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Item type for Step 2 CS Patient Note - developed in accordance with the USMLE Step 2 CS Patient Note format -, imitating the medical record composed after a doctor-patient encounter at a clinic, office or emergency department.

Columns can be added in which the maximum number of rows can also be determined - by default, it is 3.

Use the buttons in the item panel for further options:

Toggle phrase - if activated, the phrase field will not be displayed.

Reported comment item - if activated, the item (question) and the answer will be displayed in the Comments Report of the Preset Reports, in the Reports module.

The Comments Report displays comments if:  

  • the Reported comment item icon is selected for that particular item in Case Manager
  • comments are entered into the Comments field during the Open-Ended Question Scoring process.

Answer required - if activated, a user cannot submit the checklist until that item is answered, that is, they cannot leave it blank.

Comment box - when activated (darker background), a text field is displayed at the item during data entry, providing space for additional notes.

Copy - a fully created item can be duplicated, thereby copying the question with all the settings. 

As with any added item, a copied one can be freely modified as desired. 


Scoring

Scoring notes are instructions about scoring; displayed for the OEQS user during the evaluation process.

Scoring textual items has three available techniques. When clicking the Points button, a drop-down menu appears for selecting the scoring method: 

  • Direct - when direct scoring is selected, a Max. Score field is displayed where the maximum point value has to be determined; OEQS users can choose to give any number in the range of zero and the provided score value.
  • Keywords - selecting the Keywords method prompts the Set Keywords button to be displayed. Clicking the button opens the Keywords Setup pop-up where any word can be set with fixed value, thus when typed in, the system recognizes and calculates a recommended score for the response (from the sum of the point value of the matching words), which is displayed on the OEQS page by highlighting the relevant words in the response text and also listing them with their values and the recommended score.
IMPORTANT: Setting up keywords should be regarded as a guideline in scoring - it is recommended that the answers be double-checked and approved by the OEQS users.
If multiple spelling can be considered acceptable, or typos might be disregarded, alternative spelling can be listed within the same keyword field, separated by comma(s). In such case, the system will calcuate the recommended score for either one of the listed words.
  • Questionnaire - Evaluation completed by answering a set of questions. The questionnaire can be created on the Special Section part, which then can be selected via the drop-down menus displayed when the Questionnaire method is selected.

For further information, visit our Case Manager and Cases - How to pages, or watch our Case Manager Training Videos.