In our workshop, we often tell students if the powers that be at USMLE/ECFMG could be a fly on the wall of a real encounter between a candidate and patient, that would be ideal; they are looking to find out how a candidate truly acts with an American patient.
Dr. Swartz, a cardiologist who established a center based on Barrows’s strategies at Mount Sinai in 1991 and now runs his own company, the Clinical Competence Center of New York, or C3NY, was quoted as saying, “The national exam started due to the fact that 85 percent of all malpractice suits in the U.S.A. are based upon a failure of doctor-patient communication.
In reading all social media sites looking for information about clinical skills and the Step 2 CS exam, I found a terrific blog about doctor-patient communications! Go here to find Mind the Gap: Patient Physician Communication. The title of the current article is so good, I will re-post it here: Effective Communications between Physicians and Patients is not Optional…And cannot be Delegated Away.
n the USMLE Step 2 CS exam, the physical examination is part of the Integrated Clinical Encounter (ICE) and is scored by a checklist filled out by the standardized patient. Although it has been said that the physical examination contributes only about 20% to the ultimate diagnosis, the physical exam still remains as an important data gathering instrument in patient care.