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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.
Posted: November 14, 2013
A summary of changes to USMLE planned for 2014-2015 is available. This document will be updated as more information becomes available.
Posted: November 04, 2013
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) was released at the American Psychiatric Association’s Annual Meeting in May 2013. USMLE test content will be impacted by changes in criteria and terminology.
Because USMLE content pools are large, the transition from DSM-IV to DSM-5 criteria and terminology will need to be gradual and will likely take place over several years. The following principles will guide this transition:
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