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Step 2 of the United States Medical Licensing Examination (USMLE) assesses the ability of medical students to apply medical knowledge, skills and understanding of clinical science essential for patient care with emphasis on health promotion and disease prevention.
The USMLE Step 2 Clinical Skills (CS) exam consists of a series of learner-patient encounters in which the medical students are expected to investigate the simulated patient's chief complaint, obtain a thorough assessment of their medical history (medications, allergies, social history), and family history, then complete a physical examination, determine differential diagnoses, then write a patient note based on their findings.
To facilitate such an assessment, CAE LearningSpace offers a pre-structured section, called Step 2 CS Patient Note. It is available at the bottom of the New Item list when creating a Post-Encounter Learner checklist. Clicking it inserts a fully-prepared individual section into the checklist, consisting of items best fit for Step 2 CS assessment.
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| NOTE: Due to its purpose, this item type is only available for the Post-Encounter Learner part. |
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| TIP: The textual parts can be modified by clicking the desired field. |
As the Step 2 CS assessment requires learners to phrase their responses, point values cannot be calculated by the system, scoring of responses necessitates the active participation of an evaluator, that is, score are determined by a professionally competent faculty member. Such an evaluation is referred to in LearningSpace as Open-Ended Question Scoring (OEQS).
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IMPORTANT: As in case of all other item types, Step 2 CS Patient Note is NOT scored by default, consequently, if the default setting is not changed, answers will not be displayed for OEQS.
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| Note |
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| NOTE: Step 2 CS Patient Note is only available for the Post-Encounter Learner part. |
- On the Post-Encounter Learner tab, add the Step 2 CS Patient Note from the
New Item list.
2. A complete Step 2 CS Patient Note section will be added.
Step 2 CS Patient Note section
3. Click the textual parts to change the instructions if desired.
4. Click the Points button to determine the scoring method of each item of the preset section.
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| NOTE: The Points button for the different items of the section is displayed when the item is highlighted, that is, clicked on. |
A drop-down menu appears for selecting the scoring method.Scoring method drop-down
- Direct - Maximum score is determined
Direct scoring method selected
- Keywords - Keywords can be set with fixed value
Keywords Setup window
- Questionnaire - Evaluation based on a selected special section, via the Evaluate Open-Ended Questions link in the Reports module or the OEQS link appearing next to the relevant activity in the Your Activities panel on the Dashboard
Questionnaire method selected
5. If desired, change the parameters of Diagnosis as described in Structured Text .
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| IMPORTANT: During OEQS grading, answers entered for a Step 2 CS Patient Note item will be displayed on one page for the faculty submitting the grading. However, if the items are separately added, that is, not as one pre-compiled section of Step 2 CS Patient Note, but as a series of Text items (for History and Physical Examination) and Structured Text items (for Data Interpretation), then the answers for the items will be separately displayed for grading - one item per page. |
Open-Ended Question Scoring for Step 2 CS Patient Note added as pre-compiled section
Overview
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