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