Annual Report on the United States Medical Licensing Examination®
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11 Annual Report on USMLE to Medical Licensing Authorities in the U.S. | 2017
for the patient note. A countdown clock will be visible in the upper right hand corner of the patient note program screen, showing how much time remains. An announcement will be made when two minutes remain for writing the note. The countdown clock will change to red when 30 seconds remain. At the end of 25 minutes, the note will automatically submit and examinees will not be able to continue writing.
Beginning May 21, 2017, USMLE Step 2 CS examinees may see a case in which the primary task is to assist the standardized patient with making decisions and/or with disease or problem management. For these cases, a physical examination will not be required, and the data interpretation section of the patient note will not need to be completed.
The 2018 schedule provides guidelines regarding when a result for a Step 2 Clinical Skills (CS) exam date will be reported. The schedule is available at http://www.usmle.org/step-2-cs/#reporting .
Enhanced security policies will take effect in all Clinical Skills Evaluation Collaboration (CSEC) test centers beginning April 4, 2017. The enhanced security procedures are being conducted to inspect for electronic devices. The USMLE Step 2 CS is administered at CSEC test centers in Atlanta, Chicago, Los Angeles, Houston, and Philadelphia. Under the enhanced procedures: •
All examinees will be required to remove eyeglasses for close visual inspection by the test center administrators. These inspections will be brief and will be done at check-in and upon return from breaks. •
Jewelry, except for wedding and engagement rings, is prohibited. •
Hair accessories are subject to inspection. Examinees wearing ornate clips, combs, barrettes, headbands, and other hair accessories may be asked to store such items in their locker.
A short video designed to help examinees interpret the USMLE score report, and understand decisions and actions that can be taken based on exam performance, is now available at:
http://www.usmle.org/transcripts/ . The video is part of an effort to address frequently asked questions from examinees and others about the USMLE examination process. Additional videos will be forthcoming.
The USMLE Committee for Individualized Review (CIR) meets periodically throughout the year to review cases involving allegations of irregular behavior by applicants and/or examinees. At its recent meetings, the CIR considered multiple cases involving the following: •
•
seeking to obtain unauthorized access to examination materials (including the solicitation of exam content via online web forums) •
communicating about specific test items, cases, and/or answers with other examinees (including the sharing of examination content via online web forums and file sharing websites) •
applying for and/or attempting to take an examination when ineligible •
accessing unauthorized items, equipment, or materials while on an unauthorized break 12 Annual Report on USMLE to Medical Licensing Authorities in the U.S. | 2017
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making notes on test day on something other than the writing materials provided by test center staff •
announcement in Step 2 Clinical Skills
Actions taken by the CIR at its recent meetings included: •
annotating individual USMLE records with a finding of irregular behavior •
barring access to USMLE for periods up to 5 years •
reporting the finding of irregular behavior to the disciplinary data bank (Physician Data Center at the Federation of State Medical Boards) •
State medical boards routinely query this data bank as part of their licensing processes •
cancelling the examinee’s score because the validity of a passing level score is in question
As evidenced by the sanctions listed above, a finding of irregular behavior carries significant potential impact. USMLE applicants and examinees are reminded to read the USMLE Bulletin of Information carefully, follow the rules of conduct during testing, and refrain from any pre- or post- examination conduct deemed to be irregular behavior. Applicants and examinees are also encouraged to watch the USMLE Security Video.
The USMLE is committed to maintaining the integrity of its examination so that state medical boards may continue to rely upon it as an integral part of their decision-making process for licensure. Applicants and examinees are advised to observe all USMLE policies and procedures to avoid the potentially significant implications arising from a finding of irregular behavior. USMLE encourages you to provide information about cheating and other activity of which you are aware that may compromise the security and integrity of USMLE. Please use the contact form on the USMLE website to report such information. Enhanced security policies at Prometric test centers (posted October 2016) Beginning October 15, 2016, Prometric center administrators will conduct inspections of all eyeglasses, jewelry, and other accessories. The purpose of the enhanced security procedures is to inspect for electronic devices. Under the enhanced procedures: •
by the test center administrators. These inspections will be brief and will be done at check-in and upon return from breaks. •
Jewelry, except for wedding and engagement rings, is prohibited. •
Hair accessories are subject to inspection. Examinees wearing ornate clips, combs, barrettes, headbands, and other hair accessories may be prohibited from wearing them in the testing room and asked to store such items in their locker.
Beginning May 22, 2016, USMLE Step 2 CS examinees may see a case in which the standardized patient provides a digital image (for example, a photograph, x-ray, MRI, or CT) on a tablet computer. Examinees will be able to enlarge the image. During the pre-session orientation, examinees will have an opportunity to view a sample image on a tablet, and to practice enlarging the image. Not all examinations will include a case with an image. Examinees will see a maximum of one case with an image per examination.
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