Step 2 CS: How to introduce yourself

"Mr. XXX?"

"Hi. I am Dr. _______. I am the attending physician today and I am here to take care of you."

"Are you comfortable in the room?"

"Let me put this drape on you to make you more comfortable."

"Is it okay with you that I take some notes while interviewing you just so I don't miss out on any important points?"

"So tell me, what brought you to the clinic?"

Dr. Thinker: FAQs related to programs

1.      When to start searching about the programs?

-          The best time is from July as most of the programs update their requirement info by the end of june or start of July.

Dr. Thinker: ERAS CV

-          It is automatically made as you fill your details on ERAS.

-          Make sure you make no grammatical errors.

-          DO NOT LIE about anything on your CV.

-          Present mailing address: Give your US address. Sometimes programs like to call those that live in the same region.

-          Permanent mailing address: I would suggest US address for this too, for the same reason as above. Programs would prefer those who have family or familiar to that region/state.

-          Medical school honors/Awards: Mention the awards you got in medical school, like distinctions or gold medals.

Dr. Thinker: MATCH season

-          Application for the Residency match starts on 15th September.

1.      What all should you ideally keep ready by the end of August?

-          Make sure your LOR’s are uploaded. Waived LORs take longer to get processed than the unwaived ones.  The processing time can be anywhere between 1 day to 2 weeks. The closer it gets to sept 15th the longer it takes.

-          Have your final draft of PS ready.

-          Have your MSPE/Dean’s letter uploaded (Dean’s letter can be a substitution for MSPE)

-          Your profile photo – keep it as professional as possible.

ERAS CV, PS can be uploaded or updated even in the last moment. There won’t be any processing time for this.

Dr. Thinker: Stay/Accommodation

Short duration: Especially when attending interviews.

1.      Airbnb: It’s a website where you can get rooms for a cheaper rate than the hotel. It’s the best option for a one night or a couple of nights stay.

a.      The rooms are usually in an apartment or a house and most often the owners live in the other room.

b.      You can search for shared or private rooms.

c.       You can search for the rooms according to the distance from the hospital.

d.      You can see the photos of the room and house before you book.

e.      You can read the reviews and then decide whether to take it or not. YOU MUST read the reviews.

f.        It is usually safe. I used it many times without any trouble and so did my friends.

           You can use this referral link to sign up in order to get 35$ off on your first booking. You must sign up clicking this link in order to get it.

            Link: www.airbnb.com/c/rchandra40?s=8

2.      Couch surfing: Like literally renting a couch in an apartment.

a.      Much cheaper option.

b.      Read reviews before you book.

https://www.couchsurfing.com                   

Longer duration:

During electives: It’s best you ask the coordinator to send a list of places where students usually live.

Dr. Thinker: Travelling in the USA

-          You would be spending a lot of money on this. So, always look for a couple of options and choose the best alternative.

Dr. Thinker: Letter of Recommendation (LOR)

FAQs

1.      How to get a good LOR?

-           It’s very simple.  The doctors in the USA are very friendly. They just expect you to know basic knowledge.

A.      Be on time – very important.

B.      Come to the hospital at the same time your resident or fellows come and leave along with them, even if they ask you to leave early.

C.      Read a topic, or something related to the cases you see and ask your resident or the attending some intelligent doubts in that topic. This way you are building up a rapport without sounding dumb when they talk about that topic.

D.     Volunteer to take a case or present a topic. Don’t wait for them to give you work.

Dr. Thinker: Research

FAQs  

1.      What are the types of visa on which you can join research?

A.      Research Volunteer/Intern: B1 visa

-          It is an unpaid position.

-          Your visa could be B1/B2, but at the port of entry the customs officer usually stamps B2. So, make sure you ask him to stamp  B1 if you are going for this kind of research.

B.      Research Assistant: J1 visa

-          This could be paid or unpaid position.

C.      Post doc: J1 visa

-          Paid or unpaid depending on the funds.

-          They usually have a commitment for 2 years. But, sometimes you can break it after an year depending on your attending.

Dr. Thinker: United States Clinical Experience (USCE)

USCE – United States Clinical Experience

Types of USCE:

A. Clerkship: It is considered hands on clinical experience.  You MUST try your best to do this no matter what.
Eligibility: You should be a medical student and not graduated yet.
(For Indians: Internship period is still considered as not yet graduated.)

- The best clinical experience.

- This is what the programs look for.

- The LORS from this have a great value.

B. Observership: Not a hands on, just shadowing another doctor.

Eligibility: Either a medical student or after graduation

- Not considered as a USCE by most of the programs.

- Some hospitals might let you touch and examine patients, but legally you are not supposed to.

- Best to fill the gap between graduation until residency application or end of the season.

- A reasonable time spent a big university or a community hospital that takes IMGs into residency is fruitful.

C. Externship: Hands on clinical experience.

Eligibility: After graduation

- Some programs doesn’t consider it as USCE as this kind of experience is mostly offered by private agencies or at private clinics.

- The LORS can mention it as hands on.

- Best to do if you haven’t had any clerkships

Dr. Thinker: USMLE STEP 2CK and STEP 3

I am not going to explain this in detail as I already did it for USMLE Step1. The approach is the same. Once you are done with Step1 exam, you will get a hang of it and you are going to become your own master of USMLEs.

USMLE STEP 2 CK

When is the ideal time to give it? – It’s best given asap after USMLE step1. It will save a lot of time as your basics would be strong and fresh.

Duration: 3 months if given immediately after USMLE STEP1. Otherwise 4-6 months.

Resources: MTB 2, MTB3, Uworld

Practice Tests:  1. UWSA    2. NBME forms 1-7

Dr. Thinker: USMLE STEP 2 CS

When to give it? 

1.      Ideally give it after your clerkship or observership, as you will get to know how to talk to patients in the USA.

2.      It can be given before step 1 or after. It doesn’t matter. I gave it before step 1.

Dr. Thinker: USMLE STEP 1

USMLE STEP 1

Ideal Duration: 6 months (But, remember it varies from individual to individual)

Resources: Kaplan notes, Kaplan Videos, First Aid, Uworld

 Alternative resources:  If  you are aiming for high scores    

Dr. Thinker: FAQs regarding the application for USMLE Step exams

These are some of the questions I had encountered on multiple occasions from many people.

1.      Can we change the testing center from some country to the USA or from the USA to some other country?

-          Yes, you can change from any country to another country.

-          Just call ECFMG customer care. They will give you a number to which you can fax your request. You will just have to write your details and the request “Please, change my testing center from “current country” to “the country you want”, on a white paper and sign at the bottom.

-          If you change your testing center from any other country to the USA, then you will get a refund for the testing center surcharge fee(150$) that was earlier charged in your country.

-          If you change your testing center from the USA to any other country, then you will be charged a testing center surcharge fee depending on the country you are changing it to.

Dr. Thinker: My journey

I am sharing my story mainly for those who go unmatched or thinking of giving up at
every hurdle that comes in the USMLE path. I didn't match at my first attempt, too. We may not
have the same problems overall, but I totally understand what you would be going through. I
didn’t have any financial troubles ( thanks to my parents and brother), but emotionally it was a
nightmare until Mar 14, 2016, considering the fact that even my family wouldn't have been
happier with me giving it an another try( can't blame them).

Journey: We think we need some help or seniors for securing electives and all. In reality- it’s
just an excuse we give ourselves. Of course, having them will make it easy, but not having them
isn’t the end. I did it all by myself with the help of google. That's one reason I keep answering
queries on usmle pages, as not everyone has someone to back to them up. Remember -
Contacts don't just happen for everyone, you make them!!

Dr. Thinker: Note

DON’T GIVE UP

 You may not match this year,

 you may not match the next year.

 But, you will have to and for sure will match one season.

 As, matching can only be delayed and not denied.

 Provided, you don’t GIVE UP.

Dr. Thinker: A path to USMLE contents page

Hey everyone!

Our new awesome author Dr. Raja Chandra (Pen name: Dr. Thinker) is going to share his USMLE experience with us in the next few posts. He is also planning to write a few funny posts. Who is excited? :D

He took out his precious time and wrote everything he had come to learn about USMLE in the past couple of years. This is a contents page that helps you navigate so that you can read what is pertinent to you at this stage :)

Hope it helps! Good luck.

Thanks a lot for sharing this with us, Dr. Thinker! :D

Step 2 CS: Writing examination in patient note

Hello! In this post, I'll be noting some points how to write a patient note for step 2 CS. Especially, focusing on short forms that can be used in the exam.

I have noticed that writing the note in ALL CAPS is better and it does save a lot of time. Similarly, instead of using the "colon : " you could use the "dash - " and it'll make life simpler.

Step 2 CS: Loss of consciousness

Differentials:

Seizure - Ask for shaking, tongue biting, rolling of eyes, incontinence

Hypoglycemia - Sweating, fatigue, excessive hunger

Orthostatic hypotension - Ask for palpitations, positional syncope or hypotension associated with large meals. Medications can cause this. Counsel this patient properly by warning them and ask them to get up slowly, etc.

Vasovagal syncope: What were you doing when you lost consciousness?

Step 2 CS: Amenorrhea

I am just trying to set a sequence of questions to ask in the exam, tests to order and examination to do so that I am not all over the place in the exam.

So here's what I am going to do if a case of amenorrhea shows up - Ask about general menstrual history and then go to symptoms specific for differentials:

Anatomy and Neuroanatomy - How to Study

Hi guys, I'm Jay once again, and I passed my Anatomy and Neuroanatomy subjects today in my first year. yayyyy!! :D

So I thought I'd share some facts about how I studied anatomy in my MS1 or First year of Medicine.

First, which books to read?

Is Homosexuality a disease? Is Gay a gender? (Sex, Gender and Sexuality)

We got these questions, many times in our Whatsapp study groups! No, is the answer to both questions. Let's find out why and lets find out much more information about what is Sex, Gender and Sexuality(Sexual Orientation)!