Step 2 CS 5 testing centers called the Clinical Skills Evaluation Center CSEC throughout the USA

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Step 2 CS 5 testing centers called the Clinical Skills Evaluation Center CSEC throughout the USA Powered By Docstoc
					USMLE



  United States Medical
  Licensing Examination
General Information

   The USMLE assesses a physician's ability to
    apply knowledge, concepts, and principles,
    and to demonstrate fundamental patient-
    centered skills, that are important in health
    and disease and that constitute the basis of
    safe and effective patient care
   So basically an exam that tests everything
    you learned in Medical School.
General Information

   3 different examinations
    –   Step 1
    –   Step 2
    –   Step 3
Step 1


   Assesses whether you understand and can
    apply important concepts of the sciences
    basic to the practice of medicine.
   Special emphasis on principles and
    mechanisms underlying health, disease, and
    modes of therapy.
Step 1

   minimum passing score: 185
   Eight-hour single-day computer-based test
    composed of seven 50-question sets (350
    multiple-choice questions in total).
   Taken at the end of the second year of
    medical school.
   Usually required for progression into the third
    year of medical school.
Step 2 – two parts

   Clinical Knowledge (CK)
    –   Focus on clinical application of medical
        knowledge
    –   taken during the 4th year of medical school
    –   nine-hour single-day computer-based test
        composed of eight 46-question sets (368 total).
    –   minimum passing score: 184
Step 2

   Clinical Skills (CS)
   uses standardized patients to test medical
    students on their ability to gather information
    from patients, perform physical
    examinations, and communicate their
    findings to patients and colleagues.
Step 2 - CS

   5 testing centers called the Clinical Skills
    Evaluation Center (CSEC) throughout the
    USA:
    –   Atlanta, Georgia
    –   Chicago, Illinois
    –   Houston, Texas
    –   Los Angeles, California
    –   Philadelphia, Pennsylvania
Step 3

   designed to assess whether a medical
    school graduate can apply medical
    knowledge and understanding of biomedical
    and clinical science essential for the
    unsupervised practice of medicine.
   Graduates of US medical schools typically
    take this exam at the end of the first year of
    residency.
Step 3 - two-day examination

   The first day of testing includes 336 multiple-choice
    items divided into blocks, each consisting of 48 items.
    Examinees must complete each block within sixty
    minutes.
   The second day of testing includes 144 multiple-
    choice items and nine Clinical Case Simulations,
    where the examinees are required to 'manage'
    patients in real-time case simulations.
   minimum passing score: 184
Conclusion

   Learn to like taking tests if you want to become a
    doctor because they will never stop coming at
    you.
    –   IE. Board examination for licensure of your specialty.
   Or say screw becoming a doctor and find a
    profession that doesn’t have to take as many
    tests.
   Good luck!
Example Question from Step 1


     A 32-year-old woman with type 1 diabetes mellitus has had progressive
     renal failure over the past 2 years. She has not yet started dialysis.
     Examination shows no abnormalities. Her hemoglobin concentration is 9
     g/dL, hematocrit is 28%, and mean corpuscular volume is 94 µm3. A
     blood smear shows normochromic, normocytic cells. Which of the
     following is the most likely cause?

A)   Acute blood loss
B)   Chronic lymphocytic leukemia
C)   Erythrocyte enzyme deficiency
D)   Erythropoietin deficiency
E)   mmunohemolysis
F)   Microangiopathic hemolysis
G)   Polycythemia vera
H)   Sickle cell disease
I)   Sideroblastic anemia
J)   b-Thalassemia trait

				
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posted:8/9/2012
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