did I fail CS, or did it fail me?

[sga814]

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seriously- I came in there, did my thing, half-assed the physical exams, probably missed half of the PE stuff I supposed to do, but think I did a 3/4-red ass job on the write up and history taking. will I fail, or will I pass? please share experiences. thank you.
and yes- i speak-a the English vewy vell.

 

[Abram Hoffer]

seriously- I came in there, did my thing, half-assed the physical exams, probably missed half of the PE stuff I supposed to do, but think I did a 3/4-red ass job on the write up and history taking. will I fail, or will I pass? please share experiences. thank you.
and yes- i speak-a the English vewy vell.

Magic 8-ball says the odds are 97% in your favor. 😍 It's those 3 little dissidents that worry me.

 

[Mistress S]

You will probably pass. See the "stressed about CS" thread, a number of people (myself included) posted our experiences about half-assing this test and still passing.

 

[Still Kickin]

I don't know where First Aid for Step II CS gets their info (since the CS content is supposed to be all "top secret" & we're not supposed to "reproduce" the content by any means, including memorization...) or how accurate it is, but there is a "cases" section at the back that lists "Instructions for the SP" (eg - "cough when doctor enters room and then every 3-4 minutes thereafter", "act nervous and give 1-word answers", etc.) Then it has like a checklist for the "SP" to fill out about all of the things you did (introduced self - 1 pt, made eye contact with pt - 1 pt, washed hands - 1pt, etc.) there are like 25-30 checkboxes by different elements of the history (to see whether you asked all that various stuff). There were only like 4-5 checkboxes for physical exam for any given case.

Again, I don't know if this is how the exam is REALLY scored, or not. But if it is, how you interact with the pt & taking a good history are way more important than your exam skills...

 

[thethom]

I don't know where First Aid for Step II CS gets their info (since the CS content is supposed to be all "top secret" & we're not supposed to "reproduce" the content by any means, including memorization...) or how accurate it is, but there is a "cases" section at the back that lists "Instructions for the SP" (eg - "cough when doctor enters room and then every 3-4 minutes thereafter", "act nervous and give 1-word answers", etc.) Then it has like a checklist for the "SP" to fill out about all of the things you did (introduced self - 1 pt, made eye contact with pt - 1 pt, washed hands - 1pt, etc.) there are like 25-30 checkboxes by different elements of the history (to see whether you asked all that various stuff). There were only like 4-5 checkboxes for physical exam for any given case.

Again, I don't know if this is how the exam is REALLY scored, or not. But if it is, how you interact with the pt & taking a good history are way more important than your exam skills...

This is correct. The checklists in the FA are pretty much what they use in the real exam (I have spoken to SPs). The history and asking questions is the single most important part of the exam. Your physical and what you write on your PN and your differentials/workup are very minor. Memorize the checklists in FA, thats the best thing you can do. People can and DO fail this exam...

-T