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Step 2 CS cases – common presenting signs and symptoms

Posted: September 10, 2017

A list of common presenting signs and symptoms that Step 2 Clinical Skills (CS) examinees may expect to see during their examination has been posted to the USMLE website. These are examples only, and the list does not represent all possible presenting signs and symptoms that may be encountered.

The Step 2 Clinical Skills Content Description and General Information booklet has been revised to include this list.

Examinees will encounter a broad spectrum of cases reflecting common and important symptoms and diagnoses, as well as patients with a variety of backgrounds. The criteria used to create individual examinations focus primarily on presenting symptoms and conditions. On any examination day, the set of cases will differ from the combination presented the day before or the following day, but each set of cases has a comparable degree of difficulty.

Presentation categories include, but are not limited to, cardiovascular, constitutional, gastrointestinal, genitourinary, musculoskeletal, neurological, psychiatric, respiratory, and women's health. Examinees will see cases from some, but not all, of these categories. The selection of cases is also guided by specifications relating to acuity, age, gender, and type of physical findings.

The USMLE program continually reviews its examinations to ensure their content is relevant to the practice of medicine. As practice guidelines evolve or are introduced, the content on USMLE is reviewed and modified as needed.


Step 2 CS videos available

Posted: November 05, 2018

Brief videos depicting reenactments by actors of actual examinee performances on the USMLE Step 2 Clinical Skills (CS) examination are now available. The names of the examinees and standardized patients have been changed. All videos are less than two minutes in length.

You can view them here. These videos provide examples of an actual examinee performance at an acceptable level, and may be helpful to individuals preparing to take the exam.


New score report format – USMLE Step 3 examination

Posted: October 03, 2018
Updated: October 23, 2018

The USMLE Step 3 examination score report has been redesigned to reflect both advances in the underlying science of assessment and changes to the USMLE program over time.  Examinees testing on or after October 1, 2018 will receive score reports in the new format.

The redesigned report features a chart showing an examinee’s performance compared with recent first-time takers from US and Canadian medical schools, the examinee’s performance in individual content areas relative to their overall Step 3 performance, and information about the allocation of items across each content area.

You can view the new score report here [Understanding Your Step 3 Score Report]. Click on the comment boxes for explanatory/informational text. FAQs about the score report are also available.

The USMLE program solicited feedback on the new design from a number of stakeholders, including examinees, medical school faculty, and residency program directors.

The new examinee score report format will be implemented for Step 1 and Step 2 Clinical Knowledge (CK) examinations in early 2019. A new score report format for the Step 2 Clinical Skills (CS) examination is under development.

Questions or comments? Please send here.


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