Building on Dr. Usani's comment, International Medical Graduates (IMGs) are often hit hardest by the cost of licensing exams. Even before their greater travel costs, the actual test costs IMGs $1,535 (vs. $1,275 for US medical students). Step 2 CS grew out of the Clinical Skills Assessment, an exam previously given just to IMGs to assess English-language proficiency and clinical skills. Part of the reason provided for the decision to expand to Step 2 CS to include all US Medical graduates was one of fairness -- to create an even playing field for US and IMGs. Given this history, I have 2 questions:
1) Is there a better (more discerning, cost-effective) way to assess IMGs on the domains covered by CS (Communication and Interpersonal Skills, Spoken English Proficiency, and Integrated Clinical Encounters) given the variation in quality, style, and culture of medical practice internationally?
2) Is it unfair to exempt US medical graduates from Step 2 CS if they have passed a clinical skills exam at their licensed US Medical School? Why or why not?
Celeste Royce, MD
Clerkship Director and Academic generalist in Obstetrics and Gynecology, Beth Israel Deaconess Medical Center
Susan DiGiovanni, MD
Interim Senior Associate Dean of Medical Education and Student Affairs at Virginia Commonwealth University School of Medicine
Matthew Alvin, MD, MBA, MS, MA
Internal Medicine Intern and Future Radiology Resident at Johns Hopkins Hospital
Lloyd Fisher, MD, FAAP
Assistant Professor of Pediatrics at University of Massachusetts Medical School Worcester
Susan Farrell, MD, EdM
Associate Professor of Emergency Medicine at Harvard Medical School and Director of Academic Programs at Partners HealthCare (Brigham and Women's & Massachusetts General Hospitals)
E. Philip Lehman, MD, MPP
Fellow in Cardiovascular Disease at Duke University Health System
Samia Osman, MD/MPP Candidate
MD/MPP Candidate at the Harvard Medical School and Harvard Kennedy School of Government, National Student President of the American Medical Women's Association
Probable future PCP & medical educator, former sketch comedian, wrangler of a diabetic cat
Benjamin Rome, MD
First-Year Internal Medicine Resident at Brigham Health
Christopher Henderson, MD, MPhil
First-Year Resident at Duke University Health System
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- Question: A question of fairness?
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