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Clarification on completing the Step 2 Clinical Skills (CS) patient note

Posted: January 02, 2013

Changes were introduced to the Step 2 CS examination program in mid-June 2012. These included changes to the patient note that examinees must complete after each standardized patient encounter.

As described in the Step 2 CS Content Description and General Information booklet, examinees should record pertinent medical history and physical examination findings obtained during the encounter, as well as initial differential diagnoses (maximum of three). The diagnoses should be listed in order of likelihood, most likely to least likely. Examinees should also indicate the pertinent positive and negative findings obtained from the history and physical examination to support each potential diagnosis. 

To clarify previous language about USMLE expectations for examinees completing the patient note: while it is acknowledged that it is important for a physician to be able to recognize the findings that rule out certain diagnoses, the task for Step 2 CS examinees at this time is to record only the most likely diagnoses along with findings (positive and negative), that support them.

Additional information about the Step 2 CS examination, and about all USMLE examinations, is available in the USMLE Bulletin of Information.

Instructions for completing the patient note, as well as a simulation program for practicing the note, and sample patient notes, are available in the Practice Materials section of the USMLE website.


USMLE Score Interpretation Guidelines

Posted: October 30, 2014

USMLE Score Interpretation Guidelines (SIG) have been posted to the USMLE website. Topics include:

  • Description of Examinations
  • Understanding Your Score
  • Recent Means and Standard Deviations (SDs)
    • Norm Table
    • Passing Scores
  • Precision of Scores
  • Guidelines for Use of USMLE Step Scores for Selection Decisions

The means and SDs and the norm table will be updated annually. Because percentile ranks depend on the cohort of examinees, you should always use the most recent norm table available on the USMLE website to obtain percentile ranks.


New display features to be piloted in Practice Sessions

Posted: October 27, 2014

Practice Sessions are primarily intended to provide examinees with the opportunity to become familiar with the Prometric Test Center environment.  From time to time, the USMLE program uses Practice Sessions to pilot new features and get feedback from examinees.

Three new user-adjustable display features will be piloted in USMLE Step 1 and Step 2 Clinical Knowledge (CK) Practice Sessions delivered at a limited number of Prometric Test Centers on or after November 3, 2014: 

  • Reverse color (color inversion)
  • Text magnification
  • Image magnification

The new display features are NOT currently available on live USMLE administrations or in practice materials available on the USMLE website.

Examinees are encouraged but not required to use the new features; they will not interfere with an examinee’s practice experience. Examinees who take a Step 1 or Step 2 CK Practice Session during this period will be asked to complete a brief post-session survey about their experience, which will help USMLE determine whether examinees like the new features.

If the features become available in the future for use in USMLE Step examinations or the online practice materials, examinees will be notified well in advance.

NOTE: the first 500 examinees to schedule an appointment for a Practice Session with the new display features on or after November 3, 2014 will have a $40 discount applied to their fee. Scheduling is restricted to a limited number of Prometric Test Centers during this pilot.
 
Reverse color
Inverts the color of the text and background from black-on-white to white-on-black. The ability to reverse color (also known as color inversion) improves readability for some users.

 

Text magnification
Two levels of text magnification will be available.

Image magnification
Magnifies images, such as photographs and graphs.
Click anywhere within the image to enlarge or to return to original size.


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