準備USMLE Step 2 Clinical Skills

Step 2 Clinical Skills 是所有考試中最簡單的一個。從我的經驗來看，建議先考 CS，再考CK.  理由如下：

CS隻需準備一個月，考完後就可以專心複習CK;
CK需要大量時間投入，考期可能要超過預定的計劃。這樣會耽誤take CS以及最後的ECFMG證書。特別是到了7月份後，大家都擠著考CS，考場也不容易定。CS出成績慢，早考早拿ECFMG證書。
最總要的一條，CS其實並不需要很多CK知識。實話說，CS就是一個＂走過場＂。隻要英語清楚，把該問的問了，一定能過。大家一定要有信心。

複習資料：usmleworld CS。
時間：一個月，每天4-5小時。
複習夥伴：太太。
地點：Starbucks咖啡館。
步驟：
先別看case, 把usmleworld第一部分（通用篇）背得滾瓜爛熟。這點做到了，CS其實過了一半。（１－２周）
看case的時候，把它們歸類。e.g.把abdominal pain的cases放在一起複習。這樣一來，會問一個，其它的也會了。（２周）
查體和寫病曆：( 1周 )
看usmleworld上的video。總結一個自己順手的步驟，練熟了就行。
我對usmleworld上的病曆不是很滿意。從圖書館找了一本first aid for ward。總結了一個。不管是什麽病都往上套。
(待續)

[chinesedoc2usa]

so sorry to hear that. you can make it next time.

Never type. always hand write. because the keyboards are all very crappy in test center. it will be half slow comparing to hand writing.
I typed the first case then I realized this problem and changed to hand writing for all other cases.
the reviewing physicians will be able to recognize any reasonable handwriting.
this is my suggestion: not necessary write the patient note in the given order.
fill the diagnosis first. three is enough.
fill the treatment second. three is enough too.
just fill though, do not waste time thinking too much. if you could not think good plans in 10 seconds, put CBC, CXR, Basic Chem Panel, and move to other sections.
the next one to work on is HPI part. Put down words without much thinking too. just record what the patient told you is good enough. if could not remember the drug name they mentioned, just put generic name. for example, use NSAIDS instead of ipuprofen, if you do not know how to spell it.
lastly put down the PE/System review part. use abbreviations wherever possible.
remember, you will get the most points with all sections FILLED. the quality of note is much less important.
hope that is useful.

[USMLE2]

I failed CS though, because I could never finish writting patient note :(
Did you type or hand-write?