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Getting on the "other side" of Step 2 CS Shocks me!

Well not really Step 2 CS, but almost. One of the benefits of being in a University residency program is getting to teach and learn from all the bright new American medical grads. One of the exercises we residents had was grading a observed clinical encounter of a medical student on a video that we watched together, pretty much how the doctors that grade you on the Step 2 CS. All we had to do was watch the video and place tick marks on a checklist that we were given, again just like the Step 2 CS

And guess what ? Despite the simplified grading process we all made mistakes and there were significant grading differences from everyone on the same video ! For example I w
as positive that the student had missed asking about drug allergies, a tape rewind showed that he had indeed asked about them ! Then of course there were differences on subjective style grading questions...Now on the actual Step 2 CS, I don't imagine graders actually rewinding tapes and confirming things...but maybe doing it again and again makes them less error prone.


All I can say is....Luck plays a huge Role in Step 2 CS outcomes ! And yes, I am signing up as a resident faculty for grading clinical encounters for medical students ....coz I get paid for my time ;-) ..plus its fun !





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  • Besides other history taking specific to the chief complaints that the patient has, use this mnemonic to remember specific data collection points:
    'SAFE GARD'

  • S- Safety @ home
  • A- Afraid of Hubby?
  • F- Family ? Friends aware ?
  • E- Emergency plan?
  • G- Gun @ home?
  • A- Alcohol?
  • R- Relationship with Hubby?
  • D- Drugs? Depression ?
  • If Depression = Yes - then proceed with data collection using Mnemonic 'FACE SLIPS' mentioned on this blog !
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