USMLE-美国执业医师资格考试课件

USMLEpresentationUSMLEpresentation1USMLE

TESTWhat

is

USMLEWhy

take

the

testStep1

Step2

CK&CSStep3MatchUSMLETESTWhatisUSMLE2What

is

USMLE

?The

UnitedStatesMedicalLicensingExamination®(USMLE®)isathree-stepexaminationformedicallicensureintheUnitedStatesandissponsoredbythe

FederationofStateMedicalBoards(FSMB)

andthe

NationalBoardofMedicalExaminers®(NBME®).TheUSMLEassessesaphysician‘sabilitytoapplyknowledge,concepts,andprinciples,andtodemonstratefundamentalpatient-centeredskills,thatareimportantinhealthanddiseaseandthatconstitutethebasisofsafeandeffectivepatientcare.EachofthethreeStepsoftheUSMLEcomplementstheothers;noStepcanstandaloneintheassessmentofreadinessformedicallicensure./WhatisUSMLE?The

UnitedStat3whyVarieties

of

reasons

for

international

medical

graduates

to

take

the

examinationEnterthematuretrainingsystemofresidentphysiciansandspecialistsintheUnitedStatesAmericandoctorshaveastablehighincome,safeworkingenvironmentandrespectablesocialstatusHaveindependentmedicalqualificationsaftertraininginthehospitalSuch

trainingexperience

isfavoredbyhigh-endmedicalinstitutionsinChinawhyVarietiesofreasonsforin4Who

can

take

the

examination?

Enrollment

qualificationshttps:///home/Whocantaketheexamination?5USMLE-美国执业医师资格考试课件6USMLE-美国执业医师资格考试课件7Venue

of

Step

1考点北京考点：北京市海淀区科学院南路2号融科资讯中心A座4层普尔文有限公司

上海考点：上海市普陀区中江路879号“天地软件园”16号楼1楼

广州考点：广东省广州市下塘西路1号广东广播电视大学二号楼205，510091

USMLESTEP1考试费

费用为880美元+国际考试加费用（国内+180美元），如何报名请详见“准备阶段”VenueofStep1考点8USMLE-美国执业医师资格考试课件9Step

1DISCIPLINEImmunologyMicrobiologyMolecularandCellBiologyNutritionPathologyPharmacologyPhysiologyAging衰老学AnatomyBehavioralSciences行为科学BiochemistryBiostatisticsandEpidemiologyGeneticsStep1DISCIPLINEAging衰老学10Step

1ORGANSYSTEMGastrointestinalSystemGeneralPrinciplesofFoundational

ScienceImmuneSystemMultisystemProcesses&DisordersMusculoskeletal,Skin,&SubcutaneousTissueRenal/UrinarySystemReproductiveSystemRespiratorySystemBehavioralHealth&NervousSystems/SpecialSensesBiostatistics&Epidemiology/PopulationHealth/SocialSciencesBlood&LymphoreticularSystemCardiovascularSystemEndocrineSystemStep1ORGANSYSTEMBehavioralH11Step

1Thetestataglance:ƒ

CBT=（Computer

based

Test）ƒ8-hourexamƒTotalof280one-best-answer

multiplechoiceitemsƒ7testblocks(60min/block)ƒUpto40testitemsperblockƒ45minutesofbreaktime,plusanother15

ifyouskipthetutorialStep1Thetestataglance:ƒC12Step

1ƒ

Signing

Up:

ECFMG

websiteƒpay

for

itƒ

fee:

$

880

+

international

test

delivery

surcharge

$186ƒ

statistics:

pass

rate

72%ofIMGexaminees

94%ofMDdegreeexamineesfromtheUS

andCanada.Step1ƒSigningUp:ECFMGwebs13USMLE-美国执业医师资格考试课件14USMLE-美国执业医师资格考试课件15USMLE-美国执业医师资格考试课件16Step2assessestheexaminee’sabilitytoapplymedicalknowledge,skills.understandingofclinicalscienceessentialfortheprovisionofpatientcareundersupervisionTheclinicalskillsexaminationisaseparatecomponentofSTEP2thatusesSPtotestexaminees'abilitytogatherinformationfrompatients,performinPE,andcommunicate

theirfindingsPURPOSEStep2assessestheexaminee’s17Step2CK&Step2CSStep2Step2CK&Step2CSStep18Step2STEP2FORMATLENGTHADDITIONALINFORMATIONClinicalKnowledge(CK)Approximately318multiplechoice

questions,divided

intoeight60-minuteblocksComputerbased–administeredatPrometricTestCentersaroundtheworldOnedaytest

session-Approximately

ninehours(includingbreaks)FormoreinformationonStep2CK,includingapplications,practicematerials,andupdates,visittheUSMLEwebsiteClinicalSkills(CS)12patientcases:15minutes

foreachpatientencounter

plus10minutestorecord

eachpatientnoteAdministeredatsixtest

centersintheUS–Atlanta,Chicago,Houston,LosAngeles,andPhiladelphia(2)Onedaytest

session-Approximately

eighthours(includingbreaks)FormoreinformationonStep2CS,includingapplications,practicematerials,andupdates,visittheUSMLEwebsiteStep2STEP2FORMATLENGTHADDITI19SubjectofStep2CK

InternalMedicineSurgery

Obstetrics[əbˈstetrɪks]&Gynecology[ˌgaɪnə'kɒlədʒɪ]PediatricsPsychiatryOthers:Biostatistics&Epidemiology/PopulationHealth/InterpretationoftheMedicalLiteratureStep2SubjectofStep2CKInternal20TesttimeofStep2CKThefullyearinprinciple,itdependsontheassignmentandvacancyoftheexaminationcenterforeachexamination.Thetotaltimeoftheexamis9hours,including8x1hblocktime,15minexamsoftwaretutorials,testheadphonetimeand45minresttime.EachBlockdoesnotworkmorethan60minutes,butearlycompletioncanaddtherestofthetimetotheresttime.Step2TesttimeofStep2CKTheful21TestsiteofStep2CKBeijingexaminationpointShanghaiexaminationpointGuangzhouexaminationpointStep2北京考点：北京市海淀区科学院南路2号融科资讯中心A座4层普尔文有限公司

上海考点：上海市普陀区中江路879号“天地软件园”16号楼1楼

广州考点：广东省广州市下塘西路1号广东广播电视大学二号楼205，510091TestsiteofStep2CKBeijing22ExaminationcostofStep2CKStep2ExaminationcostofStep2CK23singlechoicequestion:A-E/A-Joptionsmultiple-choicequestions.longerthanStep1.

usebasicknowledgetosolveclinicalproblems.QuestionTypesofStep2CKStep22.continuousquestions:therewillbe2formsPatient’scaseSummary/drugadvertisingquestionssinglechoicequestion:Questi24ExampleA32-year-oldwomanwithtype1diabetesmellitushashadprogressiverenalfailureoverthepast2years.Shehasnotyetstarteddialysis.Examinationshowsnoabnormalities.Herhemoglobinconcentrationis9g/dL,hematocritis28%,andmeancorpuscularvolumeis94m3.Abloodsmearshowsnormochromic,normocyticcells.Whichofthefollowingisthemostlikelycause?A.AcutebloodlossB.ChroniclymphocyticleukemiaC.ErythrocyteenzymedeficiencyD.ErythropoietindeficiencyE.ImmunohemolysisF.MicroangiopathichemolysisG.PolycythemiaveraH.SicklecelldiseaseI.SideroblasticanemiaJ.β-Thalassemiatrait(Answer:

D)Reference：UnitedStatesMedicalLicensingExamination

（NBME官网）Example(Answer:

D)Reference：U25InthesametimeasStep1,theresultsweregenerallyreceivedonthethird/fourthWednesdaynight.ScoreReportingofstep2CKStep2InthesametimeasStep1,th26PassingRateofStep2CK70%71%Step2PassingRateofStep2CK70%7127SubjectofStep2CS

Step2Usesstandardizedpatientstotestexaminees'abilitytogatherinformationfrompatientsperformphysicalexaminationscommunicatetheirfindingstopatientsandcolleaguesSubjectofStep2CSStep2Use28TesttimeofStep2CSStep2EarlyRegister:thepopulartesttimeofAmericanstudents(summertime)isgenerallyrecommendedabout3monthsago.ExaminationTime:scorereportingusuallyneeds2months,ECFMGcertificateisneeded(plusStep1/Step2CK/CS),andittakestimetoproduce.IfyouwantfinishtheMatchintheyear,generaladviceistocompletetheexaminationCSStep2beforetheendofJune

.TesttimeofStep2CSStep2E29TestsiteofStep2CKAtlantaChicagoHoustonLosAngelesPhiladelphia(2)Step2亚特兰大考点：ClinicalSkillsEvaluationCollaborationCenterTwoCrownCenter1745PhoenixBoulevard,Suite500（5thFloor）Atlanta,GA30349-5585芝加哥考点：ClinicalSkillsEvaluationCollaborationCenter8501WestHigginsRoad，Suite600

Chicago,IL60631休斯顿考点：ClinicalSkillsEvaluationCollaborationCenter400NorthSamHoustonParkway，Suite700Houston,TX77060洛杉矶考点：ClinicalSkillsEvaluationCollaborationCenter100NorthSepulvedaBoulevard，13th

FloorElSegundo,CA90245费城考点：ClinicalSkillsEvaluationCollaborationCenter3624MarketStreet,3rd

Floor

Philadelphia,PA19104TestsiteofStep2CKAtlanta30ExaminationcostofStep2CSStep2ExaminationcostofStep2CSS31Therewillbe12SPsontheexamday.Thewholeexamtimeisabout8hours.Therewillbe50minutes'resttimeinthemiddle.Thirdpatientshave10minutes'shortrest,sixthpatientshave30minuteslongrest,Ninthpatientshave10minutes'shortrest.

Therangeofthediseaserangeofthe12patientswillbeinvolved..AssessmentmethodofStep2CSStep2Therewillbe12SPsontheex32Patient

Encounter:12patientcasesA.15minutesforeachpatientencounterB.10minutestorecordeachpatientnoteSpecialSituation-ProcessA.specialexamination:somePEitemsareinconvenientorunable.Tooperateonaprosthetic/prosthesisB.imageinterpretation:needtointerpretimagesonacomputerandatablettoexplainandsupportyourdiagnosisandtreatment.Step2TheprocessofStep2CSPatientEncounter:12patientc33Theassessmentprojecthasthefollowing:Thereisnoscore,onlypassornotCommunicationandInterpersonalSkills(CIS)IntegratedClinicalEncounter(ICE)SpokenEnglishProficiency(SEP)PerformanceandevaluationStep2Theassessmentprojecthasthe34Step2CSisn’tdifferentwithotherStepsTheofficialsayingofNBME:mostoftheexamineeswillgettheirmarksonthefirstWednesdayoftheperiodoftheexamperiod(usuallyabout8weeks)Step2ScoreReportingofstep2CSPassingRateofStep2CKIn2014-2015,80%nonAmerican/Canadianmedicalcollegecandidatespassed(firsttime)Source:PerformanceDataStep2CSisn’tdifferentwith35Step2CK&Step2CSStep2Littlequiz:1.Howlongdoesthestep2CKorCStake?2.Howmanytestsitesdothestep2CKorCShave?3.Thequestionsofstep2CKaredoingonthecomputers.4.Thestep2CSneedstheSPtofinishthetest.……….1.9h/

8h2.3(inchina)/6(inAmerica

)3.T4.TStep2CK&Step2CSStep36STEP3STEP&PURPOSEDay1:FOUNDATIONSOFINDEPENDENTPRACTICE(FIP)basicmedicalandscientificprinciplesessentialforeffectivehealthcareDay2:ADVANCEDCLINICALMEDICINE(ACM)

applycomprehensiveknowledgeofhealthanddiseaseinthecontextofpatientmanagementandtheevolvingmanifestationofdiseaseovertimeSTEP3STEP&PURPOSE37STEP3REQUIREMENTS•PossesstheMDdegree(oritsequivalent)ortheDOdegreefromanLCME-orAOAaccreditedUSorCanadianmedicalschool,orfromamedicalschooloutsidetheUSandCanadalistedintheWorldDirectoryofMedicalSchoolsasmeetingECFMGeligibilityrequirements

•PassStep1,Step2CK,andStep2CS,•IfyouareagraduateofamedicalschooloutsidetheUSandCanada,STEP3REQUIREMENTS38STEP3APPLICATIONANDSCHEDULINGPROCESS•AllgraduatesshouldapplyforStep3viatheFSMBwebsite•Duringtheapplicationprocess,selectathree-montheligibilityperiodduringwhichyouwishtotest•Youwillreceiveane-mailnotifyingyouthatyourschedulingpermitisavailable•VisitthePrometricwebsitetoscheduleyourtestdate---------------------1550USDSTEP3APPLICATIONANDSCHEDULIN39STEP3FORMATDay1(FIP):

Approximately235multiplechoicetestquestions,dividedintosix60-minuteblocks,eachcontainingapproximately40questionsComputerbased–administeredatPrometricTestCentersintheUSSTEP3FORMAT40STEP3Day1(FIP):STEP3Day1(FIP):41STEP3FORMATDay2(ACM):Approximately180multiplechoicetestquestions,dividedintosix45-minuteblocks,eachcontainingapproximately30questions

Thirteencomputer-basedcasesimulations(CCS).Eachsimulationisallottedamaximumof10or20minutesofrealtimeComputerbased–administeredatPrometricTestCentersintheUSSTEP3FORMAT42STEP3Day2(ACM):STEP3Day2(ACM):43STEP3PREPARATION:2-3monthBOOKS:1）MasterTheBoardsStep32）FirstAidStep3PRACTICE:USMLEWorldSTEP3PREPARATION:44STEP3Question：HowtoapplyforStep3?AapplyforStep3viatheNBMEApplicationwebsiteBapplyforStep3viatheFSMBwebsiteCapplyviatheECFMGApplicationwebsiteDVisittheUSMLEwebsiteSTEP3Question：45USMLE-美国执业医师资格考试课件46Totally

Not

included:

Travel

spending,

Learning

Materials5500

Dollar34815

RMBTotally5500Dollar47表格里统计出来的总共费用为：57415美元，按照目前的汇率换算成人民币为：381058元左右，这个费用包含了机票费、住宿费、生活费的大概费用。Totally:57415

US

Dollar381058

RMBIncluding:

air

ticket,

accommodation,

life

spending表格里统计出来的总共费用为：57415美元，按照目前的汇率换48ReferencesFirst

Aid

for

the

USMLE

STEP

1

2017

A

Student-to

student

GuideFirst

Aid

for

the

USMLE

STEP

2

CK

9th

Edition

A

Student-to

student

GuideFirst

Aid

for

the

USMLE

STEP

2

CS

5th

Edition

A

Student-to

student

GuideFirst

Aid

for

the

USMLE

STEP

3

4th

Edition

A

Student-to

student

Guide/ReferencesFirstAidfortheU49百度网盘资源

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此PPT为四川大学华西临床医学院医学英语课程的课堂presentation作业，

下载到此PPT的华西临床的同学不要直接拿去做presentation哈！！！

注意

此PPT为四川大学华西临床医学院医学英语课程的课堂p51USMLEpresentationUSMLEpresentation52USMLE

TESTWhat

is

USMLEWhy

take

the

testStep1

Step2

CK&CSStep3MatchUSMLETESTWhatisUSMLE53What

is

USMLE

?The

UnitedStatesMedicalLicensingExamination®(USMLE®)isathree-stepexaminationformedicallicensureintheUnitedStatesandissponsoredbythe

FederationofStateMedicalBoards(FSMB)

andthe

NationalBoardofMedicalExaminers®(NBME®).TheUSMLEassessesaphysician‘sabilitytoapplyknowledge,concepts,andprinciples,andtodemonstratefundamentalpatient-centeredskills,thatareimportantinhealthanddiseaseandthatconstitutethebasisofsafeandeffectivepatientcare.EachofthethreeStepsoftheUSMLEcomplementstheothers;noStepcanstandaloneintheassessmentofreadinessformedicallicensure./WhatisUSMLE?The

UnitedStat54whyVarieties

of

reasons

for

international

medical

graduates

to

take

the

examinationEnterthematuretrainingsystemofresidentphysiciansandspecialistsintheUnitedStatesAmericandoctorshaveastablehighincome,safeworkingenvironmentandrespectablesocialstatusHaveindependentmedicalqualificationsaftertraininginthehospitalSuch

trainingexperience

isfavoredbyhigh-endmedicalinstitutionsinChinawhyVarietiesofreasonsforin55Who

can

take

the

examination?

Enrollment

qualificationshttps:///home/Whocantaketheexamination?56USMLE-美国执业医师资格考试课件57USMLE-美国执业医师资格考试课件58Venue

of

Step

1考点北京考点：北京市海淀区科学院南路2号融科资讯中心A座4层普尔文有限公司

上海考点：上海市普陀区中江路879号“天地软件园”16号楼1楼

广州考点：广东省广州市下塘西路1号广东广播电视大学二号楼205，510091

USMLESTEP1考试费

费用为880美元+国际考试加费用（国内+180美元），如何报名请详见“准备阶段”VenueofStep1考点59USMLE-美国执业医师资格考试课件60Step

1DISCIPLINEImmunologyMicrobiologyMolecularandCellBiologyNutritionPathologyPharmacologyPhysiologyAging衰老学AnatomyBehavioralSciences行为科学BiochemistryBiostatisticsandEpidemiologyGeneticsStep1DISCIPLINEAging衰老学61Step

1ORGANSYSTEMGastrointestinalSystemGeneralPrinciplesofFoundational

ScienceImmuneSystemMultisystemProcesses&DisordersMusculoskeletal,Skin,&SubcutaneousTissueRenal/UrinarySystemReproductiveSystemRespiratorySystemBehavioralHealth&NervousSystems/SpecialSensesBiostatistics&Epidemiology/PopulationHealth/SocialSciencesBlood&LymphoreticularSystemCardiovascularSystemEndocrineSystemStep1ORGANSYSTEMBehavioralH62Step

1Thetestataglance:ƒ

CBT=（Computer

based

Test）ƒ8-hourexamƒTotalof280one-best-answer

multiplechoiceitemsƒ7testblocks(60min/block)ƒUpto40testitemsperblockƒ45minutesofbreaktime,plusanother15

ifyouskipthetutorialStep1Thetestataglance:ƒC63Step

1ƒ

Signing

Up:

ECFMG

websiteƒpay

for

itƒ

fee:

$

880

+

international

test

delivery

surcharge

$186ƒ

statistics:

pass

rate

72%ofIMGexaminees

94%ofMDdegreeexamineesfromtheUS

andCanada.Step1ƒSigningUp:ECFMGwebs64USMLE-美国执业医师资格考试课件65USMLE-美国执业医师资格考试课件66USMLE-美国执业医师资格考试课件67Step2assessestheexaminee’sabilitytoapplymedicalknowledge,skills.understandingofclinicalscienceessentialfortheprovisionofpatientcareundersupervisionTheclinicalskillsexaminationisaseparatecomponentofSTEP2thatusesSPtotestexaminees'abilitytogatherinformationfrompatients,performinPE,andcommunicate

theirfindingsPURPOSEStep2assessestheexaminee’s68Step2CK&Step2CSStep2Step2CK&Step2CSStep69Step2STEP2FORMATLENGTHADDITIONALINFORMATIONClinicalKnowledge(CK)Approximately318multiplechoice

questions,divided

intoeight60-minuteblocksComputerbased–administeredatPrometricTestCentersaroundtheworldOnedaytest

session-Approximately

ninehours(includingbreaks)FormoreinformationonStep2CK,includingapplications,practicematerials,andupdates,visittheUSMLEwebsiteClinicalSkills(CS)12patientcases:15minutes

foreachpatientencounter

plus10minutestorecord

eachpatientnoteAdministeredatsixtest

centersintheUS–Atlanta,Chicago,Houston,LosAngeles,andPhiladelphia(2)Onedaytest

session-Approximately

eighthours(includingbreaks)FormoreinformationonStep2CS,includingapplications,practicematerials,andupdates,visittheUSMLEwebsiteStep2STEP2FORMATLENGTHADDITI70SubjectofStep2CK

InternalMedicineSurgery

Obstetrics[əbˈstetrɪks]&Gynecology[ˌgaɪnə'kɒlədʒɪ]PediatricsPsychiatryOthers:Biostatistics&Epidemiology/PopulationHealth/InterpretationoftheMedicalLiteratureStep2SubjectofStep2CKInternal71TesttimeofStep2CKThefullyearinprinciple,itdependsontheassignmentandvacancyoftheexaminationcenterforeachexamination.Thetotaltimeoftheexamis9hours,including8x1hblocktime,15minexamsoftwaretutorials,testheadphonetimeand45minresttime.EachBlockdoesnotworkmorethan60minutes,butearlycompletioncanaddtherestofthetimetotheresttime.Step2TesttimeofStep2CKTheful72TestsiteofStep2CKBeijingexaminationpointShanghaiexaminationpointGuangzhouexaminationpointStep2北京考点：北京市海淀区科学院南路2号融科资讯中心A座4层普尔文有限公司

上海考点：上海市普陀区中江路879号“天地软件园”16号楼1楼

广州考点：广东省广州市下塘西路1号广东广播电视大学二号楼205，510091TestsiteofStep2CKBeijing73ExaminationcostofStep2CKStep2ExaminationcostofStep2CK74singlechoicequestion:A-E/A-Joptionsmultiple-choicequestions.longerthanStep1.

usebasicknowledgetosolveclinicalproblems.QuestionTypesofStep2CKStep22.continuousquestions:therewillbe2formsPatient’scaseSummary/drugadvertisingquestionssinglechoicequestion:Questi75ExampleA32-year-oldwomanwithtype1diabetesmellitushashadprogressiverenalfailureoverthepast2years.Shehasnotyetstarteddialysis.Examinationshowsnoabnormalities.Herhemoglobinconcentrationis9g/dL,hematocritis28%,andmeancorpuscularvolumeis94m3.Abloodsmearshowsnormochromic,normocyticcells.Whichofthefollowingisthemostlikelycause?A.AcutebloodlossB.ChroniclymphocyticleukemiaC.ErythrocyteenzymedeficiencyD.ErythropoietindeficiencyE.ImmunohemolysisF.MicroangiopathichemolysisG.PolycythemiaveraH.SicklecelldiseaseI.SideroblasticanemiaJ.β-Thalassemiatrait(Answer:

D)Reference：UnitedStatesMedicalLicensingExamination

（NBME官网）Example(Answer:

D)Reference：U76InthesametimeasStep1,theresultsweregenerallyreceivedonthethird/fourthWednesdaynight.ScoreReportingofstep2CKStep2InthesametimeasStep1,th77PassingRateofStep2CK70%71%Step2PassingRateofStep2CK70%7178SubjectofStep2CS

Step2Usesstandardizedpatientstotestexaminees'abilitytogatherinformationfrompatientsperformphysicalexaminationscommunicatetheirfindingstopatientsandcolleaguesSubjectofStep2CSStep2Use79TesttimeofStep2CSStep2EarlyRegister:thepopulartesttimeofAmericanstudents(summertime)isgenerallyrecommendedabout3monthsago.ExaminationTime:scorereportingusuallyneeds2months,ECFMGcertificateisneeded(plusStep1/Step2CK/CS),andittakestimetoproduce.IfyouwantfinishtheMatchintheyear,generaladviceistocompletetheexaminationCSStep2beforetheendofJune

.TesttimeofStep2CSStep2E80TestsiteofStep2CKAtlantaChicagoHoustonLosAngelesPhiladelphia(2)Step2亚特兰大考点：ClinicalSkillsEvaluationCollaborationCenterTwoCrownCenter1745PhoenixBoulevard,Suite500（5thFloor）Atlanta,GA30349-5585芝加哥考点：ClinicalSkillsEvaluationCollaborationCenter8501WestHigginsRoad，Suite600

Chicago,IL60631休斯顿考点：ClinicalSkillsEvaluationCollaborationCenter400NorthSamHoustonParkway，Suite700Houston,TX77060洛杉矶考点：ClinicalSkillsEvaluationCollaborationCenter100NorthSepulvedaBoulevard，13th

FloorElSegundo,CA90245费城考点：ClinicalSkillsEvaluationCollaborationCenter3624MarketStreet,3rd

Floor

Philadelphia,PA19104TestsiteofStep2CKAtlanta81ExaminationcostofStep2CSStep2ExaminationcostofStep2CSS82Therewillbe12SPsontheexamday.Thewholeexamtimeisabout8hours.Therewillbe50minutes'resttimeinthemiddle.Thirdpatientshave10minutes'shortrest,sixthpatientshave30minuteslongrest,Ninthpatientshave10minutes'shortrest.

Therangeofthediseaserangeofthe12patientswillbeinvolved..AssessmentmethodofStep2CSStep2Therewillbe12SPsontheex83Patient

Encounter:12patientcasesA.15minutesforeachpatientencounterB.10minutestorecordeachpatientnoteSpecialSituation-ProcessA.specialexamination:somePEitemsareinconvenientorunable.Tooperateonaprosthetic/prosthesisB.imageinterpretation:needtointerpretimagesonacomputerandatablettoexplainandsupportyourdiagnosisandtreatment.Step2TheprocessofStep2CSPatientEncounter:12patientc84Theassessmentprojecthasthefollowing:Thereisnoscore,onlypassornotCommunicationandInterpersonalSkills(CIS)IntegratedClinicalEncounter(ICE)SpokenEnglishProficiency(SEP)PerformanceandevaluationStep2Theassessmentprojecthasthe85Step2CSisn’tdifferentwithotherStepsTheofficialsayingofNBME:mostoftheexamineeswillgettheirmarksonthefirstWednesdayoftheperiodoftheexamperiod(usuallyabout8weeks)Step2ScoreReportingofstep2CSPassingRateofStep2CKIn2014-2015,80%nonAmerican/Canadianmedicalcollegecandidatespassed(firsttime)Source:PerformanceDataStep2CSisn’tdifferentwith86Step2CK&Step2CSStep2Littlequiz:1.Howlongdoesthestep2CKorCStake?2.Howmanytestsitesdothestep2CKorCShave?3.Thequestionsofstep2CKaredoingonthecomputers.4.Thestep2CSneedstheSPtofinishthetest.……….1.9h/

8h2.3(inchina)/6(inAmerica

)3.T4.TStep2CK&Step2CSStep87STEP3STEP&PURPOSEDay1:FOUNDATIONSOFINDEPENDENTPRACTICE(FIP)basicmedicalandscientificprinciplesessentialforeffectivehealthcareDay2:ADVANCEDCLINICALMEDICINE(ACM)

applycomprehensiveknowledgeofhealthanddiseaseinthecontextofpatientmanagementandtheevolvingmanifestationofdiseaseovertimeSTEP3STEP&PURPOSE88STEP3REQUIREMENTS•PossesstheMDdegree(oritsequivalent)ortheDOdegreefromanLCME-orAOAaccreditedUSorCanadianmedicalschool,orfromamedicalschooloutsidetheUSandCanadalistedintheWorl