Failed CS-ICE. What do I do with my life now?

Discussion in 'Step II' started by nowwhat074, Jun 28, 2017.

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  1. nowwhat074


    Jun 28, 2017
    I failed only CS-ICE part. Other parts CIS and SEP are way above borderline. I practiced with couple friends for 2 months, but I guess that didn't help.
    Last edited: Jul 16, 2017
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  3. FreakinOutMD


    Jun 20, 2017
    Hey bro, lets realize what ICE is before we go forward...

    ICE is your ability to collect data and present it. So history, examination, and the PN.

    So that means the use of mnemonics of the symptom given is really important to figure out those tricky differentials.
    The examinations vary from time to time, not all patients warrant an extensive physical. For example when it came to me, I never did chest / cardiac examination when it wasn't warranted, same with HEENT etc. If the patient had leg pain, I'd only do examinations related to the limb, it would give me time to do some special tests if the patient isn't in too much pain, but if the patient was in pain, i'd avoid the special tests (unless if its like the knee joint and Anterior drawer etc is needed).

    Regarding the notes you write down, if they affected your PN, then its an issue, otherwise i dont think it is because i dont think anybody else in the room except me would be able to understand/ read what i wrote down, and I would have to recall things based on my history sometimes when i can't read it myself, I wouldn't make stuff up.
    MY PN was probably the briefest of them all when it came to the diagnosis and findings. Most of my findings were from the history, from the physical examination i'd have none or probably one supporting finding.
    I passed ICE with one star in the gray zone, so I'll tell you what i did, Started with Diagnosis , diagnostic studies, History, Physical examination (My weakest part of the PN, i'd only have Vitals, alert and oriented, and whatever findings i Looked for, which were most of the time, normal.

    I feel your pain, my plan B was basically do research for a year, book the step 2 cs as soon as possible, and not rush the CK unless I'd get like a 270+ on my NBME since i'd have an extra year to prepare.
    FA2014 and nowwhat074 like this.
  4. nowwhat074


    Jun 28, 2017
    Last edited: Jun 30, 2017
  5. Prince090

    Prince090 2+ Year Member

    Feb 12, 2013
    I would definitely recommend going through kaplan core cases. Especially the way they have typed notes and justified differentials. I used it and my ICE score was in higher performance.
  6. nowwhat074


    Jun 28, 2017
    You took Kaplan course? I should have waited and postponed it when I felt I wasn't ready.
  7. FA2014

    FA2014 2+ Year Member

    Jun 4, 2014

    Is Kaplan core cases from Kaplan CS course? How long did you practice for CS? What else can we do for ICE section?
  8. Patho_logical


    Dec 9, 2015
    Thought I'd check back in on this forum. I've posted before about my experience with Step 2 CS, I failed with a very borderline score. I was so mad. I still don't know what I did to deserve a failing score. I was professional and had a valid differential on each case. The ONLY "big" mistake I can think of is running out of time and leaving the work up section blank on ONE encounter. They only grade 10 encounters right? Which two do they throw out? The NBME has put together an all around unethical exam experience. You get zero feedback about why you failed and have to pay them another $1500 to take the exam. It's completely ridiculous in my opinion. People say "almost all US grads pass, you have to REALLY mess up to fail, etc." Being in that small percentage that failed, I can tell you, I think it's a sham. You can find similar posts in this and other forums of students that were really high performing and failed the CS. I was top quartile in my class. I'm completely capable of communicating well. I get along with just about everyone, and now, as a resident, I constantly get high marks on my evaluations from my attendings. I finished all my notes (except the one workup section) in the exam with decent support for each diagnosis, thorough H and P, etc.

    I don't have much advice other than try again and you'll probably pass if you do the same thing you did last time. You can check my posts from before to see what I did. Sorry you're having to redo that thing.
    nowwhat074 likes this.
  9. snowflake13


    Jan 26, 2016
    Hello – Firstly, I'm sorry for your CS experience. I offer tutorng &/or skype partner services for USMLE CS exam. In order to deliver high quality assistance, I only commit to a few students. I am a US citizen, recent MD graduate (honors), IMG from reputable top caribbean medical school. Prior to that I did my graduate studies in engineering from a top US university. I have taught/tutored in many areas. I am waiting for residency and understand how stressful & time-consuming even CS prep can be even though it seems simple.

    Utilizing course material, subtle tips, personal experience, I want to efficiently & effectively help you to confidently walk into test day. We can set up a schedule to be quick yet thorough with various quality material sources and the focus will be entirely on your learning, so you don't have to worry about playing the role of a patient for someone else.
    I do charge a fee for the 'Instructional Hours' which vary upon the learner and tailored to your needs, if you want to focus only on the ICE component we can do just that, and a smaller fee for guided partner services in which I will also provide feedback on your patient notes, and guide/give tips. I will cap the expenses, so you'll get the full training even if you require a few extra hours of practice I can provide it for you. Since you have already passed the other components you'll just require some tweaking and with the prep course materials I have from reputable sources I think you'll be set, without paying crazy amounts. Regardless...Good Luck – you’re almost there, don't give up!

    Message me if interested to discuss further. [email protected]
    Last edited: Jul 17, 2017 at 2:27 PM
    nowwhat074 likes this.
  10. nowwhat074


    Jun 28, 2017
    Thanks, I will consider your offer after CK exam. I want in person practice. I want to be 200% ready for this exam.
    snowflake13 likes this.
  11. snowflake13


    Jan 26, 2016
    Ok sure, no problem. Best of Luck!
  12. Jayhawkdoc91


    1. Hey all, just wanted to see what you guys thought of the mistakes I made during the exam.

      In one encounter, pt told said he had an allergy to something but in my haste on the note, wrote that he had none...

      In another patient I wrote that lungs were clear bilaterally in haste and bc of carelessness but when I was listening to lungs, the exam was hindered by a particular sign/symptom. Otherwise I documented the exam accurately. How much would they ding me for this?

      So frustrating to think about all the little mistakes...

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