just appeared in the USMLE STEP-2CS :My analysis and experience

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winner123

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I am an IMG,here is my analysis:

This time I did everything and was very confident.
Went in with a standard protocol.
asked for permission before entering.
Used the patient's name and asked if i used it correctly.
Smiled.
introduced with confidence.
used open ended questions.
spoke slowly.
used simple words.
Paraphrased thro out mostly
did not write too much on scrap paper and wrote always while paraphrasing.
maintained eye contact while listening and speaking to the patient.
summarised correctly.
Did not ask them to repeat what they had said.
asked if they want to add anything else.
used transitions
did closing
asked permissions before touching or untying the gown.
tied the gown back.
adressed their concerns by answering their questions.
asked them for any questions they have.
expressed appropriate empathy.
gave ongoing support
did quick examination and gently.
touched all the main points and headings in the history.
Counselled on smoking,alcohol,htn,diabetes,sexual hx,allergies when required.
I missed to do the the following in the exam:
I think I shook hands with only 3-4 patients.
Could not tell about the differential and investigations in one patient due totime running out.
Could not do the abdominal exam in one patient.
Did not tell about the physical exam findings in many patients.

During my exam the folowing happened:

One SP said to me before leaving,"u were fine"

Another SP thanked me before I left the room.

One SP started to laugh as I was examining her chest,because I said,"If my hand is too cold,then I will warm it."

Another SP was concerned about my time and was trying to convey to me that I wash my hands as I had asked a good and sufficient history.

I made one of my SP's laugh in a telephone encounter when I repeated what she had said about her husband,"My husband travels a lot" I said
,"and your husband also travels a lot".

SO, ALLAH WILLING I HAVE A VERY GREAT HOPE OF PASSING AND I WILL PASS INSHA-ALLAH.

Everyone's comments are welcome.
 
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Wish you best of luck.
Can you please tell us the book(s) you read and your method of preparation. Thanks.
 
Wish you best of luck.
Can you please tell us the book(s) you read and your method of preparation. Thanks.


thanks for your good wishes!

Memorised First Aid MiniCASES.
Practiced with a practice partner for one complete month.
First Aid simple questions which r listed in the first few pages of the book.
Did USMLE world cases.
Took an affordable step-2cs Practice exam at the PASSCSA,philadelphia. Got a nice book from them which is so exellent,really.
 
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