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Enhanced security policies at CSEC test centers

Posted: March 29, 2017

Enhanced security policies will take effect in all Clinical Skills Evaluation Collaboration (CSEC) test centers beginning April 4, 2017. The enhanced security procedures are being conducted to inspect for electronic devices.

The USMLE Step 2 Clinical Skills (CS) examination is administered at CSEC test centers in Atlanta, Chicago, Los Angeles, Houston, and Philadelphia.

Beginning April 4, 2017, CSEC administrators will conduct inspections of all eyeglasses, jewelry, and other accessories.

  • All examinees will be required to remove eyeglasses for visual inspection by the test center administrators. These inspections will be brief and will be performed during the check-in process.
  • Jewelry, except for wedding and engagement rings, is prohibited.
  • Hair accessories are subject to inspection.  Examinees should not wear ornate clips, combs, barrettes, headbands, and other hair accessories. Examinees wearing any of these items on the test day may be asked to store such items in their locker.


Step 2 CS cases – common presenting signs and symptoms

Posted: September 10, 2017

A list of common presenting signs and symptoms that Step 2 Clinical Skills (CS) examinees may expect to see during their examination has been posted to the USMLE website. These are examples only, and the list does not represent all possible presenting signs and symptoms that may be encountered.

The Step 2 Clinical Skills Content Description and General Information booklet has been revised to include this list.

Examinees will encounter a broad spectrum of cases reflecting common and important symptoms and diagnoses, as well as patients with a variety of backgrounds. The criteria used to create individual examinations focus primarily on presenting symptoms and conditions. On any examination day, the set of cases will differ from the combination presented the day before or the following day, but each set of cases has a comparable degree of difficulty.

Presentation categories include, but are not limited to, cardiovascular, constitutional, gastrointestinal, genitourinary, musculoskeletal, neurological, psychiatric, respiratory, and women's health. Examinees will see cases from some, but not all, of these categories. The selection of cases is also guided by specifications relating to acuity, age, gender, and type of physical findings.

The USMLE program continually reviews its examinations to ensure their content is relevant to the practice of medicine. As practice guidelines evolve or are introduced, the content on USMLE is reviewed and modified as needed.


Updated Step 2 Clinical Skills orientation video and information booklet

Posted: September 10, 2017

An updated Step 2 CS orientation video is available. The video includes information about two user-adjustable display features in the patient note program used by Step 2 CS examinees, text magnification and color inversion.

An updated Step 2 Clinical Skills (CS) Content Description and General Information booklet is available. The updated booklet includes a list of common presenting symptoms and signs that examinees may expect to see.


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