Sorry for the results for ones who failed ICE during this cycle. First, think about the your approach to the the encounters:
1. Is your typing speed up? Above 50 words / min may be enough though many private coaches welcome above 60/minute( are you able to type case 11 and 22 on FA in 8 to 9 minutes - case on 62 yo with hoarseness and 53 yo with intermittent dizziness, word for word) ,are you quick in copy and paste without deleting your typed work! Type your differential first , then few tests, most relevant and significant , then exam// upto this point you have used 4 to 4 1/2 minutes, dont use more on this// and then move to hx. Lastly copy and paste supporting evidence or type if fast enough . Always do GA and copy vital signs . I copied all VS into exam portion and first part of description of patient into start of HPI with the name and age and all , then give my c/o in second line medical terminology wherever possible. My coach made sure i did this and upped my typing speed even before she made me practice any case. Being an IMG , my typing was about or below 39 / minute before and my tutor was very sure I won't pass ICE with that!
2. Did you give fluent instructions during exam? If no instructions, no mark.
3. Giving instructions or telling your patient about next step helps that you are not causing discomfort trying to elicit signs. Any discomfort caused during exam like deep maneuvers is fail. Do not also repeat any painful maneuvers
4. Was in same center , and in many cases I did not have third differential but mostly were 2 yet got ICE far to the right.
5. How is your data collection: mnemonics .Be careful with ROS, let it be complete even if you have three differentials , social and family hx , sex , meds and allergies . They are not forth coming if you don't ask and may help change the diagnosis or reduce to two. 2 cases had to change DDx after fhx and around 3 cases on asking about sex hx. They are now tricky at Atlanta.
6. Do self mock exams before the exam . Did 3 times each 12 cases a day spaced with rest in between days and within 2 weeks to exam . Refine your exams, time them at max of 3 to 4 minutes. Used pillows for all my mocks but i recorded my self in a few difficult cases especially CNS exams and fatigue and weight changes. It will be well, my friends! Mocks are just like NBMEs.
7. During exam 2 students started to cry during the exam after the second encounter , they were AMGs and others tried to calm them down during the breaks. The preceptors never uttered a word. Take it serious. Even if you go for preparation courses , as an IMG you have to practice your typing and SEP many months before! I dont have AMG experience, therefore , I am not sure of their weaknesses.