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Step 2 CS Changes

In 2004, a team was created to initiate a multi-year, comprehensive review of the USMLE program. This team, called the Composite Committee, is comprised of the Federation of State Medical Boards (FSMB), the National Board of Medical Examiners (NBME), the Educational Commission for Foreign Medical Graduates (ECFMG) and the American public.

Last month this team announced some “enhancements” to Step 2 CS that are scheduled to start the middle of this year. Here is a summary of those changes. Updated practice materials for Step 2 CS will be posted to the USMLE website in March 2012.

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Step 2 Deadline

I recently received a notification from the Education Commission for Foreign Medical Graduates regarding the step 2 deadline. For those planning to apply for the 2010 Match please note the following testing deadline information per ECFMG:

…As indicated in the 2009 Schedule for Reporting Step 2 CS Results, if you do not take Step 2 CS
by December 31, 2009, your result will not be available in time to
participate in the 2010 Match.

At the time of this writing, the earliest available test date at any
test center was in September 2009. Demand for the Step 2 CS examination
is already heavy for test dates in the latter part of 2009.
Additionally, test sessions at all test centers may be subject to
scheduling restrictions that limit the number of test dates available to
you.

All test sessions for the remainder of 2009 have been opened and no new
test sessions will be added through the end of the year. To maximize
your chances of obtaining a 2009 test date,

– Apply for Step 2 CS now, provided you meet the eligibility
requirements.

– Once registered, schedule your testing appointment immediately.

– If you cannot obtain a testing appointment at your preferred test
center, check for availability at other test centers.

Registering and scheduling now offer a number of benefits:

– Applicants registered for Step 2 CS can schedule immediately if a
preferred testing appointment is available.

– Applicants who schedule a testing appointment can change the testing
appointment without cost, provided they give more than 14 days’ notice.
See Rescheduling in the ECFMG Information Booklet.

If you are planning to take Step 2 CS but are not planning to
participate in the 2010 Match, please consider scheduling a Step 2 CS
testing appointment that is after December 31, 2009. This will maximize
the number of testing appointments available for those who must take
Step 2 CS by December 31, 2009 to obtain their results in time to
participate in the 2010 Match.

Updated information on Step 2 CS scheduling will be posted to the ECFMG
website as it becomes available. Individuals planning to take Step 2 CS
should monitor the ECFMG and USMLE websites for the latest information.

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Quick Tip: Step 2

I was just advising a client about when he should take his Step 2. The answer to this question is different depending on a medical students’ step 1 scores, how competitive her/his specialty choice is, etc. I can make one suggestion to everyone, though:

On the ERAS form you can check a box to ensure that your Step 2 scores are not automatically released to residency programs. I recommend this. If your score is poor, you can hold it from programs to which you are applying indefinitely. If it is good, you can choose then to release it with very little delay. This move keeps your options open.

Contact me for a strategy session now – before the application season starts. I can assist with decisions about rotation scheduling, the need for research, letters of recommendation, etc.

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About Dr. Michelle Finkel

Dr. Michelle Finkel

Dr. Finkel is a graduate of Stanford University and Harvard Medical School. On completing her residency at Harvard, she was asked to
stay on as faculty at Harvard Medical School and spent five years teaching at the world-renowned Massachusetts General Hospital.
She was appointed to the Assistant Residency Director position for the Harvard Affiliated
Emergency Medicine Residency where she reviewed countless applications, personal statements and resumes. Read more

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