Pam Shaw MD pshaw@kumc.edu Step 2 CS and CSA Tips Pam Shaw MD pshaw@kumc.edu

Don’t panic. You are well-prepared CSA is a good trial run May 4, 7-10, 15-17, 21-22, 30 Take the preparation seriously and treat the patients in the lab as you normally treat patients.

Step 2 CS: 3 components Integrated Clinical Encounter Data gathering Documentation (or note) scored by physicians Communication and Interpersonal Skills SP scored Spoken English Proficiency (SP scored) Must pass all three to pass exam

Post-Encounter Note Format http://www.usmle.org/practice-materials/step-2-cs/patient-note.html

Post-Encounter Note Data Interpretation Based on what you have learned from the history and physical examination, list up to 3 diagnoses that might explain this patient’s complaint(s) List your diagnoses from most to least likely For some cases, fewer than 3 diagnoses will be appropriate Then, enter the positive or negative findings from the history and physical examination (if present) that support each diagnosis Lastly, list initial diagnostic studies (if any) you would order for each listed diagnosis For example: restricted physical exam maneuvers, laboratory tests, imaging or ECG

Feedback before taking the exam If you plan on taking Step II CS in late May or June, you need to check in with Dr. Shaw before taking the exam Everyone who scores in the bottom 15% of the class on the CSA will have to meet with Dr. Shaw You have to finish your clerkships before you can take the exam CSA will be scored like the CS so it is good feedback Don’t schedule your exams back to back (CS and CK)

CS Testing and Reporting Dates Testing Period Reporting Start Date Reporting End Date March 25 - May 19 June 20 July 18 May 20 - July 14 August 15 September 12 July 15 - September 8 October 10 November 7 September 19 - November 3 December 12 January 9, 2019 November 4 - December 31 January 30, 2019 February 21, 2019

Resources More info: USMLE step 2 CS Use your clerkships/faculty! Recommended resources