I PASSED!!!!!
I had a death in the family about 2 weeks before my test and was NOT feeling it on exam day.
I ran out of time without even closing 3 of the 12 cases.
I missed some obvious differentials.
I ran out of time on one of the patient notes without having listed ANYTHING under diagnostic tests.
And I passed ICE without being borderline. Did slightly worse on CIS actually.
since my test I felt brain block , I just can remember 10 cases , I forget 2 , I don't know if I did well or bad in exam but All I remember is that:
Mistakes:
1-SP do some head movement in one counter many times ,I didn't ask him why .
- Sp yawning a lot I didn't asked him why
2- I forget MMS exam in patient with head trauma ( I did all other neurological examination)
3- five cases I felt my first differential D is ok but I wrote other DD that I feel not accurate .
4- The work up in 3 cases with special exam (like pelvic , rectal ) I wrote it as 3rd diagnostic work up instead of first .
5- I forget to ask pt who is 17 yo about immunization status .
6- some cases I didn't ask the SP other associated symptoms .but I clearly know the diagnosis. I was supposed to review that symptoms.
6- I found 2 SP sitting on chair , I asked while I am standing So difficulty eye contact , also I didn't cover them on the examination.
7- after I did the closure , I remember some Symptoms in 3 cases then I asked the SP.
8 -I was totally exhausted in last 3 cases that affect my confident and speech .
9- I think the SP recognize my fatigue because I was yawning
10-I felt my language has a lot of frequent stoping for thinking , then I talk.
The good things:
1- Knock the door in all encounter.
2- introduces self and clarify role .
3- ask the SP if he feel comfortable .
4- ask the SP how w'd like to be addressed .
- keep good eye contact .
- very good empathy
- try my best in answering the challenging Q.
5- I did good HPI , ROS , PAM HITS FOSS in all cases( Female I did for all of them LMP RTV CS PAP)
All heavy drinker ,I asked them CAGE.
6- I did summarization , transition, paraphrase ,Open Q in all cases.
6- I wash my hand before all examination
I did good physical exam for all Cases gentle , Ask consent , exposure , then thanks the SP .
7- I did closure for all cases , then ask did you understand me , are you agree on my plan, do you have any Question , do you have any concern .
8- I did counseling in all cases.
9- I thank the pt then leave the room.
10- I wrote the notes very well .
What is the percent that I will pass, please !!
