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  1. #1
    bewareofusmle is offline Newbie 510 points
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    Los Angeles center is a racist center

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    i have failed the CS on the ICE only my english is good my interpersonnel skills are god my patient notes are good i have failed due to patients judgement:
    at LA 2 of the patients were laughing behind my back simply because i am middle eastern even they divide the examinees in 2 rows one for the IMG and one for the US examinees i am a true doctor i dont think that those patients are doing the right thing they are judging on our skin color only and they are lying on their judgement:which is biased towards the americans how on earth could a common person judge us the doctors? they dont have any medical knoweledge moreover i have passed the CSA before then for the CS i failed is taht possible? simply because it was in philly i AM THE SAME PERSON IN BOTH EXAMS
    BEWARE OF THE LA testing center for the FMG ESPECIALLY for the middle eastern background

  2. #2
    Unregistered Guest

    race card

    I understand your frustration and disappointment of failing the exam. However, I don't feel that your story justifies the racial accusations made, especially since many Middle Eastern background candidates have passed the exam.

    I know that grammar on these forums is not a definitive indication of one's grammar knowledge in a real situation, but your use of the English language in your post indicates that not only is English not your first language, but you probably have a relatively high level of difficulty communicating in the English language.

    In the past, the CSA was not as targeted on communication skills because the TOEFL exam took care of this. But now that the TOEFL is no longer required, more emphasis on effective communication skills is placed on step 2CS. Therefore, contrary to popular belief, Step 2 CS is more about communication skills than clinical skills. In other words, even if you get the diagnosis correct, but fail to communicate effectively, you will be more likely to fail the exam than someone who misdiagnosed the patient, but communicated effectively.

    As far as the evaluators, I'm sure we all agree that medical professionals would be the best choice. However, this would be very costly and the exam is already expensive enough. The simulated patients do not evaluate your clinical skills. Rather, they complete a predetermined check list of tasks you must complete during your exam. Things like washing your hands, introducing yourself properly, explanations of procedures, etc, are taken into account. You do not need a medical degree to observe whether or not someone washed their hands, for example. You just need to be able to witness it and check it off.

    My advice is to invest in First Aid for the USMLE Step 2 CS or OCSE. Perhaps even consider taking a CS prep course if your budget allows. These things will concentrate on what are the criteria required by CS rather than simply finding the diagnosis. The former is for CS while the latter is for CK.

    But my best advice would be to try to better express your frustration in the future rather than using the race card. Best of luck!

  3. #3
    Unregistered Guest
    how can you exaplain the laughing thing from the patient how can i properly writtem my patient notes and passed on this sector? then i apssed on the english part it is the patient evaluation that i failed in,also by talking to the other examinees they gathered more data cause simply the patients liked their skin colorcompletely different data to me than to them who watch them if they dont tell me the truth about their illnesses? nobody they can say to you something and to other examinees other things or they dont cooperate at all with you one more thing why is the success rate for the uS doctors is higher than the IMG, why is the success rate for IMG at LA center is lower thann that in Philly or Houston? i am not playing the racist card it is a fact and god is my witness i did very good on the exam and i am not frustrated or expressing my anger i dont need those exams anyway and i communicated my opinion to the ECFMG via e-mail, you can look it in the SP's eyes when i entered the room they are racists believe me and i am definitely sure that i am not the only person that is experiencing the same fellings and disgust

  4. #4
    AUCMD2006's Avatar
    AUCMD2006 is offline Ultimate Member 6129 points
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    again the cs tests your ability to talk not wether you are house m.d. and can diagnose an enzyme deficiency by doing a rectal exam. the most common complaint i see that patients have of foreign doctors is their inability to talk to them, they are quite surprised when they find out i am a foreign student and treat me no differentlt than all the US students on my team.

    also how does this person know they were laughing AT him, ever been in the office in between calls and talk about something funny? these people are not robots, they have personalities and most likely talk to each other

    if there is some truth to this maybe you can lodge a complaint with them, it will not change your situation but if enough stack up the concern may be valid and they will take care of it. of course you could also complain to any of the american islamic societies since they are never busy denouncing terrorism they have plenty of time on their hands...jk
    AUCMD2006
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  5. #5
    Unregistered Guest
    Hey dude i am christian by the way i am not talking about religion it is about race? think about it who control the emotions and objectivity of those patients? nobody they can do whatever they like on their evaluation even the videotapes are not reviewd they were laughing believe me when i was washing my hands and one even when i entered the room, moreover i passed both the language and the notes par and the note is included in the ICE subcomponent , what is holding them of writing in their evalution whatever they like maybe you and i are not racist but have u been inside their minds on how they believe? by the way i am not interested in politics or the US adminstration behavior i am just communicating on this particular situation moreover not all islamic people are terrorists i am christian and i am saying that ISLAM isnot TERRORISM and stop mixing with the two terms

  6. #6
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    by the way my exam was on the 22nd of AUGUSt on other forums many candidates have suffered the same ordeal : something terribly wrong with that center and with that particular day

  7. #7
    stephew is offline Moderator Guru 512 points
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    warning

    keep this thread within terms of use.
    Steph
    If you get a warning, put on yer manpants and stop whining about it.

  8. #8
    Lorena's Avatar
    Lorena is offline Member 510 points
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    sorry

    I am sorry you didnt pass bewareofusmle. I have to disagree with you though.
    I took my CS exam in LA , i am an IMG , i am not white and i do have an accent but i passed first attempt and more importantly even if i didnt pass...i never felt they were racist at all. It is true some patients didnt talk much but you are supossed to deal with many different people when you are a doctor and you should be able to manage in any situation...even if a SP tells you in advance "i prefer an american doctor"...you are supossed to know how to handle a situation like this, you have to overcome any challenge presented because you are going to treat real people (some of them will be rude or ignorant), and you wont like some of them but still you are required to do a good job.

    They DONT divide the examinees in americans-IMG ...we were all mixed.

    as i said i am sorry you felt this way, i hope you feel better soon and decide to take the test again..it is worth it.

    all the best/ Lorena

  9. #9
    AUCMD2006's Avatar
    AUCMD2006 is offline Ultimate Member 6129 points
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    explanation:

    didn't say islam is terrorism, relax, it was a comment on the lack of public outcry from the groups here in the US and relating it to their free time and taking up another cause. see? maybe your english comprehension is not as good as you think. i am by far the last person to criticize on spelling and grammar but your posts are very chopy and i have to jump back and forth to read them, if your speech pattern follows your writing then it is forseable that you are difficult to understand...

    it actually sounds like a direct word for word translation from another language to english, so maybe you are thinking in whatever language and writing in english? don't know but if you feel that way you should find out what the remedy is, if you were videotape maybe there is a process to evaluate the tape? at the very least you file a complaint so that if more people feel the same they will see a trend and investigate.
    AUCMD2006
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  10. #10
    stephew is offline Moderator Guru 512 points
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    where are the brittish west indies?
    Steph
    If you get a warning, put on yer manpants and stop whining about it.

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