United States Medical Licensing Examination
(USMLE)
usmle
step 2 CS, usmle world, prep4usmle, usmle net
USMLE Step 2 CS Objective Structured Clinical
Exam (OSCE Exam)
usmle
step 2 CS, usmle world, prep4usmle, usmle net
USMLE Step 2 CS OSCE Exam has 12 OSCE stations. You will have 15 minutes for each patient
encounter and 10 minutes to record each patient note. If you do not use the
entire 15 minutes for the patient encounter, the remaining time will be
added to the time you have to record the patient note. This 15 minute
patient encounter includes the time to read the instruction on the
station door.
The USMLE Step 2 CS OSCE Exam session lasts approximately 8
hours, and two breaks are provided. The first break is 30 minutes long;
the second break is 15 minutes long. You may use the restrooms before
the exam and during breaks. A light meal will be served during the first
break, and there are vending machines available for drinks.
Your USMLE Step 2 CS OSCE Exam includes a very small number of
unscored patient encounter OSCEs, which are added for pilot
testing new cases and other research purposes.
As USMLE Step 2 CS OSCEs are 15 minutes long, most stations will require
more than one task to be completed, e.g. history taking and physical
examination, or, history taking and counseling.
In USMLE Step 2 CS OSCE Exam, you will be assessed to the same clinical
skills and communications skills which are evaluated in other Objective
Structured Clinical Exams (OSCEs).
The testing area of the USMLE Step 2 CS OSCEs clinical skills
evaluation center consists of a series of examination rooms equipped
with standard examination tables, commonly used diagnostic instruments
(blood pressure cuffs, otoscopes, and ophthalmoscopes), non-latex
gloves, sinks, and paper towels. Outside each USMLE Step 2 CS OSCE
Exam room is a cubicle equipped with a computer, where you can
compose the patient note.
Before the first patient encounter in USMLE Step 2 CS OSCEs, you
will be provided a clipboard, blank paper for taking notes, and a pen.
The examinee instruction sheet gives you specific instructions and
indicates the patient's name, age, gender, and reason for visiting the
doctor. It also indicates his or her vital signs, including heart rate,
blood pressure, temperature, and respiratory rate. You may encounter
patient problems or conditions that suggest the need to confirm or
re-check the recorded vital signs and/or perform specific maneuvers in
measuring the vital signs. In USMLE Step 2 CS OSCEs, you may also
encounter a case in which the examinee instructions include the results
of a lab test.
In USMLE Step 2 CS OSCE Exam, you should interact with the
standardized patients as you would with any patients you may see with
similar problems. The only exception is that certain parts of the
physical examination must not be done: rectal, pelvic, genitourinary,
female breast, or corneal reflex examinations. If you believe one or
more of these examinations are indicated, you should include them in
your proposed diagnostic work-up.
The USMLE Step 2 CS OSCE Exam, you should perform
physical examination maneuvers correctly and expect that there will be
positive physical findings in some instances. Some may be simulated, but
you should accept them as real and factor them into your evolving
differential diagnoses. You should attend to appropriate hygiene and to
patient comfort and modesty, as you would in the care of real patients.
With regular patients in a normal clinical setting, it is possible to
obtain meaningful information during your physical examination without
being unnecessarily forceful in palpating, percussing, or carrying out
other maneuvers that involve touching. In USMLE Step 2 CS OSCE Exam,
your approach to examining standardized patients should be no different.
SPs are subjected to repeated physical examinations during the USMLE
Step 2 CS OSCEs; it is critical that you apply no more than the
amount of pressure that is appropriate during maneuvers such as
abdominal examination, examination of the ears with an otoscope, and
examination of the throat with a tongue depressor.
Immediately after each USMLE Step 2
CS OSCEs patient encounter, you will have 10 minutes to complete a
patient note. You will be asked to handwrite or type on a computer a
patient note similar to the medical record you would compose after
seeing a patient in a clinic, office, or emergency department. You
should record pertinent medical history and physical examination
findings, as well as your initial differential diagnoses. Finally, you
will list the diagnostic studies you would order next for that
particular patient. If you think a rectal, pelvic, genitourinary, female
breast, or corneal reflex examination would have been indicated in the
encounter, list it as part of your diagnostic workup of the patient note
part of USMLE Step 2 CS OSCE Exam.
In USMLE Step 2 CS OSCE Exam:
- There is no examiner in the room. The encounter is video
monitored and taped.
Thus, there will be no questions asked in the room. However, during
physical examination, you are still required to explain to or take
permission from the patient before you start each physical contact
with the patient.
- There is no bell or buzzer. Human voice pager announcement will
announce; the beginning of the patient encounter, five minutes left
fort the encounter, end of the encounter, two minutes left for the
the patient note period, and lastly the end of the station.
- Treatment, consultations, or
referrals should not be included in your workup plan.
For more and up to date information about USMLE
Step 2
CS OSCEs, please visit the USMLE website.
For sample OSCEs questions, stations and how to prepare for
USMLE Step 2
CS OSCE Exam you are at the right site!
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usmle
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