{"id":322,"date":"2011-12-20T18:59:13","date_gmt":"2011-12-20T18:59:13","guid":{"rendered":"http:\/\/www.ecfmg.org\/news\/?p=322"},"modified":"2012-01-30T14:13:24","modified_gmt":"2012-01-30T14:13:24","slug":"changes-to-the-step-2-clinical-skills-cs-examination","status":"publish","type":"post","link":"https:\/\/www.ecfmg.org\/news\/2011\/12\/20\/changes-to-the-step-2-clinical-skills-cs-examination\/","title":{"rendered":"Changes to the Step 2 Clinical Skills (CS) Examination"},"content":{"rendered":"<p>One of the recommendations emerging from the <a title=\"CRU\" href=\"http:\/\/www.usmle.org\/CRU\/\" target=\"_blank\">Comprehensive Review of USMLE (CRU)<\/a> process is that USMLE consider ways to further enhance the testing methods used in the Step 2 Clinical Skills (CS) examination. As previously announced in the 2012 <em><a title=\"BOI\" href=\"http:\/\/www.ecfmg.org\/resources\/publications.html#boi\" target=\"_blank\">Bulletin of Information<\/a><\/em>, these enhancements are scheduled for implementation in mid-2012. These changes will be introduced in Step 2 CS for examinations delivered beginning June 17, 2012.<\/p>\n<p>The reporting schedule for examinees testing from June 17, 2012 through November 3, 2012 will be 2-3 weeks longer than for examinees testing during other periods.<\/p>\n<p>More information about the Step 2 CS score reporting dates for examinations delivered in 2012 is provided in the <a title=\"2011 and 2012 Schedules for Reporting Step 2 CS Results\" href=\"http:\/\/www.ecfmg.org\/news\/?p=52\" target=\"_blank\">Step 2 CS Score Reporting Schedule<\/a>.<\/p>\n<p><strong>Changes to the assessment of Communication and Interpersonal Skills (CIS)<\/strong><br \/>\nThe CIS subcomponent of Step 2 CS has been redesigned to assess a fuller range of competencies.\u00a0 Background information about these changes is provided on pages 5-6 of the <a title=\"NBME Examiner\" href=\"http:\/\/www.nbme.org\/PDF\/Publications\/Examiner-2010-Fall-Winter.pdf\" target=\"_blank\">Fall 2010\/Winter 2011 NBME <em>Examiner<\/em><\/a>. The new approach divides communication skills into a series of functions. These functions have been further divided into sub-functions. Beginning June 17, 2012, the Communication and Interpersonal Skills (CIS) scale will focus on five functions:<\/p>\n<ol>\n<li>Fostering the relationship<\/li>\n<li>Gathering information<\/li>\n<li>Providing information<\/li>\n<li>Making decisions: basic<\/li>\n<li>Supporting emotions: basic<\/li>\n<\/ol>\n<p>Several additional functions are still under development; these include making decisions: advanced; supporting emotions: advanced; and helping patients with behavior change. A <a title=\"List of functions and sub-functions\" href=\"http:\/\/www.usmle.org\/pdfs\/step-2-cs\/Assessment_of_Communication_Skills_Behavior_List.pdf\" target=\"_blank\">list of the functions and sub-functions<\/a> is available.<\/p>\n<p><strong>Changes to the patient note<\/strong><br \/>\nAlso beginning June 17, 2012, a new patient note will be introduced. The patient note is completed by the Step 2 CS examinee after the encounter with the standardized patient. In the new note, examinees will continue to be asked to document relevant history and physical examination findings and to list initial diagnostic studies to be ordered. Examinees will also be asked to create a reasoned, focused differential (maximum of three diagnoses) listed in order of likelihood and to indicate the evidence obtained from the history and physical examination that supports (or refutes) each potential diagnosis. The new patient note provides examinees with an opportunity to document their analysis of a patient&#8217;s possible diagnoses. A <a title=\"Sample patient note\" href=\"http:\/\/www.usmle.org\/pdfs\/practice-materials\/patient-note\/new-cs-patient-note.pdf\" target=\"_blank\">sample of the new patient note<\/a> is available for review.<\/p>\n<p><strong>Practice materials<\/strong><br \/>\nUpdated practice materials for Step 2 CS will be posted to the USMLE website in March 2012. These include the Step 2 CS Content Description and General Information Booklet, onsite orientation video, sample patient notes, and a simulation of the program for typing patient notes.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>One of the recommendations emerging from the Comprehensive Review of USMLE (CRU) process is that USMLE consider ways to further enhance the testing methods used in the Step 2 Clinical Skills (CS) examination. As previously announced in the 2012 Bulletin of Information, these enhancements are scheduled for implementation in mid-2012. These changes will be introduced &#8230; <a href=\"https:\/\/www.ecfmg.org\/news\/2011\/12\/20\/changes-to-the-step-2-clinical-skills-cs-examination\/\" class=\"more-link\"><span class=\"screen-reader-text\">  Read More  <i class=\"fas fa-arrow-right\"><\/i><\/span><\/a><\/p>\n","protected":false},"author":10,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,5],"tags":[],"class_list":["post-322","post","type-post","status-publish","format-standard","hentry","category-exam-preparation","category-step-2-cs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Changes to the Step 2 Clinical Skills (CS) Examination - ECFMG News<\/title>\n<meta name=\"description\" content=\"Changes to the Step 2 Clinical Skills (CS) Examination - ECFMG News\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ecfmg.org\/news\/2011\/12\/20\/changes-to-the-step-2-clinical-skills-cs-examination\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Changes to the Step 2 Clinical Skills (CS) Examination - 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