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Step 2 CS Patient Note

Discussion in 'Step II' started by Thing1, Sep 25, 2014.

  1. Thing1

    Thing1 2+ Year Member

    Nov 1, 2010
    Like many others I am pretty worried about CS after just taking it. I did not really prepare for it whatsoever, and thought the cases were not too bad. My biggest worry is the PN. I stupidly saw the "History" section's instructions, which said to only include relevant information, and I did NOT include ROS, PMH, PSH, Allergies, SH, FH sections in ANY of my notes! I did ask this info from every SP, but only included it in the PN where I thought it was relevant (e.g., smoking history in patient with SOB, alcohol use/NSAID use for abdominal pain). But I didn't put these in their respective sections even when I did include them. I just lumped them into the HPI. I did pretty much always include ROS, both positives and negatives within the HPI itself.

    To add to that I didn't fully complete the note for about 3 cases, usually got the Ddx section partially done and didn't get the diagnostic tests done at all in these cases. Slightly panicking, anyone have any input?

    I know a lot of people freak out unnecessarily after this test, but I feel like I'm the only one who did not include these vital sections in the note. Not sure why either, I always include in my notes in real life...worried this might be a true "failable" offense
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  3. thehundredthone

    thehundredthone 5+ Year Member

    Aug 20, 2012
    Uh oh, you might have messed up there. What they mean by including relevant information is not to go on about joint symptoms in someone with appendicitis. Your note format is more or less identical to the notes you make in real life, and a "nil" answer to any of ROS, PMH, PSH, etc. is actually relevant.

    But it's done now, take a deep breath and wait for the results. No one can definitively predict your result.
  4. gopens67

    gopens67 10+ Year Member

    Apr 10, 2007
    curious to see if you pass with incomplete DDX and diagnostic testing in 3 cases...
  5. Phloston

    Phloston Physician Lifetime Donor Classifieds Approved 5+ Year Member

    Jan 17, 2012
    Osaka, Japan
    Not sure if you own the FA 2CS book (and just didn't look at it), but it may be of benefit to look at some sample notes and see how yours match up.

    But as thehundredthone has said, there's nothing you can do now but forget this exam and focus on your remaining components of med school.
  6. Hemichordate

    Hemichordate Peds 7+ Year Member

    May 5, 2008
    Are you limited to 8 items for diagnostic testing or can you list more? Do people usually fill in all the spaces?
  7. 2maitaisplease

    2maitaisplease 2+ Year Member

    Apr 22, 2013
    I am really worried about the patient note too. Did you get your score yet? Did you pass? Might help those of us who are in the same boat. I hope you did pass... no one should have that test multiple times as it is just a cash cow.
  8. Thing1

    Thing1 2+ Year Member

    Nov 1, 2010
    For the record I ended up passing. Did get a borderline in one of the sections though
    DrSatan, FIREitUP and Phloston like this.
  9. FIREitUP

    FIREitUP 10+ Year Member

    Jul 31, 2007
    damn, i only put in the relevant things I asked during the exam since I didn't have enough space to put in all of those things such as PSH, Meds unless it was relevant. Is that really bad?
  10. thehundredthone

    thehundredthone 5+ Year Member

    Aug 20, 2012
    Seeing as the OP passed, just wait for the result.

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