Sponsored Links
Page 1 of 2 12 LastLast
Results 1 to 10 of 19
  1. #1
    ahmad85 is offline Newbie 510 points
    Join Date
    Dec 2008
    Posts
    6
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts

    am i gonna to pass?? pleas answer me

    Advertisements



    i did step 2 cs exam since one month in Houston.
    i did well in 9 cases....but in the other 3 cases:
    ______ in one case : the SP told me that she want from me to turn off the light inorder to feel better because the light exacerbate her complain, i dont know what to tell her, i just told her try to tolerate with me.......!!! in this case also, i run out of the time and did not close the case.....
    ______in another case i forget to ask about drug abuse, and unfortunately the diagnosis was related to drug abuse...so the closure was inappropriate
    ______in another case i did not answer the patient challeng question..

    in all other cases , i did very well, but 5 SPs were young age , may be they are in age range 17-22.... all of them were bored during the cases...!!! and i felt as if they hate me, although i smiled to them and drapped them , respect them .....

    can any body please tell me if i gonna to pass.......????????/

  2. #2
    berdugo75 is offline Junior Member
    Join Date
    Jul 2003
    Posts
    29
    Downloads
    32
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    There is no way to be sure that you will pass the CS based on what your experience was.

    Typically, if the patient asks you to dim the lights...DIM THE LIGHTS! As IMGs we are used to telling the patient what to do, but in the USA you must understand that it's all about customer service. Forget that you are in your native country and remember that you are now in the USA.

    As for the other cases, it's not so much the diagnosis that you make, but as long as you were methodical in your interviewing skills, in your physical exam, and your English skills. What could have been a drug abuse case for the person next to you, it may have been a heart attack for you. It all depends on the questions that you ask.

    Not answering the challenging question is unfortunate, but it shouldn't matter, hopefully that case will be one of the research cases.

    Smiling just won't cut it. You can smile all you want, but if the patient feels that you are boring, it's because you probably were.

    When I left the exam, I was confident that I passed. I kept all of the patients' interest, I smiled, I joked with them, and I never left gaps in between questions. Also, I really didn't take very many notes.

    I didn't finish 2 notes and I didn't finish examining 1 patient and I passed, so you should be fine.

    Lots of luck to you!

  3. #3
    Dr. X's Avatar
    Dr. X is offline Member
    Join Date
    Jun 2005
    Posts
    268
    Downloads
    28
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    I dont think anyone can come out and reassure you by saying you are likely to pass but that doesnt mean you are going to fail either. There have been instances where people have mentioned they did well on all of their patients and failed and few have listed so many mistakes they made and still came out passing the darn thing. I hope you can take comfort in that till results time.

    Whats done is done and we cant go back in time. If you come out passing because you have done well in most cases and few mistakes are forgiven, just keep on praying. If it doesnt go too well.. learn from your mistakes and excel next time. Good luck.

    You're appreciated in sharing your experience.
    SJSM.

  4. #4
    ahmad85 is offline Newbie 510 points
    Join Date
    Dec 2008
    Posts
    6
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    Thank you both of you doctors for the replay

    Bedrugo 75 : thank you for your nice message, but i dont agree with you about ( switching off the light if the patient ask me to do that !! )
    i dont think there is any country in the all world in which the doctor stay with the patient in a darkroom without any light source , also as you know there is no windows in the room, so swithching off the light = 100% dark room......!!
    about my communication with the patients, i did all what i supposed to do, my main concern is about some youg SPs, i felt as if they did what supposed to do without any acting or express any kind of emotion while talking .... i did not have this issue with the other cases....
    i just want to ask, as you know there are 24 doctors taking the exam , 12 doctors on each side .the case that was related to the drug abuse as i think was not present in the other side of the exam..the majority of other cases was the same...is that mean that this case going to be for experimental purposes??

    thank you again Berdugo 75 and Dr.X
    i hope to pass , and wish you the best
    bye

  5. #5
    berdugo75 is offline Junior Member
    Join Date
    Jul 2003
    Posts
    29
    Downloads
    32
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    As a matter of fact, when the patient asks you to dim the lights, you only flip 1 of the switches, not both. That is pure common sense that you cannot examine a patient in the dark. When you use the opthalmoscope , you are allowed to turn off both switches, an emergency light in the back would have turned on. You will never be left in the dark.

    Nevertheless, I wish you lots of luck, let us know if you pass, that way we can all cheer you on!!!

  6. #6
    RussianJoo's Avatar
    RussianJoo is offline Ultimate Member
    Join Date
    Jun 2004
    Location
    Out Fishing
    Posts
    6,367
    Downloads
    7
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    yep i dim the lights or even turn them off all the time to check out the retina's or check for sinus congestion.. the patient comes first. sorry buddy but you might have not passed. ignoring your patients wishes is a big no no.
    Hollywood Upstairs School of Medicology, Class of 2010
    Due to the high volume of private messages, I can only answer questions that are posted in a forum. Private messages will be ignored.
    Hidden Content

    Hidden Content

  7. #7
    canal is offline Member 510 points
    Join Date
    Jan 2008
    Posts
    176
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    with the time restraint, are there exams that you are not mandated to perform?

  8. #8
    berdugo75 is offline Junior Member
    Join Date
    Jul 2003
    Posts
    29
    Downloads
    32
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    It all depends on the patient. Obviously, you won't do a visual acuity test if the patient is coming in for abdominal pain.

    Memorize the exams that you need to do on the First Aid. You only have 15 minutes to do an ORIENTED Interview, Examination, and Note.

  9. #9
    pratikshagurnani is offline Junior Member 510 points
    Join Date
    Oct 2009
    Location
    California
    Posts
    20
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    Did u pass ?

  10. #10
    SPODAT's Avatar
    SPODAT is offline Senior Member 520 points
    Join Date
    Sep 2008
    Location
    US of A
    Posts
    612
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    Ahmad.
    You probably passed because they discard your worst case (According to FA CS). So discard lights lady, you didn't necessarily fail the other 2, maybe you missed 20% who knows? If you did well on the others, you passed for sure. You could fail 2 of the cases miserably, do average on 3 or 4, and still pass easily.

    Dimming the lights is a cue that the patient has a HA usually.

    For future test takers, EVERY SINGLE THING THE PATIENT SAYS IS A CUE FOR SOMETHING.

    A sense of screwing up a case or patients being unhappy is (fortunately) a subjective sense we get, it usually has nothing to do with our actual performance.

Page 1 of 2 12 LastLast

Similar Threads

  1. USMG,USFMG,FMG.IMG ---> Pleas Read
    By seandubbers in forum St. Georges University School of Medicine
    Replies: 10
    Last Post: 12-28-2007, 05:43 PM
  2. I am gonna get all As
    By cluelessnow in forum American University of the Caribbean (AUC)
    Replies: 5
    Last Post: 03-14-2005, 09:34 PM
  3. how am i gonna pay for this?
    By krust3 in forum Saba University School of Medicine
    Replies: 10
    Last Post: 11-27-2004, 02:55 PM
  4. ANSWER TO READER QUESTION: WHY CAN'T I PASS EVEN THOUGH I DI
    By tommyk in forum USMLE Step 1 Forum
    Replies: 2
    Last Post: 02-21-2004, 11:59 PM
  5. Sorry I need one minute to calm down, I will be back. Pleas
    By tommyk in forum USMLE Step 1 Forum
    Replies: 7
    Last Post: 02-15-2004, 06:00 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •