Author Archives: sermarini

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HOW TO TACKLE ALCOHOL CONSUMPTION DURING STEP 2 CS EXAM

In some cases, one of the assessments during the Step 2 cs exam might be a patient suffering from an alcohol-related problem. When presented with such a situation, it’s important to address the following factors.

  • You need to be psychologically prepared. At one point or another, you will have to give advice (that’s what examiners expect) in a manner that won’t sound forceful or offensive to the patient. Advise them to be moderate. For instance, more than three drinks, three times a week is considered excessive.
  • It’s also wise to introduce the CAGE principle while assessing the patient. This is an acronym that raises the following queries.

-Is it possible for the patient to CUT down on their drinking?

-Does their drinking ANNOY others?

-Does he or she have feelings of GUILT concerning their drinking?

-Will this be an EYE-OPENER, or will they revert back to their drinking first thing in the morning?

  • Lastly, you can remind them about the effects of over-indulgence, such as high-blood, pressure, strokes, liver cirrhosis e.t.c. This will not only portray you as a concerned physician, but also show the examiners that you’ve mastered your content well.

As always, feel free to contact us anytime for assistance in preparing for your Step 2 CS examination.


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HOW TO COME UP WITH AN ACCURATE DIFFERENTIAL DIAGNOSIS

When it comes to the USMLE Step 2 Cs exam, an accurate differential diagnosis is important because not only does it ease the patient from a rigorous testing process, but also from the physical and emotional trauma of being sick and hospitalized. As a medical student about to undertake the exam, how can you appropriately give an accurate differential diagnosis? Here are a few tips to keep in mind.

oqmzwnd3thu-helloquence1- If you’re reading these tips a few weeks before the exam, the better. The first thing you need to do is study and know your content well. Many conditions have similar signs and symptoms with only slight variations, thus it’s important that the content remains permanently at your fingertips.

qgfycvbkde4-angelina-litvin2- During the exam, exchange brief pleasantries with the patient before commencing. Then inquire on the patient’s chief problem and note their vital signs. This should signal at least two or three diagnoses right away.

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3- Jot these at the top of your notepad and direct your questions in such a manner to eliminate your differentials one by one until you are quite sure that have the correct one.

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4- Listen closely to your patient’s own words as these will give you clues to help you on the right path.

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5- Lastly, be organized and draw out a system for your findings.

Having these steps in mind will give you the much needed confidence to ace the test. Remember, practice is an integral element of success. Therefore, ensure you prepare well.

As always, connect with us to answer any questions you have about the Step 2 CS exam!


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STEP 2 CS EXAM: ACCESSING THE PATIENT’S PAIN LEVEL

Category : Step 2 CS Tips

In the Step 2 CS exam, pain evaluation is one of the important factors that assessors use to determine whether you have prepared well. That being said, how do you confidently tackle this section? Here are a few tips to keep in mind while being examined.

  1. Make the patient (examiner) comfortable

Presentation is key here. Make a warm introduction to the patient so that they ease into you. This reduces their tension and nerves (and also shows that you’re confident with the examiner).

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  1. Read the patient’s facial expression

Facial expressions convey a lot about the level of pain and distress. Moreover, it’s important to ask the patient to relate their intensity of pain on a scale of 1 to 10. From there, you can proceed with a few more questions (preferably one or two); but don’t ask any that lead into irrelevant information.

  1. Inquiring on other parameters of pain

After you’ve assessed the intensity, it’s also important to know the location of the pain, the radiation and its frequency. This is important as it helps you build up a more accurate differential diagnosis. Remember, the patient comes first. So do everything in your power to make them comfortable i.e, through pain alleviation.

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If you have any questions, connect with us via our Facebbok, Twitter and LinkedIn pages or drop us an email and we’ll be happy to help!


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3 WAYS TO COLLECTING SUFFICIENT DATA DURING STEP 2 CS EXAM

Data collection is the main pillar of the step 2 cs. Did you know that 85% of the exam is determined by how well you interact and obtain information from your patient? Not only does this data help you in your differential diagnosis, but also showcases your readiness to work at a professional level. While in the assessment room, it may get a little tense during this process. Here are a few guidelines to help you keep a cool head while gathering your findings.

1. Note down important points and use mnemonicsUse a good set of mnemonics to obtain proper data, and also remember to jot down important points as your patient explains their problem.xg8iqmqmitm-aaron-burden
2. Ask questions
It cannot be reiterated how crucial question asking is during the exam process. It shows that you’re confident and not afraid to go the extra mile to get all the relevant information from your patient.

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3. Study your patient
Some patients might not be open books. That’s why it’s important to study them to search for hints they may drop along the way, which could potentially help you arrive at a correct diagnosis, and a pass!

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If you have any questions, connect with us via our Facebbok, Twitter and LinkedIn pages or drop us an email and we’ll be happy to help!


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3 IMPORTANT TIPS TO PROPER CLOSING DURING STEP 2 CS EXAM

The Step 2 CS (clinical skills) examination is an exam that medical students have to pass in order to practice medicine in the United States. The Step2 CS or Clinical Skills Examination (CSE) examination evaluates ones ability to gather and interpret clinical  patient data and communicate effectively in the English language. Step 2 CS consists of eleven or twelve stations, ten of which are scored; in each station one will encounter a Standardized Patient (SP), a lay person trained to realistically and consistently portray a patient. The SPs will respond to questions with answers appropriate to the patient being portrayed and will react appropriately to physical maneuvers. One will be expected to proceed through each encounter with an SP as if you would with a real patient.

When it comes to closing, it’s always important to finish the Step 2 cs exam in style. Besides, you’ll never get to do it again right? The first mistake people do, probably out of shyness, is to leave the room silently; as if they have no business staying another second. On the contrary, you might still have a lot to do, and this might appear rude to the examiners. It’s important that you:

  1. Leave the patient knowing that they’ve given you sufficient data on the problem. You can ask them if there’s any small detail they forgot to tell you which could be important for their treatment.[Physician examining a patient at bedside]
  2. Inform them that you will follow up on them. After their test results have been processed, tell them that you will come back to discuss in full detail the outcome and what successive measures need to be taken.stethoscope, medical, health, doctor, macbook, laptop, computer, objects, office, desk
  3. Address their concerns. In case the patient looks worried about something, talk to them about it and assure them that you will do everything in your power to make their stay comfortable every step of the way.stethoscope, medical, health, doctor, iphone, mobile, smartphone, cell phone, objects, office, desk

For more tips on passing the Step 2 CS exam, please refer to the other articles on the website. CSE Review offers classes to arm you with the knowledge required to pass the exam, do not hesitate to contact us if you have any questions.


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10 Steps To Passing The Step 2 CS Exam

10 Steps To Passing The Step 2 CS Exam

10 easy steps from Dr. Sermarini that you should keep in mind before doing your Step 2 CS exam

The Step 2 CS Exam is coming up and you don’t know where to begin. What pressure! You are stressed because you know you need to pass it to become a certified medical doctor. You have been studying yet you feel totally unprepared. Usually considered a stressful ordeal, most medical students burnout from the excessive reading and tension that they put themselves through before doing the exam. If you are a student who is feeling anxious and looking to calm your nerves down, then here are 10 great steps you should follow to help you easily make the exam a walkover.

1. Preparing a solid format to approach each standardized patient
This will help you to go about the patient in a more organized and simplistic fashion. You should create a structural approach that clearly lays out the questions you would like to ask the patient. For instance, you can create an abbreviation such as NADP that can stand for a query process; Name, Age, Date of birth and Place of Residence. Don’t side track, but carry on with a steady pace. Also, having a format eases your thought process; and gives you that little breathing space you need to recollect yourself when you get a little mishap here or there. Besides, you’re only human and bound to make mistakes. It’s how you recover from them that matters.

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2. Practice with an expert who is knowledgeable about the Step 2 CS exam, not just a colleague
Happen to have close friends or relatives who are medical experts? Well, practicing with an expert who is familiar with the exam and has completed it before is a great asset for you. That way you will have a better feel and understanding of the examination and most definitely a 100% chance of passing it. With a colleague however, most likely their shared opinions and experiences may have been passed around from other sources and in that case, might not be so definite. There may also be a lot of biased sentiments from your colleague’s end. Who knows, maybe he or she happened to get an examiner who was in a good mood that day and that’s why they passed.

3. Time yourself during each patient encounter you practice
Timing yourself is something you should do from the beginning to the end of your practice. This will allow you to know how good you are performing. As they say practice makes perfect, and doing this would help you be the epitome of perfection. Your timing skills are very efficient when it comes to this Step 2 CS exam. You must watch your timing intervals and your pace at interviewing a patient. So be sure to practice efficiently.

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4. Type patient notes after each case in a timed setting
After each case you’ve dealt with proceed to type your findings. It’s not something to be rushed but to be done in an organized manner. Remember to state the medical history, the physical examination findings that you obtain, your most likely diagnoses, as well as both your negative and positive findings.

5. Learn about the CS exam from passed test takers who passed the exam
Though conversing with a medical expert is the best case scenario to understand the exam, communicating with passed test takers who excelled can also assist you in getting a few pointers here and there. They can also share their own personal mental preparation techniques that assisted them to get an edge over the test.

6. Thoroughly utilize First Aid for the USMLE Step 2 CS book and USMLE world study sources
You should revise the First Aid for the USMLE Step 2 CS book to be a bit more familiar with the exam. This book includes full-length practice cases that simulate the real exam. It has everything you need to review right down to every bit of detail. It will be one of the greatest assets right now for studying, as previous test takers have acknowledged it for their perseverance. The revision of USMLE world study courses will be extremely useful during this period of time.

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7. Mental preparation, positive thinking and visualization techniques
To prepare for the exam you must have a positive mindset. Leave all negativity behind and focus on doing your greatest. Study in a way your brain can function and remember everything well. Studying is not something you would label as fun, but it’s very important so at least try to be
creative and make your books a bit more appealing and interesting for you to be eager to do more. Create your own study schedule, and that way you will be able to handle things well. You should also use visualization techniques such as viewing pictures or watching videos to further enhance your studying experience

8. Barbara Bates videos
There is a site by the name of ‘Bates’ Visual Guide’, which will also help very well to inspire you during your medical studies. It features head-to-toe and systems physical exam videos completely reshot with an emphasis on clinical efficiency and patient care. You will appreciate the careful attention to clinical accuracy, as well as the range of patient types profiled in the series. It’ll be of great use to watch as visionary capture more attention than anything else.

9. Practice, practice, practice
Practice, practice, practice and you WILL achieve your goals. Nothing is ever too hard to achieve. All you have to do is put in the necessary time and effort, focus and determination to beat the Step 2 CS exam itself.

10. Good night’s sleep before your exam
Don’t go cramming the night before the exam! Studying the night before can cause a lack of focus and you could blank out in the exam, meaning you will forget half of what you studied the next morning! This can be really frustrating and depressing don’t you think? After all the effort that had been put in to passing the exam, all of it goes down the drain in just a couple of minutes. I personally believe that ‘burning the midnight oil is overrated. Have lots of rest, at least two
night’s good sleep before the examination date. That will surely have you refreshed and vibrant for the day.

These steps/ guidelines above will surely help you to pass the Step 2 Cs exam if you follow them zealously. Remember also to give yourself a little extracurricular activity to help you feel fresh as you study. In that case, I wish you all the best in the exam and remember, your pass or your fail is a choice you put on yourself. Therefore, manage your time wisely and don’t study hard but study smart.