Think I messed up step 2 cs

[WiseOne]

---

Members don't see this ad.

I took it in Atlanta and think I may have messed up.

Here's what I did wrong:

My notes on every patient were often only 500-600 characters out of 950. However I included enough to support the differentials I was making.
I often did not do a very thorough physical exam. Just what their complaint asked for. At least for 4 patients I did not do a CV/Pulm exam. I never did a full neuro exam.
At least 4-5 times I did not ask past surgical history or allergies.
Did not ask OB/GYN hx for 80% of the female patients.
I often did not have many physical exam findings to support my differentials. Usually I just put the X system was normal on physical.

Things I did right:

Did CIS perfectly (draped, counseled, summarized, asked permission, empathized)
My DDX were usually on point with good supporting evidence and workup except for 1-2 cases
Asked many ROS questions to get a good differential on every patient
Never ran out of time in the room or on my note.

I am primarily worried about not doing a thorough physical exam and missing some obvious history questions like past surgical and allergies.

Please tell me if you did as bad/worse and still passed lol this is going to be a long wait.

 

[Ismet]

You don't need to do a thorough physical exam.

You don't need to ask OB/Gyn history on every female if there is no indication for it.

They're meant to be acute clinic or ER visits. It's a focused history and physical.

 

[W19]

@WiseOne @Ismet

If you finish the encounter in less that 15 mins, can you use that extra time for your note?


500-600 characters is like 3-4 lines of narrative statement plus ROS, PMH, Meds, Allergies, PSH, FH, SH... I hope that's long enough for CS because that how long my HPIs have been so far... practicing to take it next week.

 

[Ismet]

@WiseOne @Ismet

If you finish the encounter in less that 15 mins, can you use that extra time for your note?

Yes

 

[MudPhud20XX]

I took it in Atlanta and think I may have messed up.

Here's what I did wrong:

My notes on every patient were often only 500-600 characters out of 950. However I included enough to support the differentials I was making.
I often did not do a very thorough physical exam. Just what their complaint asked for. At least for 4 patients I did not do a CV/Pulm exam. I never did a full neuro exam.
At least 4-5 times I did not ask past surgical history or allergies.
Did not ask OB/GYN hx for 80% of the female patients.
I often did not have many physical exam findings to support my differentials. Usually I just put the X system was normal on physical.

Things I did right:

Did CIS perfectly (draped, counseled, summarized, asked permission, empathized)
My DDX were usually on point with good supporting evidence and workup except for 1-2 cases
Asked many ROS questions to get a good differential on every patient
Never ran out of time in the room or on my note.

I am primarily worried about not doing a thorough physical exam and missing some obvious history questions like past surgical and allergies.

Please tell me if you did as bad/worse and still passed lol this is going to be a long wait.

Hey, I also felt bad after the exam. I took mine in Philly a couple weeks ago. As time goes by it gets worse as you will remember more things you did wrong. Trust me I feel your pain.

Most AMG fail due to the note. You would be surprised how much points you lose from your notes. I've seen many of my friends who felt they did well but they just borderline passed in their notes. Looks like you did a pretty good job coming up with diff dx and supporting evidences, so I think you should be fine.

There is really nothing we can do at this point. Worst case if we fail, we just got to retake it and pass. lol. I am sure in the long run, failing step 2 cs isn't going to be a big deal. Eventually we will match and be a doctor. Good luck.

 

[W19]

PASSED....

 

[MudPhud20XX]

Barely passed. ICE was barely borderline pass. I knew this was coming. I think if I had missed a couple more points, I would have failed.... thank god. At least I am now a bit relieved that I will end up having a job as an intern.

For those who hasn't taken this CS, please don't take this lightly. ICE portion is really hard.
Please Please work very hard to prepare for the ICE which includes note taking and I think it also includes the checkllist. DO NOT take this lightly. Feel free to PM me if you have any question

 

[W19]

This test is very forgiven...

 

[WiseOne]

Barely passed. ICE was barely borderline pass. I knew this was coming. I think if I had missed a couple more points, I would have failed.... thank god. At least I am now a bit relieved that I will end up having a job as an intern.

For those who hasn't taken this CS, please don't take this lightly. ICE portion is really hard.
Please Please work very hard to prepare for the ICE which includes note taking and I think it also includes the checkllist. DO NOT take this lightly. Feel free to PM me if you have any question

View attachment 228714

I did worse than you on the ICE and still passed. You can still pass as long as the x's go until the end of the borderline area apparently. But I think both of our post-test feelings were definitely not totally off the mark.

 

[Redpancreas]

I did worse than you on the ICE and still passed. You can still pass as long as the x's go until the end of the borderline area apparently. But I think both of our post-test feelings were definitely not totally off the mark.

Not true, first off those error bars vary in length so one’s bar could be very large and fill the entire borderline area but still extend far into the lower performing zone to fail you.

 

[W19]

@Syncrohnize

The result on post #7... is that a barely passed on the ICE section? I don't think it is.

The problem with that exam is that no one knows how NBME grade it.

 

[Redpancreas]

@Syncrohnize

The result on post #7... is that a barely passed on the ICE section? I don't think it is.

The problem with that exam is that no one knows how NBME grade it.

Honestly I don’t know what their definition of pass is even given the score report. but I know someone recently who failed and they had one star in higher performance, the whole borderline filled, but the asterisk line also extended quite far into lower performance and they failed that section. If I were to venture a guess, I would think it would be where the middle asterisk lands on your score report so. If you have 11 asterixes, wherever the 6th one lands (borderline vs. lower performance) would determine it. This is my guess though which is as ill-informed as anyone’s though.

 

[Redpancreas]

That’s basically the same thing assuming by borderline you mean the like differentiating Borderline and Fail