Timing

Timing is definately an important component of this exam! You need to time yourself through all sections so that you are not running out of time. Do plenty of write ups and time them as this is also a crucial part.

Depending on whether it is written or typed it is up to you make sure you practice both parts and are making it on time.

CIS components

Many people tend to underestimate CIS part of the exam. All the components are quite important starting from a simple smile to the hand shake. It is "HOW" its done not just that u have done it. Here are a list of what is expected:

1.greeting sp by name and self introduction
2.eye contact
3.respectful draping
4.wash hands
5.general demeanorappearance,dressing,hygieneof physician
6.sympathy
7.gentle touch[esp abdomen exam]
8.listening to the patient without interruption
9.counseling
10.closure
11.discussion of diagnosis and plans in layman terms
12.non-judgemental attitude
13.asking if patient has any concerns
14.consent before physical exam,also for hiv test
15.pull out footrest for patients lying down...rarely,there will be a patient whos so short that his/her legs dont stretch out enough,so its a good idea to pull it out before asking the patient to lie down.
16.make them comfortable..if they are coughing,offer a glass of water,if sneezing,offer kleenex
17.handshake[if patient is in pain,avoid this]

I will get into each component of those ponits later...,

cspass

The CS is an exam that needs equal time and attention just like the rest of the USMLE steps we take. Most IMG's with English as a second langauage tend to struggle with this part of the exam.
You need to dedicate time and effort to really reading, organizing and performing your best to pass this exam. It requires a good partner preferably in the field of medicine to really work with you to practice each case and pay attention to your manners, style, pronuncitation and approach to pass this exam.

The CS consists of three componets:
1. Integrated Clinical Encounter: Consisting of data gathering (History & Physical examination) and documentation (patient notes).
2. Communication & Interpersonal Skills: Questioning skills, patient counseling skills, professionalism
3. Spoken English Proficiency: Clarity, pronunciation, and minimizing the need to repeat
yourself.

Most people tend to fail the SEP or CIS which can be difficult to pass.

Compassion is big component that has many aspects that need to be addressed during this exam.