{"id":756,"date":"2013-01-03T20:43:53","date_gmt":"2013-01-03T20:43:53","guid":{"rendered":"http:\/\/www.ecfmg.org\/news\/?p=756"},"modified":"2013-01-03T20:43:53","modified_gmt":"2013-01-03T20:43:53","slug":"clarification-on-completing-the-step-2-clinical-skills-cs-patient-note","status":"publish","type":"post","link":"https:\/\/www.ecfmg.org\/news\/2013\/01\/03\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\/","title":{"rendered":"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note"},"content":{"rendered":"<p>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.<\/p>\n<p>As described in the <a href=\"http:\/\/www.usmle.org\/pdfs\/step-2-cs\/cs-info-manual.pdf\" target=\"_blank\">Step 2 CS Content Description and General Information booklet<\/a>, 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.<\/p>\n<p>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.<\/p>\n<p>Additional information about the Step 2 CS examination, and about all USMLE examinations, is available in the USMLE <i><a href=\"http:\/\/www.ecfmg.org\/resources\/publications.html#boi\" target=\"_blank\">Bulletin of Information<\/a><\/i>.<\/p>\n<p>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 <a href=\"http:\/\/www.usmle.org\/\" target=\"_blank\">USMLE website<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>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 &#8230; <a href=\"https:\/\/www.ecfmg.org\/news\/2013\/01\/03\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\/\" 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-756","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>Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note - ECFMG News<\/title>\n<meta name=\"description\" content=\"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note - 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\/2013\/01\/03\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note - ECFMG News\" \/>\n<meta property=\"og:description\" content=\"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note - ECFMG News\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ecfmg.org\/news\/2013\/01\/03\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\/\" \/>\n<meta property=\"og:site_name\" content=\"ECFMG News\" \/>\n<meta property=\"article:published_time\" content=\"2013-01-03T20:43:53+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ecfmg.org\/news\/wp-content\/uploads\/2023\/03\/ECFMG-OG-1200x680-1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"ECFMG User1\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"ECFMG User1\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/2013\\\/01\\\/03\\\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/2013\\\/01\\\/03\\\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\\\/\"},\"author\":{\"name\":\"ECFMG User1\",\"@id\":\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/#\\\/schema\\\/person\\\/5bf0184c0964ccd9df0a39eed4d994c7\"},\"headline\":\"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note\",\"datePublished\":\"2013-01-03T20:43:53+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/2013\\\/01\\\/03\\\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\\\/\"},\"wordCount\":221,\"articleSection\":[\"Exam Preparation\",\"Step 2 CS\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/2013\\\/01\\\/03\\\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\\\/\",\"url\":\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/2013\\\/01\\\/03\\\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\\\/\",\"name\":\"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note - ECFMG News\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/#website\"},\"datePublished\":\"2013-01-03T20:43:53+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/#\\\/schema\\\/person\\\/5bf0184c0964ccd9df0a39eed4d994c7\"},\"description\":\"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note - ECFMG News\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/2013\\\/01\\\/03\\\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/2013\\\/01\\\/03\\\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/2013\\\/01\\\/03\\\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/#website\",\"url\":\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/\",\"name\":\"ECFMG News\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.ecfmg.org\\\/news\\\/#\\\/schema\\\/person\\\/5bf0184c0964ccd9df0a39eed4d994c7\",\"name\":\"ECFMG User1\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note - ECFMG News","description":"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note - ECFMG News","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.ecfmg.org\/news\/2013\/01\/03\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\/","og_locale":"en_US","og_type":"article","og_title":"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note - ECFMG News","og_description":"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note - ECFMG News","og_url":"https:\/\/www.ecfmg.org\/news\/2013\/01\/03\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\/","og_site_name":"ECFMG News","article_published_time":"2013-01-03T20:43:53+00:00","og_image":[{"width":1200,"height":630,"url":"https:\/\/www.ecfmg.org\/news\/wp-content\/uploads\/2023\/03\/ECFMG-OG-1200x680-1.png","type":"image\/png"}],"author":"ECFMG User1","twitter_misc":{"Written by":"ECFMG User1","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.ecfmg.org\/news\/2013\/01\/03\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\/#article","isPartOf":{"@id":"https:\/\/www.ecfmg.org\/news\/2013\/01\/03\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\/"},"author":{"name":"ECFMG User1","@id":"https:\/\/www.ecfmg.org\/news\/#\/schema\/person\/5bf0184c0964ccd9df0a39eed4d994c7"},"headline":"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note","datePublished":"2013-01-03T20:43:53+00:00","mainEntityOfPage":{"@id":"https:\/\/www.ecfmg.org\/news\/2013\/01\/03\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\/"},"wordCount":221,"articleSection":["Exam Preparation","Step 2 CS"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/www.ecfmg.org\/news\/2013\/01\/03\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\/","url":"https:\/\/www.ecfmg.org\/news\/2013\/01\/03\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\/","name":"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note - ECFMG News","isPartOf":{"@id":"https:\/\/www.ecfmg.org\/news\/#website"},"datePublished":"2013-01-03T20:43:53+00:00","author":{"@id":"https:\/\/www.ecfmg.org\/news\/#\/schema\/person\/5bf0184c0964ccd9df0a39eed4d994c7"},"description":"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note - ECFMG News","breadcrumb":{"@id":"https:\/\/www.ecfmg.org\/news\/2013\/01\/03\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ecfmg.org\/news\/2013\/01\/03\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ecfmg.org\/news\/2013\/01\/03\/clarification-on-completing-the-step-2-clinical-skills-cs-patient-note\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.ecfmg.org\/news\/"},{"@type":"ListItem","position":2,"name":"Clarification on Completing the Step 2 Clinical Skills (CS) Patient Note"}]},{"@type":"WebSite","@id":"https:\/\/www.ecfmg.org\/news\/#website","url":"https:\/\/www.ecfmg.org\/news\/","name":"ECFMG News","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.ecfmg.org\/news\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/www.ecfmg.org\/news\/#\/schema\/person\/5bf0184c0964ccd9df0a39eed4d994c7","name":"ECFMG User1"}]}},"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/www.ecfmg.org\/news\/wp-json\/wp\/v2\/posts\/756","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ecfmg.org\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ecfmg.org\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ecfmg.org\/news\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ecfmg.org\/news\/wp-json\/wp\/v2\/comments?post=756"}],"version-history":[{"count":4,"href":"https:\/\/www.ecfmg.org\/news\/wp-json\/wp\/v2\/posts\/756\/revisions"}],"predecessor-version":[{"id":761,"href":"https:\/\/www.ecfmg.org\/news\/wp-json\/wp\/v2\/posts\/756\/revisions\/761"}],"wp:attachment":[{"href":"https:\/\/www.ecfmg.org\/news\/wp-json\/wp\/v2\/media?parent=756"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ecfmg.org\/news\/wp-json\/wp\/v2\/categories?post=756"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ecfmg.org\/news\/wp-json\/wp\/v2\/tags?post=756"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}