CPX and Step 2 CS prep€¦ · •Tips for success for CPX and Step 2 CS •Description of...
Transcript of CPX and Step 2 CS prep€¦ · •Tips for success for CPX and Step 2 CS •Description of...
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CPX and Step 2 CS prep2019-20
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Objectives
• Purpose and goals of CPX
• Brief overview of past CPX results
• Review areas with the most opportunities for improvement
• Tips for success for CPX and Step 2 CS
• Description of scheduling and results reporting processes
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CPX objectives
1. Assess each Application Phase student’s clinical skills
2. Discover areas for each student’s continuing development as physicians
3. Assist with preparation for Step 2 CS
4. Allow ongoing work with Standardized Patients as a means of assessment
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CPX Average Scores
80.00%
82.50%
85.00%
87.50%
90.00%
92.50%
95.00%
97.50%
100.00%
2014-15 2015-16 2016-17 2017-18 2018-19
CPX Average 2015-2019
Average SD Test dates
2014-15 88.80% 2.54% June to October
2015-16 89.91% 2.71% May to July
2016-17 90.08% 2.84% March to August
2017-18 87.46% 2.93% December to May
2018-19 88.63% 2.77% December to February
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Low pass & failing grades: 2016-2019
0
10
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30
40
50
60
2015-16 2016-17 2017-18 2018-19
Low pass & failing grades
Low pass Fail
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Results by section: SP encounter
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
SP - Hx SP - PE SP - IPS SP - Counseling
2015-16 2016-17 2017-18 2018-19
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Results by section: post-encounter
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
Post - Hx Post - PE Post - Clinical Reasoning Post - Plan
2015-16 2016-17 2017-18 2018-19
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Most frequently missed
SP-graded content
• Social, Family Hx
• Menstrual, Sexual Hx
• Physical examination
• IPS
Post-encounter content
• Other Hx, incl. ROS
• Physical examination
• 3 differentials with rationale
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Additions to Interpersonal Skills & Communications Checklists
IPS: Starting out
• Introduce self & role
•Ask patient’s name & preference for how to be addressed
•Open-ended question
•Anything else patient may want to address?
IPS: Closing the encounter
•Summarize the encounter
•Share top differential
•Share next steps
•Ask if patient has any questions
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Date assignments
• Course Coordinators to assign January-February dates
• Contact me by 9/13/19 for earlier CPX date([email protected])
• CPX date notifications sent to you min. 4 weeks beforehand
• Extended study time students will be assigned an April CPX date.
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Results and feedback reports
• Final results and feedback reports: 4 weeks after test date
• Preliminary results available if taking CS <4 weeks after CPX
• Low passing grades• Get in touch for review meeting before CS
• Failing grades• Will email to schedule re-test
• Get in touch for review meeting
• Additional practice available before CS
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Tips for success
• Take CPX before Step 2 CS
• Prepare for CPX
• Prepare for Step 2 CS
• First Aid, Kaplan
• Uworld: patient note practice, physical exam techniques with video
• USMLE, YouTube
• CSPSC website
• Want more CS-style practice with SPs pre-CPX? Contact us.