Step 2 CS Patient Note

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.

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: scoreS are determined by a professionally competent Faculty member. Such an evaluation is referred to in LearningSpace as Open-Ended Question Scoring (OEQS).