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UPDATE - Change to patient note program for the Step 2 CS exam

Posted: May 12, 2017
Updated: June 15, 2017

On or after September 10, 2017, patient notes written in the Step 2 Clinical Skills (CS) exam will automatically submit at the end of the 25 minutes allotted for each patient encounter.

Each patient encounter includes 15 minutes in the examination room, plus an additional 10 minutes to write the patient note. Examinees who leave the exam room before 15 minutes will continue to have additional time for the patient note.

A countdown clock will be visible in the upper right hand corner of the patient note program screen, showing how much time remains. An announcement will be made when two minutes remain for writing the note. The countdown clock will change to red when 30 seconds remain. At the end of 25 minutes, the note will automatically submit and examinees will not be able to continue writing.

A program for practicing writing the patient note is available. Please practice to become familiar with all the features of the program, including the countdown clock and automatic submission of the note, before taking the examination.

Examinees will not be permitted to handwrite the note unless technical difficulties on the test day make the patient note typing program unavailable. All examinees should be prepared for the possibility of having to handwrite the patient note.

NOTE: The date for the start of the automatic stop feature was originally projected to be July 16, 2017.


Scheduling Reminder for Step 2 CS

Posted: January 29, 2016
Updated: August 09, 2017

Schedules at all test centers fill up quickly. We strongly encourage examinees to complete their scheduling before May 31 of the calendar year in which they plan to test. Based on scheduling trends, if you try to schedule after August 1, you may find that there are no available testing appointments through the end of the year unless there are cancellations.

The graph below is an estimate of test appointment availability for the next six months as of the date at the bottom of the graph. Please note that the graph does not indicate availability at any one location. Availability at the testing center you choose may differ.

Appointment availability changes frequently, so if you are unable to schedule an appointment during a particular time period, please continue to check the Step 2 CS scheduling website. Additional appointments may become available 60 days in advance of a test date.



More information is available in the Applying for the Test and Scheduling Your Test Date section of the Bulletin of Information.


Change in Performance Standards for Step 2 CS

Posted: August 04, 2017

This announcement describes a change in the performance standards for the USMLE Step 2 CS examination that will affect examinees testing on or after September 10, 2017.

As stated in the USMLE Bulletin of Information and as explained in a previous posting to the USMLE website, the recommended minimum passing levels for each USMLE examination are reviewed periodically (typically, every 3-4 years) and may be adjusted at any time. Notice of such review and any adjustments are posted on the USMLE website.

At its July 2017 meeting, the USMLE Management Committee* conducted a review of the recommended minimum passing levels for USMLE Step 2 Clinical Skills (CS). During the meeting, the Management Committee considered information from multiple sources, including:

  1. Recommendations from independent groups of physicians unaffiliated with the USMLE who participated in content-based standard-setting activities in 2017;
  2. Results of surveys of various groups (e.g., residency program directors, medical school faculty, state licensing representatives, examinees) concerning the appropriateness of current pass/fail standards for the Step 2 CS examination;
  3. Data on trends in examinee performance;
  4. Data on precision of pass/fail classifications.

Based on these data, the Management Committee voted to increase the required minimum passing level for all three Step 2 CS subcomponents: Communication and Interpersonal Skills (CIS), Spoken English Proficiency (SEP), and Integrated Clinical Encounter (ICE). Because numerical scores are not reported for Step 2 CS, the decisions of the Management Committee are reported in terms of potential impact on examinees, using data from recent administrations.

If the new minimum passing requirements were applied to the group of first-time examinees who recently tested, the overall passing rate for examinees from US medical schools would be approximately three percent lower and the overall passing rate for examinees from international medical schools would be approximately eight percent lower.

*The USMLE Management Committee is composed of medical school faculty with experience in undergraduate and graduate education, members of state medical boards, public members, and a resident member. The Management Committee is responsible for setting minimum passing performance levels for all USMLE exams.


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