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Patient interview (15 minutes): during this period the student is to read the patient vitals, interview the patient, and conduct the physical exam.Each patient encounter has the following components: 12 patient encounters are conducted by each patient over the course of 8 hours. This exam is composed entirely of patient encounters with standardized patients (there are NO multiple choice questions). Deciding which diagnostic tests to order for various patients.Documenting the patient workup in an electronic note.Communicating one’s clinical thinking with patients.The purpose of this exam is to try and evaluate how effective medical students are in performing the various tasks: While this exam was already introduced on the Standardized Exams For The Medical Student page there are a few key points to keep in mind when thinking about Step 2 CS. 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