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End of Step 2 CS ... could MCCQE-2 be next?


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Step 2 CS plays a similar role in the US to MCCQE-2... and it's been a source of irritation to many US med students too..  Looks like both FSMB and NBME have decided to stop requiring it which is a fairly big deal..  wonder if things will change here with the MCCQE-2?

https://www.usmle.org/announcements/

Work to Relaunch USMLE Step 2 CS Discontinued


The Federation of State Medical Boards (FSMB) and NBME, co-sponsors of the United States Medical Licensing Examination® (USMLE®), are today announcing the discontinuation of work to relaunch a modified Step 2 Clinical Skills examination (Step 2 CS).  

Following the May 2020 suspension of Step 2 CS due to the COVID-19 pandemic, we announced our intention to take 12-18 months to bring back a modified Step 2 CS exam that was appreciably better than the prior assessment. After reviewing current and anticipated progress with the exam and in consideration of the rapidly evolving medical education, practice and technology landscapes, we have decided to discontinue Step 2 CS. We have no plans to bring back Step 2 CS, but we intend to take this opportunity to focus on working with our colleagues in medical education and at the state medical boards to determine innovative ways to assess clinical skills.


Independent standardized assessments of medical knowledge and clinical skills are important inputs for state medical licensure decisions. In the absence of Step 2 CS, elements of clinical reasoning and communication will continue to be assessed on other exams (Steps) in the USMLE sequence. Computer-based case simulations in Step 3 and communication content recently bolstered in Step 1 are examples of these efforts that will continue. While not a replacement for Step 2 CS, these formats continue to contribute positively, e.g., measuring critical knowledge of medical communication.  


Our change in direction will allow us to take additional time to partner with the medical education and medical board community to better develop innovative ways to assess the breadth of clinical skills in medicine.


For questions about the Step 2 CS discontinuation and any other USMLE-related inquiries please contact the USMLE support team: https://www.usmle.org/contact/
"The FSMB is committed to supporting state medical boards in their principal mission to protect the public," said Humayun J. Chaudhry, DO, MACP, President and CEO of the FSMB. "As co-sponsors of the USMLE program, we will continue to seek innovative and sensible ways to assess medical licensing eligibility."


"NBME’s commitment to performance-based assessment and clinical skills has accelerated. Our newest area of focus around competency -based assessment, and our exploration of novel assessments, will allow us to work with the medical education and regulatory communities to develop assessments of these essential skills and the optimal way to integrate these assessments into the education and licensure space," said Peter J. Katsufrakis, MD, MBA, President and CEO, NBME. 


ECFMG will continue to oversee requirements for its certification of International Medical Graduates (IMGs) and has announced an expansion of its pathways that will allow qualified IMGs to meet the requirements for ECFMG Certification and to continue to pursue U.S. graduate medical education. 
 

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Wow **** **** that's big news. I wonder if they'll change the format of Step 3 case problem part to add more communication component.

Also for IMG whose first language is not English Step 2 CS used to be hurdle for some, now they've removed it basically other than residency interview there's no way to assess someone's verbal communication skill before matching.

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1 hour ago, shikimate said:

Wow **** **** that's big news. I wonder if they'll change the format of Step 3 case problem part to add more communication component.

Also for IMG whose first language is not English Step 2 CS used to be hurdle for some, now they've removed it basically other than residency interview there's no way to assess someone's verbal communication skill before matching.

I mean couldn't they do an ESL test?

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I haven't posted in years but I'm here to say MCCQE2 needs to go, and there are lots of us pushing for it. Personally I'm pushing it through RDoC.

Unfortunately there is a parallel alternative being argued, which is to get it paid for through our provincial contracts. In my view making the cost invisible to residents will just ingrain it further as there will be less motivation to fight against something that'sbm "free".

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5 hours ago, PhD2MD said:

I haven't posted in years but I'm here to say MCCQE2 needs to go, and there are lots of us pushing for it. Personally I'm pushing it through RDoC.

Unfortunately there is a parallel alternative being argued, which is to get it paid for through our provincial contracts. In my view making the cost invisible to residents will just ingrain it further as there will be less motivation to fight against something that'sbm "free".

brilliant tactic by those trying to keep it ha. Out of sight out of mind. 

it truly is a pointless test at this point. I remember as a rad restudying for the psych part. Clearly 100% useless. 

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18 hours ago, shikimate said:

Wow **** **** that's big news. I wonder if they'll change the format of Step 3 case problem part to add more communication component.

Also for IMG whose first language is not English Step 2 CS used to be hurdle for some, now they've removed it basically other than residency interview there's no way to assess someone's verbal communication skill before matching.

true but you should never use a test for something it wasn't designed for. I mean you want to test english, test english. That is part of the reason these tests are being redesigned - they violate typical rules for evaluation

Plus the residency interview is pretty clearly going to show their skills - although I suppose they may not have even gotten that far language was being tested. 

bigs news for sure! 

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Watch LMCC get defensive:

- first you have to form a RCPSC special working group to study this issue (pay each member $100K/yr x 3 years).

- 3 years later the report goes to a government minister's standing committee (pay each member $200K/yr x 3 years).

- 6 years later goes to special council on medical education (pay each member $300K/yr x 3 years).

- 9 years later will be studied by house of commons liaison group with the minister's committee (pay each member $400K/yr x 3 years). 

- 12 years later AMZN and TSLA already invented AI that can test a candidate in 10 minutes better than human and SPCE already sent their tourists to Mars, the house liaison group decides lightbulbs should take the blame and be banned so we can make candle making great again!

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25 minutes ago, shikimate said:

I KNEW I WAS RIGHT!!   https://mcc.ca/news/statement-in-response-to-usmle-announcement/?cn-reloaded=1&fbclid=IwAR3b42EryxCo4u7FGmdjx-_ecAFAAaOacG8rMMos_fJ5LFEGeBk1aTlJjFQ

"The MCC has initiated an Assessment Innovation Task Force, comprised of health care and medical education professionals..."

 

It would be funny if it weren't so enraging.

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I'm not holding my breath for this. Lots of bureaucratic hurdles in medicine and this learning tax is just free money. I wish an alternative being proposed was something like giving people who have a licentiate a way to moonlight in walk in clinics or something. If they won't remove the test they might as well add some practicality back in for us.

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