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USMLE STEP 2 Clinical
Skills Basic CS Notes
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Table of Contents
Approach to USMLE Step 2CS Cases
USMLE CS has two parts
Encounter: It is what you want to do with the standardized patient (SP). You should not use medical
terminology during this. The main goal is to finish your checklist ticks! It has 5 parts. Each part has its
respective weightage.
o Opening (6 Points)
o History = OFDP(LIQR)AAA + DDs (Variable)
o General Question = PAMHUGSFOSSS (6-8 Points)
o Physical Examination (Variable Points)
o Closure (6 Points)
Patients Notes: There are 3 major portions and 2 minor portions of the notes by weightage.
o Major = HOPI with denials + DDs with bullet points + Labs
o Minor = Rest of HOPI + Physical Examination
(NOTE: Any significant physical finding gets more weightage so do not forget to write it down)