More info regarding the Step 2 BS SNAFU

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GeneGoddess

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So, someone in the IMG forum said that 38 people at the Houston (my) location went from Fail to Pass (including someone who lost his/her residency position because of it). I'm mildly freaking because I may be affected. Ironically, I have no idea WHEN my score was officially "reported". I took the exam in Feb and got my results in early April. But no where on the report is a date stating when the score was "reported". Just the test date. What a mess! Does anyone know anything about how this may affect residency positions? Or know anyone who got a screwed up report?

Anyway, here is the link and text of the FAQ section:

http://www.usmle.org/FAQs/faqStep2CSreports.htm

FREQUENTLY ASKED QUESTIONS
ABOUT THE PROBLEM IDENTIFIED IN STEP 2 CS REPORTS DATED JANUARY 12 - MARCH 30
Posted April 20, 2005
--------------------------------------------------------------------------------

Who was affected?
The problem potentially affects only those examinees who had a Step 2 CS score report dated January 12 through March 30, 2005. Within this group, the number of examinees whose overall outcome will change is small.

If I took CS and have not yet received my score report, how will this affect me?
Your outcome will not be affected by this problem. However, there may be some delay in reporting your results.

What exactly happened?
As you know, each examinee meets with standardized patients during the clinical skills exam. The examinee's note for each such encounter is then assigned to a physician specially trained to rate notes. Because of a computer problem, for score reports dated January 12 through March 30, the ratings of some notes were not properly matched to the examinees who had written them. Upon discovery, the problem was immediately rectified.

Does it matter where I took the exam?
It does not matter where you took the exam.

What if I failed Step 2 CS during the relevant time?
We have sent letters by express mail to everyone who failed only the Integrated Clinical Encounter (ICE) component of Step 2 CS in the relevant time period. Most of the letters confirmed the examinee's failing classification. We determined that in 38 instances, the examinee's classification changed from fail to pass. For another 20 examinees, we informed the examinees that there will be a delay in re-processing their scores and verifying or changing their outcome. Examinees who failed Communication and Interpersonal Skills (CIS), Spoken English Proficiency (SEP) or both continue to fail the overall exam; letters explaining the scoring problem were sent to them by US mail.

The letters went to the addresses in our database. If your status changed from fail to pass, we have also tried to call you. If you received a failing classification in a score report dated between January 12 and March 30 and have changed your address without notifying us, please call 866-504-8564 (toll free from within the US or Canada) or 215-590-9260 immediately, or contact us by email at [email protected] .

What if I received a passing Step 2 CS score report dated January 12 through March 30?
Our preliminary analysis indicates that few, if any, examinees who received passing scores dated between January 12 and March 30 will change to a failing score. However, it may take several more weeks to complete a comprehensive review. If the status of any individual must change from pass to fail, we will notify the examinee as soon as we can confirm the change.

On what basis would someone's status change from pass to fail?
While we are extremely sensitive to examinees' concerns, we must weigh any decision in the context of the exam's overall purpose. The USMLE is intended to demonstrate that doctors who pass the test demonstrate the fundamental knowledge and clinical skills deemed necessary for the initial license to practice medicine.

What are you doing to help the people whose status has changed?
We are contacting each one by phone and express mail, using the contact information in our database. We are responding to each person's situation individually, working with the examinee to identify any steps we can take to address his or her situation. For any examinees whose status is changing, we are also notifying the organizations that originally received the incorrect status through the transcript service or other reporting mechanisms. For examinees enrolled in U.S. medical schools, we have contacted their deans personally.

Why is it taking so long to notify people?
We had to correct the problem, figure out who could have been affected, and re-rate the notes of the examinees. In re-rating notes, we followed our standard protocol, which calls for two ratings of any notes that fall close to the pass/fail line for that component of the Integrated Clinical Encounter. Because the note raters are specially trained practicing physicians, the speed with which we can re-rate notes is limited.

How was the problem identified?
A quality control team identified the problem.

What steps are you taking to make sure it doesn't happen again?
All USMLE programs incorporate a number of steps for quality control. The process is continuous, rigorous, and constantly reviewed. Every time a problem occurs, we identify its causes and put safeguards in place to prevent a similar problem from happening again.

What does this say about the quality of the clinical skills exam?
The problem occurred in the software that processes patient notes, not in the scoring of the notes. It also does not affect any other part of the Step 2 CS, nor does it affect other parts of the USMLE.
 
Sorry to say this, but if you failed, and you haven't been contacted yet by the NBME, it looks as though your score stands. They claim to have mailed everyone with an address and called the rest.

What is scary about this is that they imply that some people may have erroneously passed, as well, when they should have failed.
 
I passed. I'm just worried that I will find out in a few weeks: "Oops, you really failed". If those 38 people (as listed in the IMG forum) who were erroneously counted as failing and truly passed, does that mean that there will be 38 people who received passing grades that will now receive failing grades?
 
GeneGoddess said:
I passed. I'm just worried that I will find out in a few weeks: "Oops, you really failed". If those 38 people (as listed in the IMG forum) who were erroneously counted as failing and truly passed, does that mean that there will be 38 people who received passing grades that will now receive failing grades?

I wouldnt worry. I dont think there were 38 mix-ups like that. I just think that some people were reported as failing when they passed, and vice versa...there shouldnt be an equal and opposite reaction in this case. (i.e. for everyone who mistakenly failed, someone mistakenly passed).
 
This is ridiculous! I got my score back a couple of weeks ago, and I passed (I think??). Having to spend $1000 on this nonsense and dealing with annoying proctors who wouldn't stop calling us 'doctor' was bad enough. Waiting 3 months to get my score back was worse. But now this takes the cake. What are they gonna do, tell me in the middle of intern year "Oh by the way.....you really didn't pass...We're sure this time...please give us more money"

Just wondering here, what about the people who got a score report that said they failed (but they really didn't)......I'm assuming those people have already re-registered and paid another $1000 to take this atrocity again. I hope the NBME plans on refunding the money, although I wouldn't put it past them not to. Disgraceful.
 
"Doctor, would you mind giving me another $1000? There's a sandwich in it for you, doctor. Doctor?"
 
Sandwich?!?!?
All we got in Atlanta was a salad.
There were supposedly some bits of chicken in there.
I'm not convinced.
 
Schedule_II said:
Sandwich?!?!?
All we got in Atlanta was a salad.
There were supposedly some bits of chicken in there.
I'm not convinced.

Wow- I was in Atlanta last week, and I had 2 sandwiches, salad, pasta salad, cookies, a diet coke and water. I also nearly killed the proctors who never spoke to you without calling you "Doctor"! Yes, doctor, thank you doctor, doctors line up, the bathroom's right over there, doctor....I thought I was looking forward to the title! 😉
 
For US grads, you can find out your score report date by logging onto the NBME website with your USMLE ID number (different than your AAMC ID# used for applications and the match). It will show the dates of your test, both the date taken and the score report date.

https://external1.nbme.org/interactive/
 
USAF MD '05 said:
Wow- I was in Atlanta last week, and I had 2 sandwiches, salad, pasta salad, cookies, a diet coke and water. I also nearly killed the proctors who never spoke to you without calling you "Doctor"! Yes, doctor, thank you doctor, doctors line up, the bathroom's right over there, doctor....I thought I was looking forward to the title! 😉
Yeah, I couldn't stand that ****. I mean call us "doctor" a couple of times and that's fine. But it was out of control at the Chicago test site. Every sentence started with "Doctor."

"Doctor, this is the last chance to go to the bathroom."
"Doctor, would you like some toilet paper?"
"Doctor, would you like me to squirt some liquid soap into your hands?"
"Doctor, would you like a paper towel?"
 
I agree with the excessive "doctor" usage. I mean, it was almost condescending. I don't expect ANYONE to call me doctor unless it is in a professional situation, and even then, I don't expect it. It was like they were trying to stoke our egos.
 
Schedule_II said:
Sandwich?!?!?
All we got in Atlanta was a salad.
There were supposedly some bits of chicken in there.
I'm not convinced.

Yeah, you've been had. We ate well at Houston, but apparently it was merely to compensate for the false scoring reports we were going to receive. And at the time a road trip to Houston seemed like such a great idea... Well at least we went by way of New Orleans! 👍 👍
 
GeneGoddess said:
It was like they were trying to stoke our egos.

I interpreted it to be a palsied attempt to make us feel better for the senseless pain we were enduring. Really, that exam demeaned everyone involved, especially the NBME.
 
AndyMilonakis said:
Yeah, I couldn't stand that ****. I mean call us "doctor" a couple of times and that's fine. But it was out of control at the Chicago test site. Every sentence started with "Doctor."

"Doctor, this is the last chance to go to the bathroom."
"Doctor, would you like some toilet paper?"
"Doctor, would you like me to squirt some liquid soap into your hands?"
"Doctor, would you like a paper towel?"

:laugh: :laugh:
 
Schedule_II said:
Sandwich?!?!?
All we got in Atlanta was a salad.
There were supposedly some bits of chicken in there.
I'm not convinced.


ditto! i was just in atlanta and all i had were a few pieces of mushroom and lettuce. oh. and a roll.
 
i insisted that the lady who kept lining us up call me by my first name, and she did it. the "doctor" thing got really old really fast. "doctor #1. doctor #2..." good god people!!!
 
I too was a little miffed at all the doctor bs, but I do have to say that as painfull and stupid as the experience was, the people proctoring(if thats what it should be called, not really sure) were very professional and could have, but didn't, make it more painfull than it was. aside from the doctor thing, they were pretty professional.
 
ptolemy said:
the people proctoring(if thats what it should be called, not really sure) were very professional and could have, but didn't, make it more painfull than it was.

Next time I'm getting kicked in the groin, I'll remember to thank my assailant for not wearing steel toes.
 
ptolemy said:
I too was a little miffed at all the doctor bs, but I do have to say that as painfull and stupid as the experience was, the people proctoring(if thats what it should be called, not really sure) were very professional and could have, but didn't, make it more painfull than it was. aside from the doctor thing, they were pretty professional.

Well, they are being paid to behave appropriately.

I bet the whole "doctor" stuff does assuage some peoples' anger, sad to say.
 
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