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佳佳: CS 考经
作者:USMedEdu
发表时间:2014-07-05
更新时间:2014-07-05
浏览:1289次
评论:2篇
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发信人: flashingcard (佳佳), 信区: MedicalCareer
标 题: CS 考经
发信站: BBS 未名空间站 (Fri Jul 4 21:59:39 2014, 美东)

本来不打算写考经了,但是想想有的经验对后来人也许还是有借鉴,趁着长周末写下来。

CS,这个在去年CS改革后houston考的,考完了和多数人一样感觉不好。这个PTSD加上
其他一些原因,让我沉寂了很久。这条路继续下去的初衷都开始动摇。

CS本身对于不善背书的人是个难题,只有反复念反复练。别人一个小时就记住了的
protocol,你要是记不住,只能花更多的时间。所以说cs准备要多长时间,真是因人而
异。看见别人几岁的小姑娘用着口齿还不是特别清楚的童音,站在人前大段的表演背诵
课文,心想,这个以后要是考CS一定是高手。如果你是这样的人,恭喜,CS对你来说不
会太难如果你的英文发音也不错的话。

因为和美女sue约好在houston练习,我提早几天到的houston,下午的飞机晚点5小时,
半夜才到旅馆。如果你只提前一天去的话,最好定早一点的飞机。

Houston考场黑人sp比较多。而我对黑人的口音非常不适应。平时周围黑人不多,所以
没意识到这个口音问题这么严重。第一个sp就是黑人,而我和他交流真有问题啊,好多
话不知道他叽叽咕咕说的啥。好在后面的几个黑人好懂一点。有一个墨西哥口音的,不
是太难懂。一个大卷舌的南方白人,说话特别啰嗦,偶尔有的话听起来比较费劲。结果
这个case有的体检忘记做,忘记做的好处是这个case按时close了。考完了和一个美国
人说起这个口音的问题,人家说你该去酒吧坐坐,听听各色人等说话。当然google一下
,会有一些黑人的talk show,也是短期加强的办法。

考试case本身不是那么难,绝大多数是FA的大case,少数minicase。只有一个case
诊断不是那么明确。把FA练熟了是最主要的,不要丢了西瓜捡了芝麻,花大量时间在偏的
case上。

CS考试比较主观,很多东西没有硬性标准,让人抓狂。FA的case比实际考试的更复杂。
uw的体检也不全面,得靠补习班或者Google,youtube等补充。uw的notes值得参考。
CSE的video可以练习发音,但是记住不能所有的东西照搬。每个source都有它缺陷的地
方。我在Kaplan 上的班,director人很好,大课老师也不错,但是分到的助教 实在一
般,不幸的是安排和助教 学的时间很长,包括体检都是和助教学。kaplan班的最后考
试还行,至少可以对你的水平有个反映评估,至于有多准不好说,没人做这个调查。这
个模考至少是让你感受一下真实考试是怎样进行的,而且看不熟悉你说话的美国人是不
是能接受你的英文。其他辅导班应该也有类似的模考,我没上过,所以不好评价。

还一点要强调就是live partner的重要。幸亏我找到Henry同学,他的体检特别强,把我
最弱的一项给补充了。还有要在网上和不同的人练习,不同的人会提出不同的建议。大
家参加的是不同的班,所以你就有机会取长补短了。不熟悉你的人更可能听出你发音的
问题,有可能的话,也找别的国家的人练。网上的tutor没用过,不好推荐。

考完了去Google别人pass了但是考试犯了的错误,帮助你度过PTSD 阶段。有人体检戳
到sp的眼睛,居然也pass了。所以一个case做得不好,不影响全局,继续把剩下的case
做好。我考试当天IMG不少,其实有的人长白人样,要不是在旅馆见过,说过话,不仔
细看我会以为是AMG。我听他说话一点问题都没有,他还给我传授他的口诀,虽然时间
短,我记不住,但是还是感谢他。可是他和我们一起考完出来,非常沮丧,说好几个sp
让他重复。所以找不同的人练习还是有必要,如果有人听不太懂你说话,一定要重视了
。如果有可能找考过的同学帮你练一练,也是有好处的。

备考遇到很多很好的同学,非常感谢,我就不一一点名了. 也祝后面的同学考好。


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※ 修改:·zhu84518 於 Jul 5 00:17:08 2014 修改本文·[FROM: 70.]

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共有2条评论
1   [USMedEdu 于 2014-07-05 19:03:23 提到] [FROM: 72.]
发信人: sueze008 (Sueze), 信区: MedicalCareer
标 题: CS experience in LA
发信站: BBS 未名空间站 (Mon Jun 23 15:03:10 2014, 美东)

Took CS in LA last week. Not feeling so good, and super worried of failing.
Still want to share my journey with everyone.

-Took Kaplan 5 days course, very helpful! It helped me identify my weakness
and strengthens. My stress level was way down when I found out that I only
failed ICE part on the MOCK exam. I did not prepare at all when I went to
take the course.
-Read FA and core cases for less than 3 weeks. so total less than 4 wks
preparation for CS. Just finished the first round of reading FA 2 days
before the exam date. Practice online with a partner 2-3hrs every day for
about a wk. Practiced on my kids (7, and 9 yo) and husband for 3 days before
the exam. Very panic due to lack of confidence.

Arrived in a hotel the day before, walked around and got familiar with the
area. The hotel is very close to the center and the airport, very
convenient. But the hotel is awful, dirty and no breakfast included (maybe i
am spoiled). Especially there were some creepy sounds in the middle of
night and freak me out. The good thing is 10 mins walk distance to the
center, and you can leave the luggage in the hotel, and come back to take
the shuttle to the airport after the exam. The day of my exam, only 2 IMGs,
everybody else were either 3rd year or 4th year american medical students,
young, and confident. To be honest, I did not want to do it that day, I felt
my stomach full of bugs... Did not do well in the morning, the last case I
did not even finish the PE before the time was out. The lunch was good,
sandwich, fruit and desert. The food and chat with a 3rd medical student who
is descended from Taiwan made me relaxed a bit. The afternoon sections
were better, I was able to finish all cases but forgot counseling in most
cases. Under the limited time, I forgot so much... In general, I felt the
PNs were easier than the encounters in the room. I don't feel difficult in
terms of DDX, every case were easy to diagnose. no confusion. All SPs were
supper nice to me, and poured all the info even I did not ask. When I gave a
wrong DDX during one closure, one SP even corrected me with additional info
that I failed to elicit from her. I should have prepared more and maybe I
could perform better, given the fact that I was so blessed with easy cases
and super nice SPs. Anyway, in just less than 4wks, I did my best. There is
no regret even I failed. But my suggestion is if you dont have time problem
, prepare well and get yourself familiar with all the minicases and big
cases in the FA, you will be fine.
The next 2 mos will be a hard waiting time. I will definitely keep posted on
the result. By now, I have finished step 1, ck, and cs in 16mos after
waiting for 3yrs of appeal. Feel the step 1 is the hardest, and ck and cs
are so much easier... I am saying that is because I did not aim that high.
Finish all exams within a limited time is my goal. I have family and kids.
Preparing the exam has taken a lot of time and efforts from me. I dont want
to put everything else on hold too long for this. Life is short, spend it on
the things you enjoy. Finally, the past 16mos has been the happinest time
of my life- being able to do things I really enjoyed. I was so blessed to be
able to take the exams. I hope those who were or are rejected from ECFMG
get your green lights soon. Hold on to your dreams if you think it is worth.

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2   [USMedEdu 于 2014-07-05 19:02:44 提到] [FROM: 72.]
发信人: marylandbbs (marylandbbs), 信区: MedicalCareer
标 题: 简短CS考经
发信站: BBS 未名空间站 (Fri Jun 27 22:56:26 2014, 美东)

复习早期和partner 练,考前10天和家人练习。全职上班,只能业余时间练习,共
3个多月。复习资料只有FA,大Case过了4-5遍,小case过了3遍。参加了Kaplan 5天班
,又找了tutor Dr. Puma。个人感觉Dr. Puma对我帮助很大,他的protocol,
associated systems, HPI都非常好,真正起到事半功倍的作用,上完他的课后,对问
诊清楚多了,一看到chief complain,马上就有3-4个DDx,分别要问哪些问题,特别清
楚,对于我现在做OB也很有帮助。还有,Dr. Puma针对个人情况纠正SEP。Kaplan的CIS
很有帮助,根据sp的checklist充实自己的encounter。Kaplan要求对于DDx的support
尽量多写,考试中我也尽量多写。只是kaplan的学费太贵了。
考试在Atlanta。当天我们组只有我一个IMG,其他都是Emory的学生,汗!!!
Case不出FA,但有些case只有2-3个阳性症状,其他一概阴性。PN中除了一个我写了2个
DDx,其他都写了3个DDx. PN中犯了许多错误,查过的阳性体征忘记写了、有些单词写
错了、等等。SP大都很nice,但有2-3个不咋的,不知是故意的,还是我表现不好。
总体感觉:练熟FA,找个tutor 如Dr. Puma(不是做广告,我没找过其他tutor,
没有比较),考试尽量平静,肯定能过。
非常感谢我的partner和家人!到目前为止,我的partner全都pass了。祝大家好运!

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