too early to give up but you seriously need to re-evaluate some things. Deep down inside you likely knew you did not practice enough for PE and just wanted to "get it out of the way". You have to get out of this mindset immediately of 'hoping I get lucky and pass'. You cannot fail anymore boards. I did the goldusmle live classroom weekend 2 weeks before my CS I think it could help you a lot if you don't know what to study because it's like a super intense weekend of practicing on standardized patients, I don't know much about PE but I assume it is essentially the same thing as CS (~12 patient encounters, take a history and physical exam and write a patient note with differentials and tests for each patient?? apart from format of the exam software I can't imagine it's any different in terms of what you actually need to demonstrate skills wise) Since you want ACGME residency you should look into if you can take CS, I know you can apply to programs w/ complex but am not sure what the rules would be around mix and matching the exams, i.e. if you have COMPLEX 1 and 2 but USMLE for clinical skills would that work? Or would you have to have either all of the COMPLEX or all USMLE for step 1and2?
Anyways, they are super strict at this gold review course, everyone has to put their phone in their lockers in the morning and they literally lock the door behind you once you enter the facility lol... and you are stuck there and there's no clock in the main boardroom area (because you should not be thinking about when you will get out of here) you literally wake up 8am and can go to as late as 1am, it is pretty brutal but at the end of it if they say you will pass, you will pass. I noticed you said something about videos and getting feedback on your performance with a standardized patient (as in singular?!?!) This is not an exam you can really prepare for by watching videos, you have to practice practice practice on live SPs and not on "nice" friends who say you're going to do great. The other thing about it is that they will change up the activities and sometimes will put up an SP on the front stage (they do this for like some routine cases and some difficult ones like a rape case) and you get criticized in front of like 25 people, it doesn't sound that bad but it's actually pretty intimidating, and it is certainly a lot more intimidating than the real exam which you will dominate because you already got grilled in front of a whole room of other students using SPs that don't go 'easy' on you. If you're gonna do the course make sure you review first aid cases beforehand, you want to be familiar with the basics and have some baseline because you don't want to be wasting time when you get there. I don't work on commission or anything lol I just really like how there's a boot camp for this sort of thing
This is a really in-depth post and I appreciate it, but I feel like I should clarify a few things. Back January of this year, I returned to my school to participate in comlex PE prep. All students participating were with 4 different standardized patients, wrote soap notes and did everything exactly as you are supposed to do. One of my encounters gave me a poor performance and my Dean reached out to me and suggested that attend follow up training. I said no problem because I was at school for a rotation and knew my osce skills were poor due to being on rotations and being with real patients.
The preceptor I was rotating with is the individual in charge of ALL of our schools osce preparation and remediation. Had there been a red flag during my rotation he would of pulled me aside and told me. During my rotation, I was given one on one advice from the osce staff members at my school who assist with all students who failed the PE. They sat me down, handed me packets and packets of notes and walked me through several cases. Then, I did 3 encounters with a standardized patient and they watched my live encounter through a 1 way window. After each encounter, we would stop and they would give immediate feedback from the watching staff members and the standardized patient. Most of the mistakes I was making we simply out of osce practice, such as with a real patient:
"sir, do you have any medical conditions?"
"Nope"
"Okay, may I ask why you are taking metformin?
"Oh, that keeps my blood sugar down."
"Do you have type 1 or type 2 diabetes?"
"Neither, my blood sugar is fine now"
Where as with the standardize patient, there is no need to dig so deeply.
"Do you have any medical conditions?"
"Yes, I do." And names them.
After the 3rd encounter, the only thing they could give me advice on or even still improve on was my assessment and plan. The staff members at that time had said I was fine and should have zero problems passing and were more than happy to tell my preceptor that I didn't need extra training and that I was good to go.
That was back in January, meaning the PE has been on my mind the entire time. I can honestly say that I didn't push it off to the last minute and expected that as long as I was nice. That I would pass.
Dudes giving a pretty viable option. Another question i have that may not have been addressed yet is the typing. Did you finish all the soap notes , did you document something you didnt do ?
Correct, all soap notes were complete. Had all the relevant information. I worked my way up from A/P, to O, to S and then HPI last since the other categories were allegedly worth more points. I am 99% sure that I got most if not all of the diagnosis correct, always performed CV, pulm, some HEENT and the relevant other PE exams that were related to the patients concern. Didn't lie on my note because I already knew that that was an instant failure. Always asked permission before I did something and always washed my hands before shaking the patient's hand.