Letters Section Editor: Robert M. Golub, MD, Senior Editor.
To the Editor: The United States Medical Licensing Examination (USMLE) Step 2 Clinical Skills examination (CSE) assesses whether candidates have minimally acceptable information-gathering and communication skills to enter supervised postgraduate practice. In his essay in A Piece of My Mind, Mr Henry1 argues that the artificial examination setting of a CSE fails to assess tacit knowledge and suggests that standardized patients cannot fully simulate authentic physician-patient encounters.
Hallock JA, Melnick DE, Thompson JN. The Step 2 Clinical Skills Examination. JAMA. 2006;295(10):1123-1124. doi:10.1001/jama.295.10.1123-a