07-19-2012, 07:38 PM
I gave my exam today and I missed 2 CCS cases. I know the Dx but I couldn't give the right Mx and it can't come to an end. Does that mean a failur? Please some one say something. I am worried.
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I gave my exam today - drcsa
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07-20-2012, 07:50 AM
What the heck? I don't need your private counseling. I just want someone to give me some info about the grading system.
07-20-2012, 06:01 PM
diagnosis is not important. Its all about management. How did you work the patient up? Did you do routine labs? Did you rule out other potential causes of his chief complaint. Did you council? All those things get you points. CCS doesnt care if you got the diagnosis or not. CCS is 20% of your total score. For some people CCS can save them, for some people it can fail them. For most people it doesnt change their score too much. A lot depends on your multiple choice and your mental stamina for that 2nd day. Step 3 is often failed in that 2nd day when your brain is absolutely numb!
07-21-2012, 05:34 PM
apatel2424, do you have a reference or does the USMLE state officially that CCS is 20%?
Truth is CCS is much higher than any of us can think of. It's much more than 25%. In Archer CCS videos, in the first three hours , see the score reports that he shows , those score reports speak blatant truth on how people fail with poor CCS. CCS must be worked on guys and make sure you get very good on it.
07-21-2012, 06:22 PM
sadhan, its a rough estimate. Nobody knows for sure. They changed the format of the exam. There are 12 cases now, so my guess is CCS is worth more now than before.
I do know that CCS can fail you, but it can also save you. But multiple choice questions are for 1 and a half day! Im going based purely on the fact that you are spending much more time doing questions compared to cases. So that is where I got my reasoning from. The most important thing is having experience in a US hospital. Knowing the way we work patients up from the moment they come in. There is an order in which we do things and unless you do it yourself with your own two hands its very difficult. I know people do it, but its soo much easier when you have done it everyday for a couple of years during residency. But in CCS there are EASY points in every case. Doing a physical exam is EASY points. Ordering routine labs is EASY POINTS. There are certain protocols you have to know. There is an ER protocol. ICU protocol, and a MVA protocol. When you know all of them and you execute them when needed on test day it doesnt matter if you get the diagnosis right. For example, you can watch someone hammer a nail, but that doesnt mean you know how to hammer. You only get better at it when you actually spend time doing it yourself. Its like if I asked all of you to tie your shoelace. No sweat! Nothing to it. But im sure the 1st time you did it, it was pretty hard. So if you can get some experience in a US hospital and ask the residents or attendings if you can help with admissions and just write down how you would work the patient up, then watch what they actually do and then compare. That is something I did when I was in 3rd year of medical school. I used to suck then, but by the time I was done with residency, it was a piece of cake. |
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