USMLE Step 2cs

The USMLE Step 2cs examination is a newer requirement for ECFMG certification. The USMLE step 2cs is an expensive ($1200) examination is held in only a few American cities throughout the year. It brings examinees face-to-face with ten simulated ('standardized') patients - ie actors pretending to have specific complaints. You are tested on your ability to rapidly assess a patient, communicate your thoughts to them, and to write a note about your assessment and plans. Application is presently through the ECFMG only. As of November 2002 (when the exam was called the CSA), the pass rate was 80%, with 60% of failures being due to language difficulties. As a result of this new examination, the TOEFL will no longer be required. However the USMLE step 2cs will have an expiry date for the first time.

Orientation Materials

Sample Patient Note 1

Sample Patient Note 2

Computer Patient Note

Step 2cs Case Study

Cocain abuse	Chest Pain	Depression	Diarrhea
Failure to Thrive	Headache	Hearing Loss	Lower Abdomen pain
Palpitation	SOB	Stomach pain	Upper GI bleed
Vomiting

Application materials

Clinical Skills Evaluation Center