End of Applications Clinical Skills Exam 2018

Description & Scoring of the Exam

  • The required EOACSE or “End of Applications Clinical Skills Exam” begins Jan. 29 and continues through Feb. 14.
  • This is an opportunity for faculty to assess yourclinical performance and for you to practice for the Step 2 CS boards although the format is not exactly the same.
  • It consists of six30 minutecases from multiple clinical areas.Five of these cases will have structured SOAP notes. You will have 7 minutes to complete these notes. The 6th caseis a ‘phone call’ casefor which clear directions will be provided.
  • The focus is on:
  • Episodic care with the appropriate history and physical exam
  • Use of sound clinical reasoning to form an accurate differential and plan
  • Communication skills challenges (patient oriented, open ended questioning, counseling, rapport)
  • Note writing
  • You will be receiving written feedback along with scores for each skill area.
  • Skill areas measured are:
  • SPA 1 (History)
  • SPA 2 (Physical Exam)
  • SPA 4 (Clinical reasoning
  • SPA 7 (Communication)
  • SPA 8 (Difficult Conversations)
  • There is a passing grade calculated for each skill area and for the exam overall. You must pass each skill section to pass this exam. Candidates who do not pass will be required to retest in March or April. If you are unable to pass upon retake of the test you must attend review classes. Passing this exam is a requirement for graduation.
  • For morning events, you should arrive at 7:30 and will finish around 12:15 pm. For afternoon events,you should arriveat 12:30 and will finish around 5:15 pm.

Please be on time so you can be fully prepared, not feel rushed and receive a final orientation where we can answer any last minute questions you might have.

  • You should arrive appropriately attired for seeing patients wearing a clean white coat. Scrubs are not allowed.
  • Bring your stethoscope –everything else is provided. You may bring and use your own additional equipment (otoscope, reflex hammer, etc.) if you prefer.
  • This is an honor code event and any discussion about the cases or any part of the exam is to be avoided before, during and after the exam (as students in different programs may take this exam later).