what you need to bring to step 2 cs

Over the last few weeks, nosotros've been talking about the USMLE exams, which are essential for earning ECFMG certification and condign eligible to apply for a medical residency program in the United States. In one of these posts, nosotros introduced you to the USMLE Stride 2 – CS, which tests your clinical skills. In another postal service, nosotros took a more specific look at what you can expect in the 2 types of encounters on the USMLE Stride ii – CS: the Standardized Patient and Physical Examination and the Telephone Patient Encounter. Going into the USMLE Step two – CS, it is important for you to know what the examiners expect you to practise — but you as well demand to know what NOT to do. That way, you can avoid making mistakes that price yous valuable fourth dimension and/or points off your score. Read on to get tips on what Not to practice on the USMLE Step ii – CS patient encounters.

What NOT To Exercise On the Standardized Patient and Physical Exam Encounters

Here are a few things that yous definitely desire to avoid during the in-person encounters on the USMLE Footstep 2:

• Do Non perform whatsoever of the prohibited tests. The testmakers specify that you should not acquit rectal, pelvic, genitourinary, inguinal hernia, female person breast, or corneal reflex examinations. Also, you should not swab the patient's pharynx for a throat civilization. If y'all think that the patient needs any of these tests, you can call for them in the diagnostic workup you advise in your Patient Note.

• Do NOT ask the patient for consent for other concrete examinations. Aside from the in a higher place-mentioned prohibited tests, you tin assume that you already have patient consent for all physical examinations. This includes femoral pulse exams, inguinal node exams, dorsum exams, and axilllary exams. Asking for the patient's consent on any of these exams will unnecessarily take up valuable fourth dimension.

• Exercise Not exist overly forceful with the patient with the patient. You demand to be gentle during the physical examination avoid being also forceful when conducting maneuvers that involve palpating or percussing. You will lose points if you lot utilise more than the appropriate amount of pressure when conducting an intestinal test, examining the gallbladder or liver, using an otoscope to examine the ears, examining the throat with a tongue depressor, or examining the gall bladder and liver.

• Practice NOT forget nearly the patient's modesty. During the exam, you must treat the patient but the way you would care for a patient in a real-life situation. Therefore, it is important to have the time to consider their personal condolement during the physical examination. For instance, if function of the examination requires a female patient's bra to be moved or loosened, you should inquire her before doing it yourself. It just takes a few seconds, and it volition demonstrate your ability to remain courteous and professional person, regardless of the time constraints of the exam.

What Non To Exercise On the Telephone Patient Encounters

These are some things to avoid on the Telephone Patient Encounters:

• Do NOT play around with the buttons on the phone. During the Telephone Patient Encounter, all you need to do to place the call is  press the yellowish speaker push button. After that, touching whatever buttons could disconnect your call. When you are set to end the phone call, printing the yellow speaker push button again.

• Do NOT endeavor to phone call the patient back subsequently ending the phone call. One time you terminate the call, the encounter is over. Fifty-fifty if you lot think of another question for the patient, you cannot reach them over again. Trying to call the patient back will but cut into the fourth dimension you take for the Patient Note, and so you lot should but do your best with the data yous have.

• Do Non make assumptions based on your previous test experiences. This tip actually goes for both the Standardized Patient and Physical Examination Encounters and the Telephone Patient Encounters. If yous are taking the USMLE Step ii – CS for a 2d fourth dimension, you may notice similarities between an run across on your exam and an encounter on one you take taken earlier. However, you should Non presume that the correct diagnosis or handling strategy is the same equally the ane on your previous exam, as the test preparers often brand slight changes betwixt exams.

• Exercise Non make assumptions about whether or not an encounter counts toward your score. You may know that some of the twelve patient run across are unscored — that is, they are but used for test development purposes. Withal, it is a bad idea to try to guess which encounters are unscored. Even if a particular encounter seems to stand out every bit easier or harder than the others, it may non exist one of the unscored encounters. You should care for each one of the encounters — including both the in-person and telephone encounters — with equal seriousness.

Following these tips can assist you avoid potential pitfalls when taking the USMLE Step 2 – CS. For more help preparing for a U.Due south. medical residency program, contact FMG Portal today!

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Source: https://fmgportal.com/preparing-for-the-usmle-step-2-cs-what-not-to-do/

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