- Joined
- Jan 26, 2016
- Messages
- 21
- Reaction score
- 13
Hello,
Hope you are all well.
Took CS in the end of December. Hoping I'll see the result next week on Wednesday but as I tend to overthink things, I'd love to hear people's thoughts on whether or not my performance would be considered passing.
Prepared by taking a Kaplan CS course. Took a full length Kaplan practice test and was told by the professor "I'm not worried about you. I think you'll do fine." Scored above 80% in CIS (Kaplan considers above 70% passing for their tests) and scored 45% in ICE (Kaplan considers above 40% passing for their tests.) Studied and practiced all the mini cases and full length cases in First Aid. Also practiced all the full length cases in the Kaplan study guide. Worked one on one with 6 Standardized Patients via skype for two hour sessions each. Practiced writing notes for all the cases I mentioned above, and perfected it to fit them into ten minutes. Took another half length practice test with Becker which I scored 10-20 points above the group averages for ICE and CIS in each case.
On the actual test:
I used the following pneumonics (LIQORAAA (for HPI), THENFRCS PUBSAWED (for ROS), PAMHitsFOSS (for PMI)) and usually asked every question from them, along with some others concerning associated s/s that I assumed would be important given the chief complaint. Child cases got full prenatal and developmental history as well. Patients with Mood or Psych related complaints also got SIGECAPS and a five pint MMSE. All of these things were adressed in the written notes as well, and I used a + and - system to list positive and negative assoc s/s which was easy to cut and paste in order to support each diagnosis. I usually finished all the patient interractions with a few seconds remaining, and I usually finished all the notes on time. A few exceptions below:
There was only one patient interraction I ran short on time for. I did not get a chance to fully summarize, give a plan, and solicit follow up questions, but got through the majority of it. There was one patient interraction that I had to start summarizing for during the PE inorder to fit it all in.
There were two notes where I remember running out of time while writing the PE. I always left PE until the end of the note. All the notest used the same format and were written with the content in the same order. I practiced this alot...
There were two patient interractions where I know I forgot a few PE components that should have been done. There was one patient note that I know I neglected to include some PE components for in the note, which I had performed. Every patient got a brief auscultation of the lungs and heart, as well as a more significant focused exam given the chief complaint.
There were two patient interractions that I felt uncertain about with regard to the diagnoses. During these patient interractions it seemed like nearly everything asked was negative, and the patient was very difficult to build repore with. I assume these were intended to be difficult patients.
There was one patient interraction, a child case, that I misread the patient age for, and did not realize this until a few minutes into the patient interraction. I know this may have made for some confusion during the patient interraction, but I still feel like the questions were asked and answered in a relevant manner.
In retrospect I worry I did not summarize enough for each patient, although I know I did summarize for each patient, give clear plans which they agreed with, and allowed time for followup questions in nearly every case.
Can't remember anything else that I know I messed up on. I'm sure there was more.
Given what I said above, is there truly any good reason for me to fail?
Thanks for your time.
Hope you are all well.
Took CS in the end of December. Hoping I'll see the result next week on Wednesday but as I tend to overthink things, I'd love to hear people's thoughts on whether or not my performance would be considered passing.
Prepared by taking a Kaplan CS course. Took a full length Kaplan practice test and was told by the professor "I'm not worried about you. I think you'll do fine." Scored above 80% in CIS (Kaplan considers above 70% passing for their tests) and scored 45% in ICE (Kaplan considers above 40% passing for their tests.) Studied and practiced all the mini cases and full length cases in First Aid. Also practiced all the full length cases in the Kaplan study guide. Worked one on one with 6 Standardized Patients via skype for two hour sessions each. Practiced writing notes for all the cases I mentioned above, and perfected it to fit them into ten minutes. Took another half length practice test with Becker which I scored 10-20 points above the group averages for ICE and CIS in each case.
On the actual test:
I used the following pneumonics (LIQORAAA (for HPI), THENFRCS PUBSAWED (for ROS), PAMHitsFOSS (for PMI)) and usually asked every question from them, along with some others concerning associated s/s that I assumed would be important given the chief complaint. Child cases got full prenatal and developmental history as well. Patients with Mood or Psych related complaints also got SIGECAPS and a five pint MMSE. All of these things were adressed in the written notes as well, and I used a + and - system to list positive and negative assoc s/s which was easy to cut and paste in order to support each diagnosis. I usually finished all the patient interractions with a few seconds remaining, and I usually finished all the notes on time. A few exceptions below:
There was only one patient interraction I ran short on time for. I did not get a chance to fully summarize, give a plan, and solicit follow up questions, but got through the majority of it. There was one patient interraction that I had to start summarizing for during the PE inorder to fit it all in.
There were two notes where I remember running out of time while writing the PE. I always left PE until the end of the note. All the notest used the same format and were written with the content in the same order. I practiced this alot...
There were two patient interractions where I know I forgot a few PE components that should have been done. There was one patient note that I know I neglected to include some PE components for in the note, which I had performed. Every patient got a brief auscultation of the lungs and heart, as well as a more significant focused exam given the chief complaint.
There were two patient interractions that I felt uncertain about with regard to the diagnoses. During these patient interractions it seemed like nearly everything asked was negative, and the patient was very difficult to build repore with. I assume these were intended to be difficult patients.
There was one patient interraction, a child case, that I misread the patient age for, and did not realize this until a few minutes into the patient interraction. I know this may have made for some confusion during the patient interraction, but I still feel like the questions were asked and answered in a relevant manner.
In retrospect I worry I did not summarize enough for each patient, although I know I did summarize for each patient, give clear plans which they agreed with, and allowed time for followup questions in nearly every case.
Can't remember anything else that I know I messed up on. I'm sure there was more.
Given what I said above, is there truly any good reason for me to fail?
Thanks for your time.
