USMLE step 2 cs: New patient note

I am subscribed a newsletter by the ECFMG. Once subscribed to this mailing list, you get the most updated information regarding the USMLE. On december the 20th, 2011, I received an email from them annoucing “CHANGES TO THE STEP 2 CLINICAL SKILLS (CS) EXAMINATION”.

The next important question after asking what are the changes is “when are they going to take place”. “These changes will be introduced in Step 2 CS for examinations delivered beginning June 17, 2012.”

 

I like the new changes they are making to the patient note.

“In the new note, examinees will continue to be asked to document relevant history and physical examination findings and to list initial diagnostic studies to be ordered. Examinees will also be asked to create a reasoned, focused differential (maximum of three diagnoses) listed in order of likelihood and to indicate the evidence obtained from the history and physical examination that supports (or refutes) each potential diagnosis. The new patient note provides examinees with an opportunity to document their analysis of a patient’s possible diagnoses.”

Take a look at the new CS patient note:

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For those who were not registered in the ECFMG mailing list, here is their full email:

 

The ECFMG(r) Reporter
An E-Newsletter for International Medical Graduates Pursuing Graduate Medical Education in the United States
Issue 180 – December 20, 2011
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IN THIS ISSUE:
- CHANGES TO THE STEP 2 CLINICAL SKILLS (CS) EXAMINATION
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CHANGES TO THE STEP 2 CLINICAL SKILLS (CS) EXAMINATION
One of the recommendations emerging from the Comprehensive Review of USMLE (CRU) process is that USMLE consider ways to further enhance the testing methods used in the Step 2 Clinical Skills (CS) examination. As previously announced in the 2012 Bulletin of Information, these enhancements are scheduled for implementation in mid-2012. These changes will be introduced in Step 2 CS for examinations delivered beginning June 17, 2012.
The reporting schedule for examinees testing from June 17, 2012 through November 3, 2012 will be 2-3 weeks longer than for examinees testing during other periods.
More information about the Step 2 CS score reporting dates for examinations delivered in 2012 is provided in the Step 2 CS Score Reporting Schedule at
http://www.ecfmg.org/news/2011/09/29/2011-schedule-and-2012-partial-schedule-for-reporting-step-2-cs-results/.
CHANGES TO THE ASSESSMENT OF COMMUNICATION AND INTERPERSONAL SKILLS (CIS)
The CIS subcomponent of Step 2 CS has been redesigned to assess a fuller range of competencies.  Background information about these changes is provided on pages 5-6 of the Fall 2010/Winter 2011 NBME Examiner at
http://www.nbme.org/PDF/Publications/Examiner-2010-Fall-Winter.pdf. The new approach divides communication skills into a series of functions. These functions have been further divided into sub-functions. Beginning June 17, 2012, the Communication and Interpersonal Skills (CIS) scale will focus on five functions:
1.      Fostering the relationship
2.      Gathering information
3.      Providing information
4.      Making decisions: basic
5.      Supporting emotions: basic
Several additional functions are still under development; these include making decisions: advanced; supporting emotions: advanced; and helping patients with behavior change. A list of the functions and sub-functions is available at
http://www.usmle.org/pdfs/step-2-cs/Assessment_of_Communication_Skills_Behavior_List.pdf.
CHANGES TO THE PATIENT NOTE
Also beginning June 17, 2012, a new patient note will be introduced. The patient note is completed by the Step 2 CS examinee after the encounter with the standardized patient. In the new note, examinees will continue to be asked to document relevant history and physical examination findings and to list initial diagnostic studies to be ordered. Examinees will also be asked to create a reasoned, focused differential (maximum of three diagnoses) listed in order of likelihood and to indicate the evidence obtained from the history and physical examination that supports (or refutes) each potential diagnosis. The new patient note provides examinees with an opportunity to document their analysis of a patient’s possible diagnoses. A sample of the new patient note is available for review at
http://www.usmle.org/pdfs/practice-materials/patient-note/new-cs-patient-note.pdf.
PRACTICE MATERIALS
Updated practice materials for Step 2 CS will be posted to the USMLE website in March 2012. These include the Step 2 CS Content Description and General Information Booklet, onsite orientation video, sample patient notes, and a simulation of the program for typing patient notes.
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ABOUT THIS PUBLICATION
As an organization, ECFMG is committed to providing information on issues of importance to international medical graduates. We realize that many individuals would like updated information on developing issues related to ECFMG Certification and entry into graduate medical education in the United States. As a result, ECFMG has developed The ECFMG(r) Reporter to provide international medical graduates worldwide with timely, objective information on current topics of interest. It is our hope that this newsletter will allow physicians educated outside the United States and Canada to make informed choices on issues that shape their careers.
Previous issues of The ECFMG(r) Reporter are available on the ECFMG website. Subsequent issues will be posted to the ECFMG website as they are published. To access previous issues, visit the ECFMG website at
www.ecfmg.org/reporter/.
Interested individuals can join or leave The ECFMG(r) Reporter mailing list at any time. To join or leave, visit The ECFMG Reporter home page at
www.ecfmg.org/reporter/.
Please do not reply to this message. Messages received at this address will not receive responses.
We hope you find these updates helpful. Thank you for your interest in ECFMG.
Copyright (c) 2011 by the Educational Commission for Foreign Medical Graduates (ECFMG(r)). All rights reserved.

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