OSCE 2006

1. OSCE 2006 July 25,26,27 August 1,2,3 August 8,9,10 Be there at 5PM promptly VH third floor

2. OSCE 2006 • You must take and Pass to graduate • If you do not sign up you can not take • Required of all students at all campuses • If you fail you will be required to take a four week remediation program. • If you forget to show up you will fail and will not graduate. If you are late and can not take the entire test you will not graduate. If a problem arises you must call the ICM office (Ashley Wood).

3. OSCE 2006 • 10 patients encounters • Professionalism and communication is graded (Look Professional) • Patient Encounter notes will be written for each station which will be graded. • No electronic devices will be allowed (beepers, cell phones, PDAs).

4. OSCE 2006 • PATIENT Encounter NOTE • Examinee ID # ________________________ Date ______/______/_______ • List those history and physical examination findings (both positive and negative) as if you were writing a standard H&P. • Significant History (Include significant positives and negatives from the history of present illness, past medical history, review of systems, social history and family history) • Significant Physical Examination/Counseling Findings (include only pertinent positive and negative findings related to the patient’s chief complaint) • List your Assessment and differential diagnoses in order of likelihood. List up to 5 possible diagnoses/assessment issues for this patient’s presentation (in many cases fewer diagnoses or assessments are likely). • D. Diagnostic workup: List immediate plans (up to five) for further diagnostic work up or recommendations to the patient:

5. USMLE Step 2 CS • You must take this exam prior to graduation (USAOM rule) • You must take this exam prior to taking Step 3 (USMLE rule) • Some residency programs will require you have a passing grade on this test prior to starting • You can not get a medical license in the USA with out this exam.

6. USMLE Step 2 CS • You must take this to graduate • Schedule early • If you want your score (P/F) prior to the match you must take this by December 31 • Some students have failed this exam

7. USMLE Step 2 CS • Spoken English Proficiency (Jargon) • Communication and Interpersonal Skills • Integrated Clinical Encounter • Patient Checklist • Patient Encounter Note • You must pass all components to pass • Scoring is P/F

8. USMLE Step 2 CS (CSE) • http://www.usmle.org/step2/Step2CS/Step2Indexes/Step2CSIndex.htm • Look at the sample Video • Review everything on this website • Review the sample PEN • If you need any kind of accommodations you must apply way in advance • You will not be allowed to use or have any electronic equipment (of any sort). If you have an insulin pump you must get OK before hand.

9. CSE • The CIS subcomponent includes assessment of: • Questioning skills – examples include: • use of • open-ended questions, transitional statements, facilitating remarks • avoidance of • leading or multiple questions, repeat questions unless for clarification, medical terms/jargon unless immediately defined, interruptions when the patient is talking • accurately summarizing information from the patient • Information-sharing skills – examples include: • acknowledging patient issues/concerns and clearly responding with information • avoidance of medical terms/jargon unless immediately defined • clearly providing • counseling when appropriate • closure, including statements about what happens next • Professional manner and rapport – examples include: • asking about • expectations, feelings, and concerns of the patient • support systems and impact of illness, with attempts to explore these areas • showing • consideration for patient comfort during the physical examination • attention to cleanliness through hand washing or use of gloves • providing opportunity for the patient to express feelings/concerns • encouraging additional questions or discussion • making • empathetic remarks concerning patient issues/concerns • patient feel comfortable and respected during the encounter

10. CSE PEN • HISTORY: Include significant positives and negatives from history of present illness, past medical history, review of system(s), social history, and family history.      • PHYSICAL EXAMINATION: Indicate only pertinent positive and negative findings related to the patient's chief complaint.      • DIFFERENTIAL DIAGNOSES: In order of likelihood (with 1 being the most likely), list up to 5 potential or possible diagnoses for this patient's presentation (in many cases, fewer than 5 diagnoses are likely):  • DIAGNOSTIC WORKUP: List immediate plans (up to 5) for further diagnostic workup:1. 1.2. 2.3. 3.4. 4.5. 5.

11. CSE • Patient Notes • Room Number: 15 • Candidate Name: Doe, John USMLE ID: 1-234-567-8 • Candidate Number: 20 • HISTORY – Include significant positives and negatives from history of present illness, past medical history, review of • system(s), social history and family history. • PHYSICAL EXAMINATION - Indicate only pertinent positive and negative findings related to the patient's chief • complaint. • DIFFERENTIAL DIAGNOSIS - In order of likelihood • (with 1 being the most likely), list up to 5 potential or • possible diagnoses for this patient's presentation (in many • cases, fewer than 5 diagnoses are likely): • DIAGNOSTIC WORKUP - List immediate plans (up to 5) • for further diagnostic workup: • 1 1 • 2 2 • 3 3 • 4 4 • 5 5 • Submit

12. CSE