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Volume 351:507-509 July 29, 2004 Number 5
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The Clinical-Skills Examination

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by Papadakis, M. A.
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To the Editor: The Perspective article by Papadakis in support of the new clinical-skills component of the U.S. Medical Licensing Examination (USMLE) (April 22 issue)1 fails to justify this expensive and burdensome test. Coupling a Canadian study with findings from the National Board of Medical Examiners, Papadakis anticipates a "reliable, valid, and feasible" examination. This expectation is encouraging, yet it tells nothing of whether the exercise is truly necessary. On this point, Papadakis says surprisingly little. She cites a poll indicating that patients favor testing to sharpen physicians' clinical skills. This is merely an observation of consumerism, akin to a . . . [Full Text of this Article]



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