USMLE Step 2 CS Study-plan for Beginners ...15 Days ?
Study ! Study ! Read ! Read ! Oh I am sure you heard it again and again that the key to success in CS is study, study, read ... Yeah Right !
I say it is confidence, confidence - which comes with practice, more practice and studying the right thing.
The first natural question before studying for any USMLE Step : "So where exactly do I begin ? " Let's try to get a plan here. For the USMLE Step 2 CS, trust me, 15 days are enough ! - But for those 15 days , study as if there is nothing else in life. Eat CS, Sleep CS and Drink CS ;-) AND - of course the regular cliche = study smart !
From my experiences, observations of my pals and from tons of CS experiences posts on various USMLE forums, 80-90 % cases on the actual exam are those that are already covered in First Aid or USMLEworld. The specific cases per se may be modified - but scenarios pretty much stay the standard, which is good for us.
So people, when you flag those 15 days for CS study , have a war plan:
1. Study Material For Step 2 CS: Have the notes ready. As the polls on this blog suggest, UsmleWorld seems to be the leading study material - no I am not a USMLEWORLD advertiser - I used Fir
st Aid. The most ordered book by visitors on this site seems to be Used CS Portable Review book available for under 11-12$ - and another hot favorite Step 2 CS for the IMG
under 29.99 $- Not bad :-). But of course, it is not a bad idea to just stick to good old time-tested First Aid for Step 2 CS
. The 2007 First Aid Edition is now the latest edition on the market - so when you buy it through these links, you know what edition to look for :-)
2. The first 4 days - start with mastering D/Ds and Data-Collection for each of the cases on FA / UW - Use the mnemonics scattered all over this site ! Compile them....
3.Get yourself a 'clinical guineapig' ready for practicing history taking & clinical examination - preferably another person preparing for the exam, but your friend, girlfriend, boyfriend is fine too. On that note - would it not be great to get in touch with a person taking an exam at the same center and the same date ? You could hope to find one at USMLEbuddies.com. Do not forget to enlist yourself on the list, so that someone else looking could locate you too :-)
4. Know the enemy ! Familiarize yourself with the exam pattern & what is expected of you. Read about how the CS exam is graded and scored Here. Remember that, generally for each encounter you are expected to: 1. take relevant history, 2. do the physical exam, 3. explain your differential diagnoses to the patient along with the work-up plan , 4. counsel the patient and 5. answer any doubts / apprehension / challenge questions that the patient may have - all in 15 minutes.
5. Next, go through the simple & logical history-taking steps I have compiled at "Art of History taking" , on this blog.
6. Then Practice cases with your partner! The goal of practice is to develop your own comfortable history taking & physical examination style and to keep practicing it to make a standard dialogues protocol blueprint for yourself. As a guide, I have posted my generic dialogues protocol for CS encounters - including closing statements at this link - "Standard SP Encounter Protocol", which can also be accessed from the links on the sidebar of this site. In fact, that's how this blog derives it name CSprotocol ;-) Once you prepare that - keep revising the dialogues within your head whenever you get spare time - like when you are bathing, travelling, cycling, etc. I personally think that doing this was one of the most vital things that boosted my confidence, because once I had the pattern on the tip of my tongue, I knew that those 15 minutes we get for each patient were going to be enough and very comfortable !
7. And ofcourse, besides your primary reference material, read all sections on this blog for tips, tricks and fun mnemonics for cases. Also do have a look at the Free Clinical Examination videos for step 2cs - the links are present on the Left-Side bar of this blog.
8. Under No circumstances will you take the Patient Note (PN) Lightly :-) Read about saving time and strategizing the PN Here. (Sample Patient Note Included)
9. Finally, to be practical and economical, decide your center fast and book your hotel early, so that you get better deals. To make your life easier, Hotel Reviews for USMLE Step 2 CS sorted by exam-center are compiled at Stay4CS.blogspot.com.
Soooo to reiterate ...
15 days are sufficient to study (8-10 hours a day of practice)!
I used the reverse technique to prepare for the exam - started with memorizing the D/Ds for each of cases in FA and practiced writing Patient Notes for these within the stipulated 10 mins. After I had a good command over D/Ds, I moved on to history taking and examination with a clinical study partner.
Good Luck for your Residency Search!!
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Study ! Study ! Read ! Read ! Oh I am sure you heard it again and again that the key to success in CS is study, study, read ... Yeah Right !
I say it is confidence, confidence - which comes with practice, more practice and studying the right thing.
The first natural question before studying for any USMLE Step : "So where exactly do I begin ? " Let's try to get a plan here. For the USMLE Step 2 CS, trust me, 15 days are enough ! - But for those 15 days , study as if there is nothing else in life. Eat CS, Sleep CS and Drink CS ;-) AND - of course the regular cliche = study smart !
From my experiences, observations of my pals and from tons of CS experiences posts on various USMLE forums, 80-90 % cases on the actual exam are those that are already covered in First Aid or USMLEworld. The specific cases per se may be modified - but scenarios pretty much stay the standard, which is good for us.
So people, when you flag those 15 days for CS study , have a war plan:
1. Study Material For Step 2 CS: Have the notes ready. As the polls on this blog suggest, UsmleWorld seems to be the leading study material - no I am not a USMLEWORLD advertiser - I used Fir
st Aid. The most ordered book by visitors on this site seems to be Used CS Portable Review book available for under 11-12$ - and another hot favorite Step 2 CS for the IMG under 29.99 $- Not bad :-). But of course, it is not a bad idea to just stick to good old time-tested First Aid for Step 2 CS . The 2007 First Aid Edition is now the latest edition on the market - so when you buy it through these links, you know what edition to look for :-)2. The first 4 days - start with mastering D/Ds and Data-Collection for each of the cases on FA / UW - Use the mnemonics scattered all over this site ! Compile them....
3.Get yourself a 'clinical guineapig' ready for practicing history taking & clinical examination - preferably another person preparing for the exam, but your friend, girlfriend, boyfriend is fine too. On that note - would it not be great to get in touch with a person taking an exam at the same center and the same date ? You could hope to find one at USMLEbuddies.com. Do not forget to enlist yourself on the list, so that someone else looking could locate you too :-)
4. Know the enemy ! Familiarize yourself with the exam pattern & what is expected of you. Read about how the CS exam is graded and scored Here. Remember that, generally for each encounter you are expected to: 1. take relevant history, 2. do the physical exam, 3. explain your differential diagnoses to the patient along with the work-up plan , 4. counsel the patient and 5. answer any doubts / apprehension / challenge questions that the patient may have - all in 15 minutes.
5. Next, go through the simple & logical history-taking steps I have compiled at "Art of History taking" , on this blog.
6. Then Practice cases with your partner! The goal of practice is to develop your own comfortable history taking & physical examination style and to keep practicing it to make a standard dialogues protocol blueprint for yourself. As a guide, I have posted my generic dialogues protocol for CS encounters - including closing statements at this link - "Standard SP Encounter Protocol", which can also be accessed from the links on the sidebar of this site. In fact, that's how this blog derives it name CSprotocol ;-) Once you prepare that - keep revising the dialogues within your head whenever you get spare time - like when you are bathing, travelling, cycling, etc. I personally think that doing this was one of the most vital things that boosted my confidence, because once I had the pattern on the tip of my tongue, I knew that those 15 minutes we get for each patient were going to be enough and very comfortable !
7. And ofcourse, besides your primary reference material, read all sections on this blog for tips, tricks and fun mnemonics for cases. Also do have a look at the Free Clinical Examination videos for step 2cs - the links are present on the Left-Side bar of this blog.
8. Under No circumstances will you take the Patient Note (PN) Lightly :-) Read about saving time and strategizing the PN Here. (Sample Patient Note Included)
9. Finally, to be practical and economical, decide your center fast and book your hotel early, so that you get better deals. To make your life easier, Hotel Reviews for USMLE Step 2 CS sorted by exam-center are compiled at Stay4CS.blogspot.com.
Soooo to reiterate ...
15 days are sufficient to study (8-10 hours a day of practice)!I used the reverse technique to prepare for the exam - started with memorizing the D/Ds for each of cases in FA and practiced writing Patient Notes for these within the stipulated 10 mins. After I had a good command over D/Ds, I moved on to history taking and examination with a clinical study partner.
Good Luck for your Residency Search!!
Google keywords to this blog article:
- "usmle cs courses guide"
- "prepare for step 2 cs"
- "step 2 cs physical exam"
- "usmle step 2 clinical skills books"
- "Study Schedule for Step 2 cS"
- "time to study for USMLE CS"
- "study plan for step 2"
- "USMLE Study Schedule"
- "First aid step 2 cs 2006"
- "cheap first aid"
- "first aid steps latest edition"
- "usmle step 2CS have to take it"
- "csa study material"
- "best books to use to study for usmle step 2 CS"
- "free online review for step 2 cs"
- "step 2 cs study guides"
Labels: Step 2 CS Prep, Step 2 CS Study Schedule
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posted by Digitaldoc, MD at 11:02 PM
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Post a commentyour site is so informative.
thanks for sharing your tips.
if in case you can find the time, kindly email me anything that might be helpful for step 1. thanks
Llerija@yahoo.com
hello digidoc,
i recently took csa in philly...i am little worried as i missed washing hands in one case n counseling in another case. i also missed major differential diagnosis in two cases..will this have a major impact on my result...pls kindly help, thank u ,takecare,bye.
Hi ,
I dont think that alone should coz a failure - messing up 1-2 cases with different errors seems to be fine ! g/l
Thank you for all of your tips...they are excellent. Besides the books you mentioned, I found "Case Based Simulation and Review" to be a very helpful book.
hey. do u know if in 2006 CS u have to do simulated breast, rectal, and pelvic exams??
hi there,how long does it take for the results to come? i took csa in feb 1st week...pls if u have any idea let me know...thanks,k.
thanks so much for the tips and tricks!!
It takes anywhere between 8-10 weeks for the results to come ! In the later half of the year, it may even take more than 12 weeks.
hi digidoc...i've been through all this site before the exam....it's been helpful...i just like to advise everybody to do cases...specifically First aid.....most of the cases i had were first aid like....i've read kaplan too....but cases in first aid were better approached. Goodluck to you all.
Hi DIGIDOC ,
I like ur site because it is full with golden informations . I plan to take cs on coming july , but i need ur advices , onestly i have 2 problems : THE TIME & Ican not speak well, i mean i scared when speak to others because ENGLISH is my second language , so i need ur help , please e mail me soonly at mora143@hotmail.com , thanks in advance .
For those who have taken CS at Houston center, do you have difficulty to understand the accent of the SP?
hello digitaldoc thanks for your site its great, listen i want to take this test this june 2006 theres a n opening for the 14th. Today is may 30, you think i should take it, i ve beeen studying on and off for a couple of weeks, but if i schedule it for the 14 i will study like crazy this two weeks. Gimmie some advice please. Thanks in advance.
Sure ! Go ahead..it is doable in that time. g/l
hello digital doc
how to counsell a patient with dementia about sfety at home
thanx
About safety at home:
"Its important for the family to get involved in offering a structured home environment for the patients safety. Some important points:
1. Patient's belongings must be always be placed at a fixed, easily reachable place
2. All Furniture around the patient's room and surroundings must be placed in a way that will not hamper or endanger the patients movements in the house
3. Slip-resistant mats for restroom and bathroom
4. Move the patient to a room which does not need stairs to access
5. Be on the alert to keep checking on patient-falls
I shall provide you more pointers in the form of a detailed handout later"
HI DIGI DOC. IT IS GREAT TO HAVE A FRIEND LIKE YOU FOR WE DOCTORS, SPECIALLY IMGS.I AM HAVING MY CS AT CHICAGO.CAN I KNOW THE NAMES OF A FEW HOTELS( INCLUDING THEIR COST )THAT ARE AT A WALKING DIATANCE FROM MY TEST CENTRE
HI DIGIDOC.thanks for your help with my step1&2
plz help me find hotels in chicago within a walkind distance.
NEPALI DOCTOR
HI..thankx for ur comments...hotel reviews for each center are being compiled at http://Stay4CS.blogspot.com
..g/l
hi digitaldoc.First of all i am sorry that i have to post this doubt here.i had put it up in one of the forums as a pm to u but didnt get my response.i ve read ur cs posts and they ve been very useful as i plan to start my prep soon.i am from india.i have a few doubts and it would be great if u could guide me.
1. i plan to start with first aid and once done with it subscribe for uw...is that good for a start
2.i also hear that the exam has become tougher,do u think i need to enrol for the live prep courses in the u.s
3.could u please recommend live prep courses for cs other than kaplans that u think are good.thank u
Hi ..I am sorry I have been just too busy lately !
1. Sure - thats a good plan u got there !
2. Exam has supposedly become tougher on the grading - dont think the actual cases are any tougher :-) so just do your best and that's all we have on our hands
3. People generally have been talking very good about C3NY course !
hi digitaldoc,
i am very thankful to you, for this site. It has helped me a lot....., for the result i got today. I PASSED!!
Thanks again,GOD BLESS YOU!
HI Digital doc, I would like to know whether we can mention vitals in the PN as WNL (with in normal limit)as given in the first aid or do we need to enter all the vitals in detail like temperature, PR, BP etc.?
thanks
HI Digital doc, I clearly got how to perform tilt test( Dix-Hallpike test). Its really appreciating with owesome diagrams.
thaks very mcuh
WNL is fine...
hi digital doc
This is really a awsome site.
I found it very helpful.
Great Job.Keep it up.
g/l for ur future.
Hi Digital doc,
Can you please tell me if it's essential to do a CS prep course eg-kaplan to pass 2 CS well.I have done a residency in my country (Asia)so won't that help?
Thanks a lot
I would not recommend those unless you have been away from clinical practice too long, not sure of confronting american patients , not sure of english or jst too low on confidence...,
Usmleworld + First Aid is good enough..
g/l
good blog
Sid
Is 15 still enough time if I decide to take the CS before CK?
- Thanks Sid
- Yes, it still is..a couple of friends and I took it before CK
Transcript said:
This is the best site for cs, addressing many concerns/questions imgs may have encouterened during cs preparation.
truly appreciate what you have done for us, spending numerous hours after hours to make this site better and running.
i salute you!!
Thanks for your kind Post-Script , Mr. Transcript ;-) I remember ya ..hope u doing great !
First Aid read twice and practise was all that I felt was necessary.So I did that and had a very comfortable and easy exam which I cleared.
But from what have heard from friends and colleagues ,UW seems equally good but a more expensive option.
Also in reference to a question asked here previously I too missed washing hands in my 1st two cases :)).
That finds an echo in me :-) congrats !
hi digitaldoc.
can u help me tooo
plzzzzzzz
my prob is dat i dont hav any visa to appear for my cs
and i applied for cs also
my application is accepted also
but
now i dont hav the visa..
while applying i did said yes for the option in the application which said dat i do require a visa..
wat do u think the ECFMG people will do???
till now i have recieved only the permit and not the letter from ecfmg stating the purpose to allow me the visa.
i hope u understand wat i am writting..
plz can u tell me wat shud i do..
plzzzz
plzz
The visa letter should arrive a week or two after the permit comes to you via email - and then you will be set. Follow the post about the CS visa on this blog. g/l
dear digi doc,
I thank you a lot for your advice and help.. it helped me a great deal b4 the day of the exam.
I am not much of a mnemonics person but i found out i needed them all during the exam.
A point i thought you should add somewhere in ur blog-:
While practicing with a patner make sure that ur answers are timed like real patients. I didnt finish any of my patients in time.
Am actually afraid that I might fail because there were imp questions remaining and some physical exam too.
If you can get to practice H&P on diff ppl and are able to get the rhythm I think one is ready to give the exam. Practicing with diff ppl gets rid of the nervousness.
All the best to exam goers.
very informative site, looking forward for more article
hi digital doc,
ur site is awesome i got all information from this site before my cs exam nd i passed.
thanx a lot.
Thank you all-o-u guys... ! Congrats on passing
hey digidoc,
Thank you very much for your site, It was lot easier to prepare for CS after going thru your blog and now I passed CS..THANK YOU
JAGAN
appreciate the comment jagan and congrats
thank you for your great website
i got my cs result today , i passed that cs. what a relief,
thank you for your great website again ,
i strongly recommend many part of your website to all us and foreign medical graduate before taking cs,
there are many important tips which are not mentioned in any other sources, also i found answer to many of my question from beginning like knocking the door to end of encounter in your unique website
also when i had so much stress and don't know which center should i choose , i read the articles about choosing the center that you mentioned there is no difference and it really help me
i really appreciate that
thank you once again
Thanks Navid for remembering CSprotocol readers :-) Good luck on all future endeavors !
hi
i got my cs result. i failed in ICE part. i am depressed.
my profile is step1- 82, step 2 ck-84, 3 research papers published in india, and 2 months observership in usa, 2 us lors.
should i apply for residency this year or not and retake cs in september??????/kindly reply
i am highly confused and depressed........
Hello - things go wrong now and then in life, the sadness will phase out slowly in its pace :-), meanwhile see if retaking the CS will get you results on time [ before Jan end] and if dates are available. If yes,. then retake it - read the data-collection points better and make mnemonics for remembering stuff well. Research papers, etc will help you get interviews, do apply on time
thanks for replying digitaldoc.
if i retake cs and pass this time, i will get result of it on dec 5..............but the thing is should i aply on 1st september or not??????
will they call me for interviews without cs pass????
kindly reply
thanks
Yes many programs do, and that also tells you why its important to call up programs before hand to find out if they will look at your application or not, before applying.
Put a future date for your CS on the CAF
hi digitaldoc.
thanks for replying.
as far as i know, in caf, there is exam collumn which asks about exams passed, there is no collumn indicating future exams............kindly help how to put this.......
From the 'status' drop down in the exam section - choose "will take" and mention the month. Do so when you have take a new date for the Step 2 CS. It wont be lying since you will be taking the test again..and the transcript will have the 1st fail status mentioned anyways
hi digi...am one of ur blog addicts...i think if u one day decided to sell this blog it will bring u alot of money....lol!!
well then wat u think of "The Ultimate Guide & Review for the USMLE Step2 CS " by mark swartz?!
ur opinion is very important
I have not used it myself - First AId was good enough for me - but a review on Amazon.com about the book by a user without any commercial interests was positive. Do not give more than 15-20 days for the prep, but keep those days for intense practice and reading..u can always buy the book from amazon and sell it back for almost similar price once u are done..g/l
thnx alot digi
And thank you for my blog valuation ;-)
There are many querries of exchange of dates, are the students aware of the email notifications? I would be a good idea to include it this blog.
Digitaldoc you are doing a fabulous work, God bless you.
Have covered that here on this post
I would like to have feedback on whether the email notification system has been useful
Ya , i got a date on feb 6th 2008 earlier, then i put in dates suitable for me and gave them my yahoo and gmail id for each request, we can select a range of 30days for each id given, and kept my gtalk and yahoo messenger open throughout, enabling the play sound when recieving message on yahoo messngr, so whenever i got a mail i was notified and atlast i got my desired date in 3-4 days
Wow - great site!! I have 2 questions: (1) what resource did you use to master your D/D and data collection? My exam is in 2 weeks and I am having a real problelm with this area. Without a good D/D, it affects my data collection and PN because I lose so much time.
(2) How do I master a 10-minute PN? I can not ocmplete the PN in less than 12 minutes in my practice sessions even though I have tried several styles of writing it. The faster I write, the worse my handwriting becomes. Please help :(
Thanks for your comment - I mostly used First Aid, a little bit of Wrongdiagnosis.com and plus medical school knowledge/step 1 prep knowledge. Eventually note that on the exam, you need to list out the D/Ds that apply to your case in the decrease order of relevance.
Broken sentences are fine instead of elaborate long ones. Check out the second style of Patient note mentioned on Patient note section of USMLE.org Here
Practice and More practice :-)
hey digitialdoc,
these days many people say that the philly centre has worsened for imgs and many people r failing from there. i am scheduled in the philly centre for cs in a month...should i look around for a spot in a different centre? in other words, do u believe this news or r they rumours?
There are no centers where there are no failures...this time you say Philly,sometime back some advised against Los Angeles and some even said Chicago, Houston and Atlanta :-)
So, as mysterious and non-transparent the scoring system is already - center rumors always come from the negative experiences. Those cannot be trusted - what can be trusted is your ability to practice, study well and be alert about study tips and trends thru this blog, forums..and yes - a very important priority is to take the test early :-)
The only reason I would change a center is if i were getting a earlier and more convenient date
thanx a lot.
You rock doc !!
Readers do the rocking ;)
hello digidoc!
thank you very much for creating the very informative website. it is really helpful and a good giude. i have taken my step2 CS on the 12th of june and now waiting for the result. the tips in your site made lots of things easier. thank you once again.