{"id":16000,"date":"2021-02-25T12:01:02","date_gmt":"2021-02-25T12:01:02","guid":{"rendered":"https:\/\/www.picmonic.com\/pages\/?p=16000"},"modified":"2024-02-16T16:05:16","modified_gmt":"2024-02-16T16:05:16","slug":"what-does-usmle-cancel-step-2-clinical-skills-mean","status":"publish","type":"post","link":"https:\/\/www.picmonic.com\/pages\/what-does-usmle-cancel-step-2-clinical-skills-mean\/","title":{"rendered":"USMLE Discontinues the Step 2 Clinical Skills (CS) Exam: What Does that Mean for Medical Students?"},"content":{"rendered":"\n<p><span style=\"font-weight: 400;\">Suspended since the spring of 2020, the USMLE<\/span><span style=\"font-weight: 400;\">\u24c7<\/span><span style=\"font-weight: 400;\"> recently announced the Step 2 Clinical Skills (CS) exam was officially discontinued.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">The lockdowns and stay-at-home orders of the <\/span><a href=\"https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/2020\/03\/COVID-19-Infographic-Q120.jpg\"><span style=\"font-weight: 400;\">COVID-19<\/span><\/a><span style=\"font-weight: 400;\"> pandemic sent people the world over working and schooling from home. Suddenly medical students were pulled from universities and hospitals, instead attending classes via Zoom and using online study tools (like Picmonic). USMLE Step 2 CS examinations were rescheduled and cancelled over and over. In the spring of 2020, the USMLE announced all Step 2 CS exams would be suspended as the test underwent a \u201crevitalization.\u201d And, on Jan. 26, 2021, the USMLE officially confirmed it would discontinue the <\/span><span style=\"font-weight: 400;\">Step 2 CS exam<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">What is (was) the Step 2 Clinical Skills (CS) Exam?<\/span><\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/cdn.picmonic.com\/wp-blog\/wp-content\/uploads\/First-Aid-for-the-USMLE-Step-2-CS-6th-Edition-PDF-Free-Download-1.jpg\" alt=\"USMLE step 2 CS\" class=\"wp-image-26989\" width=\"140\" srcset=\"https:\/\/cdn.picmonic.com\/wp-blog\/wp-content\/uploads\/First-Aid-for-the-USMLE-Step-2-CS-6th-Edition-PDF-Free-Download-1.jpg 482w, https:\/\/cdn.picmonic.com\/wp-blog\/wp-content\/uploads\/First-Aid-for-the-USMLE-Step-2-CS-6th-Edition-PDF-Free-Download-1-230x300.jpg 230w, https:\/\/cdn.picmonic.com\/wp-blog\/wp-content\/uploads\/First-Aid-for-the-USMLE-Step-2-CS-6th-Edition-PDF-Free-Download-1-370x484.jpg 370w, https:\/\/cdn.picmonic.com\/wp-blog\/wp-content\/uploads\/First-Aid-for-the-USMLE-Step-2-CS-6th-Edition-PDF-Free-Download-1-270x353.jpg 270w\" sizes=\"(max-width: 482px) 100vw, 482px\" \/><\/figure>\n<\/div>\n\n\n<p><span style=\"font-weight: 400;\">With the primary purpose being medical licensure, Step 2 CS was a performance-based exam developed to gauge a student\u2019s interview, interpersonal, and clinical decision-making skills. Students were presented with 12 actors specially trained to portray the presenting signs and symptoms of common diseases.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">The student\u2019s job was to interview and examine the patient, trying to elucidate the most likely diagnosis. Students were then asked to write up relevant findings, necessary tests, and a prospective diagnosis in a patient note bearing some similarity to an Electronic Medical Record (EMR).<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Students were graded based on their bedside manner and patient focus, and their ability to address diagnostic challenges, prepare patients for the next steps, and appropriately document the encounter. The exam and its grading rubric emphasized health promotion and disease prevention.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">How Does the Cancellation of Step 2 CS Affect Students?<\/span><\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft is-resized\"><img decoding=\"async\" src=\"https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/file.png\" alt=\"Canceled\" class=\"wp-image-16009\" width=\"200\" srcset=\"https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/file.png 512w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/file-300x300.png 300w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/file-150x150.png 150w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/file-370x370.png 370w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/file-270x270.png 270w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/><\/figure>\n<\/div>\n\n\n<p><span style=\"font-weight: 400;\">Medical students see the cancelation of the CS exam as one less roadblock on their journey to apply to residency.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Step 2 CS was the most costly of all the USMLE exams, costing prospective test takers approximately $1,500. And, with only a half dozen facilities in the United States in which students could take the exam, medical students incurred additional fees for travel, lodging, and food.<br><\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Step 2 CS often took a full day to complete, viewed as cutting into students\u2019 clinical rotations at their parent institutions.<\/span><span style=\"font-weight: 400;\"><\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">While there is some data suggesting the results of the exam predicted communication skills for first-year residents, the relationship was modest as best.<\/span><span style=\"font-weight: 400;\"><sup>1<\/sup><\/span><span style=\"font-weight: 400;\"> Until some replacement comes down the pipe, many med students feel we are better off without the exam.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">How Will IMGs Fare with this Decision?<\/span><span style=\"font-weight: 400;\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">International Medical Graduates (IMGs)\u2014like me\u2014are even better off. IMGs no longer have to secure a Visa nor pay for costly international travel and lodging.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\"><\/span><span style=\"font-weight: 400;\">That being said, without the Step 2 CS the Educational Commission For Foreign Medical Graduates (ECFMG) has no way to assess English proficiency in first-year residency applicants. As such, in order to qualify for ECFMG accreditation, <\/span><a href=\"https:\/\/www.picmonic.com\/pages\/7-tips-for-international-medical-graduate-residency-application\/\"><span style=\"font-weight: 400;\">IMGs seeking a residency match<\/span><\/a><span style=\"font-weight: 400;\"> in 2022 will be required to \u201cattain a satisfactory score on the Occupational English Test (OET) Medicine exam to satisfy the communication skills requirement for ECFMG Certification. All pathway applicants, regardless of citizenship or native language, must satisfy this requirement.&#8221;<\/span><span style=\"font-weight: 400;\"><sup>2<\/sup><\/span><span style=\"font-weight: 400;\"><\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">I estimate that they do not believe \u201cnative proficiency in a language equals proficiency in medical language.\u201d While the point is valid, I would like to see this requirement waived for native speakers who study in English. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">However, the OET is considerably less expensive than Step 2 CS and testing locations are available worldwide. Therefore, this will likely only be a minor hurdle for students.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">According to the USMLE, the move away from the Step 2 CS exam \u201cdoesn&#8217;t mean that diagnostic and communication skills will be less emphasized in undergraduate medical education or residency selection.\u201d<sup>3<\/sup> Instead, they are placing the responsibility for training and evaluating a medical student\u2019s clinical skills firmly on the shoulders of medical schools.<br><\/span><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<center><a class=\"pls-btn pls-btn--lighten-orange pls-white pls-btn--large pls-font-weight-600\" href=\"https:\/\/www.picmonic.com\/find-picmonic?market=medicine\">CLICK HERE TO TRY PICMONIC FREE<\/a><\/center>\n\n\n\n<p class=\"has-text-align-center\"><strong><span class=\"s1\">Download our mobile app and take Picmonic on the go!<\/span><\/strong><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><a href=\"https:\/\/apps.apple.com\/us\/app\/picmonic-medical-pa-usmle-rx\/id1468103617\"><img decoding=\"async\" src=\"https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/2017\/04\/iosappstore-light-1024x361.png\" alt=\"Click Here to Get Our Free iOS Mobile App to Pass Step\" class=\"wp-image-8141\" width=\"300\" title=\"Click Here to Get Our Free iOS Mobile App to Pass the USMLE Step 1\" srcset=\"https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/2017\/04\/iosappstore-light-1024x361.png 1024w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/2017\/04\/iosappstore-light-300x106.png 300w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/2017\/04\/iosappstore-light-768x270.png 768w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/2017\/04\/iosappstore-light.png 1704w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n<\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><a href=\"https:\/\/play.google.com\/store\/apps\/details?id=com.picmonic.androidapp&amp;hl=en\"><img decoding=\"async\" src=\"https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/2017\/04\/googleplaystore-white-1024x361.png\" alt=\"Click Here to Get Our Free Android Mobile App to Pass the USMLE Step 1\" class=\"wp-image-8142\" width=\"300\" title=\"Click Here to Get Our Free Android Mobile App to Pass the USMLE Step 1\" srcset=\"https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/2017\/04\/googleplaystore-white-1024x361.png 1024w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/2017\/04\/googleplaystore-white-300x106.png 300w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/2017\/04\/googleplaystore-white-768x270.png 768w, https:\/\/cdn.picmonic.com\/pages\/wp-content\/uploads\/2017\/04\/googleplaystore-white.png 1704w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n<\/div>\n\n\n<p><span style=\"font-weight: 400;\"><br><\/span><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>References<\/strong><br>1 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23524927\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/23524927\/<\/a><br>2 https:\/\/www.ecfmg.org\/certification-requirements-2022-match\/<br>3 <a href=\"https:\/\/www.ama-assn.org\/medical-students\/usmle-step-1-2\/usmle-step-2-cs-canceled-what-it-means-medical-students\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ama-assn.org\/residents-students\/usmle\/usmle-step-2-cs-canceled-what-it-means-medical-students#:~:text=A%20move%20away%20from%20Step,skill%20readiness%20to%20medical%20schools<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Suspended since the spring of 2020, the USMLE\u24c7 recently announced the Step 2 Clinical Skills (CS) exam was officially discontinued. The lockdowns and stay-at-home orders of the COVID-19 pandemic sent people the world over working and schooling from home. Suddenly medical students were pulled from universities and hospitals, instead attending classes via Zoom and using [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":24443,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[672,427],"tags":[818,819,821,820,813,815,812,816,82,811,810,814,817],"class_list":["post-16000","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid-19","category-medical-school-study-exams","tag-imgs","tag-international-medical-graduates","tag-medical-licensure","tag-residency-prep","tag-step-2-clinical-skills","tag-step-2-clinical-skills-discontinued","tag-step-2-cs","tag-step-2-cs-exam","tag-usmle","tag-usmle-step-2-clinical-skills","tag-usmle-step-2-cs","tag-usmle-step-2-cs-canceled","tag-what-does-the-cancelling-of-step-2-cs-mean-for-students"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>USMLE Cancels Step 2 Clinical Skills Exam<\/title>\n<meta name=\"description\" content=\"The USMLE\u24c7 recently canceled the previously suspended Step 2 Clinical Skills (CS). 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