USMLE Really anxious about usmle step cs

[sarto]

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I took my cs recently and I am having flashbacks about stuff that I missed. Do you think I will fail because of this mistakes? Pls give me your opinion because the only thing I do is thinking about this exam



What i did right

• Knocked the door, shaked hands, introduced myself and clarifyed role
• Maintained distance
• made a mutual plan, made eye contact most of the time
• asked if everything was ok in the room and If it was ok to take some notes and sit
• asked if the pt needed water or tissue( he was coughing)
• how would you like me to address you? always
• open ended questions and closed questions

 

[Ismet]

I think you'll be fine, what you listed was relatively minor. Try to think of other things to get your mind off of CS. Can't really do anything about it at this point either way.

 

[Vertigo7]

You'll pass. These are not the type of mistakes that make or break your score.

 

[Bobdabuilda14]

You'll pass. These are not the type of mistakes that make or break your score.

What type of mistakes are those?

 

[sarto]

I think you'll be fine, what you listed was relatively minor. Try to think of other things to get your mind off of CS. Can't really do anything about it at this point either way.

Thank you! I hope! I really want to apply this year :C

 

[sarto]

You'll pass. These are not the type of mistakes that make or break your score.

I know there is nothing I can do about it right now but I remember when I took usmle step 1, I could go over FA and review most of the topics tested and I was confident that I would pass but this test is so unpredictable and subjective :S

 

[lymphocyte]

I know there is nothing I can do about it right now but I remember when I took usmle step 1, I could go over FA and review most of the topics tested and I was confident that I would pass but this test is so unpredictable and subjective :S

Not that subjective. They do a lot of standardising within patients and between patients. That's why it takes months to report.

There's literally no way to tell if your mistakes were enough to fail, because your scores will be restandardised for patients that were too difficult or too easy. You probably also don't remember everything you did correctly or incorrectly.

Without knowing anything about you, I bet you passed. 89%+ pass on their first try. To put that in perspective, 1 person in your group of 12 failed. Did anyone seem more incompetent than you?

I'm so sorry about the anxiety. We've all been there. I had it too, but it got better with time. I wish you all the best.

 

[Ismet]

What type of mistakes are those?

Ive heard not washing your hands in most encounters will be detrimental. Having completely wrong differentials, having an improbable diagnosis as #1 when there are other diagnoses that are much more common, skipping entire sections on multiple encounters, etc. You have to make some egregious mistakes in several encounters to fail.

Heck I practically body slammed one of the SPs on the table and I passed CIS with flying colors. (I was reclining the table to listen to his heart/check JVD and despite asking him to sit up while I lowered it, he still had weight on the back, so it slammed down with him on it). He seemed annoyed but I apologized profusely and he was really nice at the end so maybe he didn't even factor it in.

 

[Bobdabuilda14]

I can just use gloves instead of washing my hands?

 

[Ismet]

I can just use gloves instead of washing my hands?

You can put on gloves or wash hands or use hand sanitizer. Either of the 3 counts as washing/clean hands. Sanitizer is fastest.

 

[cbrons]

You can put on gloves or wash hands or use hand sanitizer. Either of the 3 counts as washing/clean hands. Sanitizer is fastest.

Are you supposed to hand sanitize right when u walk in (b4 shaking hands) AND then right before the exam as well?

Sent from my SM-N910P using SDN mobile

 

[lymphocyte]

Are you supposed to hand sanitize right when u walk in (b4 shaking hands) AND then right before the exam as well?

Sent from my SM-N910P using SDN mobile

No, just before the physical. And if you use alcohol sanitizer, please make sure your hands are DRY before touching a patient's face. They mentioned this specifically during our orientation and lo and behold, one of my SPs had really teary red eyes and asked me not to use the hand sanitizer. And he had a foot complaint.

You know how I said 1 in 12 fail... I'm thinking that 1 was the guy before me.

 

[sarto]

I can just use gloves instead of washing my hands?

Yes, you can. I was planning to wear gloves but I realized that If I was nervous it would take more time trying to put the gloves, for example, someone told me that he was so nervous that the gloves broke and he had to use another pair and it took so long... so I washed my hands in all encounters.

 

[Vertigo7]

I'll agree with Ismet and lymphocyte.
Also, what I've noticed is that people who panick and have flashbacks about the exact mistakes they did after the exam usually pass comfortably, while a lot of people who fail the exam have no idea why they failed and are probably continously throughout encounters doing something wrong they're not aware of.

 

[sarto]

🙂 🙂 🙂

 

[lymphocyte]

I passed!!!!!
Higher performance! 😀 😀 😀 😀

You rule!! Congrats!!!

 

[sarto]

You rule!! Congrats!!!

THANKS!

 

[sarto]

My CIS and SE was higher than ICE but still high performance! I knew that most of my mistakes was in ICE.