my CS results dont come back in time or I fail?Am I booted from my match? Aprog?

[Doowai]

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1) I saw a girl show up and take the exam in very long, dragging the floor black pants that needed a little hemming. She wore very very high heels. That is not all, she had on a shirt that showed her belly with a belly button ring and the top part showed a lot of cleavage. Wonder how she did?

2) I know I have done work and rotations with people that have taken the test and passed that are from other countries that I just plain cannot understand. How to they do it?

.

1) It seems to me you are assuming that she did well because of the cleavage etc - I would think possibly the opposite, I would wonder if there were straight uptight women doctors observing her they would grade her poorly. But hopefully in actuality they are grading how well she interacts with patients, how well she conducts an exam etc.

2) Well obviously the whole system here is prejudiced towards FMG's - they always get the good neurosurgery spots. I feel bad for all the AMG's the system is prejudiced against. It surely could not be because the FMG's did a good exam, generated good notes, were competent, etc.

I know an FMG who showed up to CS drunk, punched the actor in the face, vomited on the computer while generating notes and still passed - just because the whole system here gives FMG's the benefit of the doubt. Its true.

 

[razorback58]

1) It seems to me you are assuming that she did well because of the cleavage etc - I would think possibly the opposite, I would wonder if there were straight uptight women doctors observing her they would grade her poorly. But hopefully in actuality they are grading how well she interacts with patients, how well she conducts an exam etc.

2) Well obviously the whole system here is prejudiced towards FMG's - they always get the good neurosurgery spots. I feel bad for all the AMG's the system is prejudiced against. It surely could not be because the FMG's did a good exam, generated good notes, were competent, etc.

I know an FMG who showed up to CS drunk, punched the actor in the face, vomited on the computer while generating notes and still passed - just because the whole system here gives FMG's the benefit of the doubt. Its true.

YOU ARE TELLING ME THAT HE OR SHE PASSED?


NEVER ASSUME ANTHING. Her attire was inappropriate that was my point and this person is lacking in just plain common sense and unprofessional. Not all FMG's are from other countries. We have many that went out of the country because of the lack of medical schools seats in the US. If they did not take FMG's into residency programs, they could not fill all the residency spots they have now.

 

[Winged Scapula]

YOU ARE TELLING ME THAT HE OR SHE PASSED?

He was being sarcastic in response to your comment which seemed to state that FMGs get an advantage in the exam.

 

[Blade28]

I was part of the first class required to take Step 2 CS (class of 2005). I took my exam in LA on the very first day it was ever offered at that testing center.

You have to get past the mindset that the patients are all "actors" who are "faking" illnesses. In my case, I'm very methodical and have done plenty of H&Ps, so my strategy going in was to do a complete-yet-pointed (and this is key) H&P. I'm adept enough to be able to quickly conduct a focused history and then go through the ROS (to pick up anything I may have missed) while starting the physical exam. It's easy enough for me to ask about headache and sinus congestion when examining the head, heat/cold intolerance when examining the neck, extremity numbness/tingling when checking the feet, etc.

Trying to "diagnose" the patient is missing the point (almost literally - you don't get any points for correctly identifying the patient's chief diagnosis). It's about developing good rapport and showing strong interpersonal and communication skills; and performing enough of the complete H&P that you don't miss key steps but also don't waste time with unnecessary moves (e.g. checking pulses in a patient with abdominal pain, or checking for the Romberg sign in a patient with a sprained ankle).

 

[medblazer21]

I was part of the first class required to take Step 2 CS (class of 2005). I took my exam in LA on the very first day it was ever offered at that testing center.

You have to get past the mindset that the patients are all "actors" who are "faking" illnesses. In my case, I'm very methodical and have done plenty of H&Ps, so my strategy going in was to do a complete-yet-pointed (and this is key) H&P. I'm adept enough to be able to quickly conduct a focused history and then go through the ROS (to pick up anything I may have missed) while starting the physical exam. It's easy enough for me to ask about headache and sinus congestion when examining the head, heat/cold intolerance when examining the neck, extremity numbness/tingling when checking the feet, etc.

Trying to "diagnose" the patient is missing the point (almost literally - you don't get any points for correctly identifying the patient's chief diagnosis). It's about developing good rapport and showing strong interpersonal and communication skills; and performing enough of the complete H&P that you don't miss key steps but also don't waste time with unnecessary moves (e.g. checking pulses in a patient with abdominal pain, or checking for the Romberg sign in a patient with a sprained ankle).

I agree 100%, and this is coming from someone who failed the CS the first time around.

Relevant ROS questions are absolutely key.

 

[forex]

Most probably will not because at this late date its hard to find replacements.

It is not difficult to find a replacement. Just post it here or findaresident. There are a lot out there waiting for this chance!

 

[Winged Scapula]

It is not difficult to find a replacement. Just post it here or findaresident. There are a lot out there waiting for this chance!

Perhaps. But for many programs, the hassle outweighs the benefit. You still have to get a state license, fill out lots of paperwork and there is the very real possibility that you would not be ready to start work on July 1.

 

[Doowai]

He was being sarcastic in response to your comment which seemed to state that FMGs get an advantage in the exam.

No not sarcastic at all. I knew another FMG/IMG taking CS who stripped off all of his clothes and did a folk dance from his native country. He was offered a dermatology residency on the spot. What else could they do? They had to offer it. He was an FMG/IMG.

Its true. Seriously. I swear.

Probably the strangest one though is the IMG who was taking CS, and walked right in the room and said to the actor "get out of my office you goomer". Actually I think he said.."get the HELL out of my office you goomer". It seemed rude to me. But those administering the test at the USMLE step 2 CS actually applauded him. I mean loud clapping, standing ovation type of applauding. One of them yelled "Why can't AMG's be like that". They made him US surgeon general on the spot. I thought it was weird, but thankfully I am a FMG.

 

[Doowai]

I was part of the first class required to take Step 2 CS (class of 2005). I took my exam in LA on the very first day it was ever offered at that testing center.

You have to get past the mindset that the patients are all "actors" who are "faking" illnesses. In my case, I'm very methodical and have done plenty of H&Ps, so my strategy going in was to do a complete-yet-pointed (and this is key) H&P. I'm adept enough to be able to quickly conduct a focused history and then go through the ROS (to pick up anything I may have missed) while starting the physical exam. It's easy enough for me to ask about headache and sinus congestion when examining the head, heat/cold intolerance when examining the neck, extremity numbness/tingling when checking the feet, etc.

Trying to "diagnose" the patient is missing the point (almost literally - you don't get any points for correctly identifying the patient's chief diagnosis). It's about developing good rapport and showing strong interpersonal and communication skills; and performing enough of the complete H&P that you don't miss key steps but also don't waste time with unnecessary moves (e.g. checking pulses in a patient with abdominal pain, or checking for the Romberg sign in a patient with a sprained ankle).

Very nice. You are obviously educated, but also something you can never gain from a formal education - you are smart. Huge difference between educated and smart.

Huge difference between memorization and being able to think.

 

[NotAProgDirector]

To clarify for the OP:

AMG's only have to pass CS to start their residency in one of two cases:

1. Your medical school requires passage of CS to graduate

OR

2. The state that your internship is in requires CS for a temporary license.

If neither of these is true, then you can start internship regardless of your CS status.

 

[Blade28]

Very nice. You are obviously educated, but also something you can never gain from a formal education - you are smart. Huge difference between educated and smart.

Huge difference between memorization and being able to think.

Fair points, and I appreciate the compliments. 🙂

 

[minstral]

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[Doowai]

Fair points, and I appreciate the compliments. 🙂

But you have to say that, I am an FMG.

 

[Blade28]

But you have to say that, I am an FMG.

Huh? 😕

 

[Doowai]

Huh? 😕

Oh,,,,it was just an attempt at a joke based on this thread - that you had to be nice to me because I am an FMG the way the USMLE has to pass anyone who is a FMG.....never mind...guess you had to be there

 

[Blade28]

Oh,,,,it was just an attempt at a joke based on this thread - that you had to be nice to me because I am an FMG the way the USMLE has to pass anyone who is a FMG.....never mind...guess you had to be there

Yeah, sorry, missed that one. 🙂

 

[velo]

phew, my CS score was released today and i passed. Based on razorback's posts I was starting to think I fit the profile of a surprise CS non-passer...

 

[Hoo\/er]

As we commonly say, "lack of planning on your part does not constitute an emergency on my part."

That's brilliant. In fact, you guys should start telling your patients that when they present to the ED at 2 am with the same symptoms they've had for six months.

Seriously.

 

[Winged Scapula]

That's brilliant. In fact, you guys should start telling your patients that when they present to the ED at 2 am with the same symptoms they've had for six months.

Seriously.

Believe me, I've been tempted.