completely type up the SOAP at the end. It was horgwarsh at best.

3. These are more of running sores: I am a slow typer! Generally, I, more or less, completed patient note. I have at most, I think, 3 other notes that I did not complete well. Miss some components of Social history.

4. In some cases, I forgot to ask a couple of questions but I obviously cannot write them down here.

5. I don't know whether that is unacceptable or not, but I did heart and lung exams on all my patients and the pertinent system. Whenever I did my heart exam on a patient, I always asked them to lower their gowns for me and they just dropped it down. With male, I don't think that is a big deal but with female now I am worried! I read somewhere that it is inappropriate to ask patients to drop gown to do heart exam, especially on female. I asked all my patients to lower their gowns and if female, to lift their left breast up so that I can listen to the Tricuspid and Mitrial post! So, in essense, all the female patients' breast were exposed. The only good thing is that after I finished I immediately lift their gown back up and tie it for them! What do you guys think?

6. I was feeling so rushed on a couple stations and I just don't remember whether I have done a good job

Things that I think I did good on:

1. I was generally able to build rapport with all my patients.
2. More importantly, this time I am feeling as if I am more thorough with my notes and my HPI and ROS, hence I was having difficulty typing them up.
3. I felt like my notes were a lot better but who knows?
4. I am able to come up more than 3 plausible differential and couple of problems for the assessment.
5. My PE was more extensive and better written than the last time.
6. Except for that one OMM case I mentioned about, I closed all my cases and allowed the patient to ask any questions and tried to involve them in my plan.
7. I think my OMM was correctly done and noted in my SOAP.
8. I foamed my hand everytime and re-foamed if I touched their feet. Asked them how they want to be addressed everytime
9. While my OMM is kind of iffy, I made sure to do at least 2 techniques every OMM
10. I draped all my patient and was very respectful.
11. I tried very hard to be empathetic: Said sorry when their complaint came up or someone died, asked them about how it affected their lives, do they want me to talk or write any notes,
12. In all cases, I gave them return plan and asked everyone whether they have any questions
13. I am almost certain that I counselled everyone about something or congratulate them on good things they did
14. I made sure to ask their permission for any activities and said out loud what I am doing

I am just so nervous about the PE and what happened now. Also, I really don't think 9 minutes are enough!!!

Can people please comment on what I just wrote and give me their opinions?

I just had my FM preceptor read this and he thinks you passed just fine.

 

[Lilyhopeless]

I just had my FM preceptor read this and he thinks you passed just fine.

Thanks!!! This exam is just so stressful and please thank your doctor for me!

 

[bogle8]

I agree. I think you are good this time. Flubbing one soap note completely still probably isn’t going to kill you.