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  #1  
Old 11-28-2011
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Question Step 2 CS will change in May 2012

I heard that step 2 CS is going to change from May? if so is it better to complete step 2 CS before may or after May for 2013 matching?

Please suggest me what to do?
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Old 12-03-2011
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Definitely doing it before the changes.

Otherwise, what's described in FA and other CS books is not what you'll really see in the new exam format.

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Old 12-03-2011
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Quote:
Originally Posted by StepTaker View Post
Definitely doing it before the changes.

Otherwise, what's described in FA and other CS books is not what you'll really see in the new exam format.

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What are those changes?is it going to be more difficult?
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Old 12-03-2011
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Star MAY 19th is the Last Possible day!

Thanks Steptaker. You just reinforced my thought. May 19th is the last day before they start changing the Step 2 CS. Also, for the scores to be reported in time for September 1st of 2012, it is essential that we finish the Step 2 CS latest by May 19th.

But, I have my Step 1 scheduled for the beginning of march and I'm not sure if I can get a slot for CS if I book it in March Please let me know if it is possible to find slots for CS exam during the period of March to May. I am an IMG.
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Old 12-03-2011
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Where did you hear that CS was changing ? Like who told you ? Anything put up ?
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Old 12-03-2011
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Here's what mentioned in the 2012 USMLE Bulletin

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Potential changes to the patient note include asking examinees to document their analysis of a patient’s possible Diagnoses, citing the evidence obtained from the history and physical examination that supports (or refutes) different diagnostic possibilities.
Changes to communication skills assessment are targeted to enhance the nature and difficulty of challenges posed by the standardized patient (SP). Examinees will be assessed based on their ability to tailor their questions and responses to the specific needs of the case presented and on their ability to react to the entire range of the patient’s concerns, thus
mirroring desirable physician behaviors.
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Old 12-04-2011
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Quote:
Originally Posted by StepTaker View Post
Here's what mentioned in the 2012 USMLE Bulletin



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How will this change effect IMGs..? I mean, is it going to be harder than before..?
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Old 12-04-2011
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Originally Posted by NAZIAMK View Post
How will this change effect IMGs..? I mean, is it going to be harder than before..?
I think what they are trying to do here is to make the exam more individualized rather than just standardized.

For example, an SP with pericarditis chest pain. It won't be just standardized clinical pericarditis stuff, there will be some variations, for example, they will throw in some hyperlipidemia stuff and social issues. So in that case you need to address all these issues (history, physicals, and patient note) and not just go by the book and follow simple H&P of a pericarditis.

You will also be required to explain why did you put pericarditis in the DDx and why did you put hyperlipidemia and why you want to investigate for elderly abuse for example ...etc

This way, they'll know your clinical skills more. This way reading FA pericarditis case is not enough, you have to know more and be aware of the patient as a whole, not as a case. This way, the cases will mimic the real life more, as our real patients always have an array of issues and not just the chief complaint.

So if you think of it. I guess yes, the exam will be more difficult. Or let me put it in other words; the FA book won't be enough to master the exam. You need to have some real clinical skills to pass.

This is just what I expect from what the USMLE website is saying and from some academic circles that am in touch with in my practice.

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