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The USMLE Step 2 CS: Time for a change

机译：USMLE步骤2 CS：进行更改的时间

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摘要

The United States Medical Licensing Examination (USMLE (R)) Steps are a series of mandatory licensing assessments for all allopathic (MD degree) medical students in their transition from student to intern to resident physician. Steps 1, 2 Clinical Knowledge (CK), and 3 are daylong multiple-choice exams that quantify a medical student's basic science and clinical knowledge as well as their application of that knowledge using a three-digit score. In doing so, these Steps provide a standardized assessment that residency programs use to differentiate applicants and evaluate their competitiveness. Step 2 Clinical Skills (CS), the only other Step exam and the second component of Step 2, was created in 2004 to test clinical reasoning and patient-centered skills. As a Pass/Fail exam without a numerical scoring component, Step 2 CS provides minimal differentiation among applicants for residency programs. In this personal view article, it is argued that the current Step 2 CS exam should be eliminated for US medical students and propose an alternative consistent with the mission and purpose of the exam that imposes less of a burden on medical students.
机译：美国医学许可考试（USMLE（R））步骤是对所有同种疗法（MD学位）医学生从学生过渡到实习医生再到常驻医师的一系列强制性许可评估。步骤1，步骤2，临床知识（CK）和步骤3是为期一天的多项选择题考试，使用三位数的分数量化了医学生的基础科学和临床知识以及他们对该知识的应用。为此，这些步骤提供了一种标准化的评估，居住计划可用来区分申请人和评估其竞争力。步骤2临床技能（CS）是唯一的其他步骤考试，也是步骤2的第二部分，于2004年创建，用于测试临床推理和以患者为中心的技能。作为没有数字评分组件的通过/失败考试，步骤2 CS为居住计划的申请人之间的差异最小。在这篇个人观点文章中，有人争辩说，对于美国的医学生，应该取消当前的第2步CS考试，并提出与该考试的宗旨和目的相符的替代方法，以减轻医学生的负担。

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