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

2. 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.

3. 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

4. Post-Encounter Note Format

5. 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

6. 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)

7. 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

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