In January 2021, United States Medical Licensing Examination Clinical Skills test was terminated. The test has played a key role in the evaluation of physician' competence, and has been a model for medical examinations since its launch. Although difficulty caused by COVID-19 outbreak is the leading cause, the test has been fighting its way in terms of test cost, content validity, and effective feedback. Test termination policy will transfer burden of competence evaluation to medical schools and thus deeply affect medical education, will reduce the quality of licensure exam and licensed physicians, and will bring inconvenience to international medical personnel flow. The policy inspires us to fully understand the importance of clinical skill assessment and to improve competency evaluation in licensure exams, to pay more attention to social consequences of the test and to attach importance to the integration of validity evidence in the organization and implementation of examinations, to effectively play the role of examination feedback and cooperate with medical schools to enhance the ability of medical graduates.
Feng Pan
. Enlightenment from the termination of United States Medical Licensing Examination Clinical Skills Test[J]. Chinese Journal of Medical Education, 2022
, 42(3)
: 285
-288
.
DOI: 10.3760/cma.j.cn115259-20210902-01105
[1] FSMB, NBME. Work to Relaunch USMLE Step 2 CS Discontinued[EB/OL].(2021-01-16)[2021-08-26]. https://covid.usmle.org/announcements/work-relaunch-usmle-step-2-cs-discontinued.
[2]Tsichlis JT, Del Re AM, Carmody JB. The past, present, and future of the United States Medical Licensing Examination Step 2 Clinical Skills Examination[J]. Cureus, 2021,13(8):e17157. DOI: 10.7759/cureus.17157.
[3] FSMB, NBME. Performance Data[EB/OL]. (2021-08-26)[2021-08-26].https://www.usmle.org/performance-data/default.aspx.
[4] Lehman EP IV, Guercio JR. The Step 2 Clinical Skills Exam—a poor value proposition[J]. N Engl J Med, 2013,368(10):889-891. DOI: 10.1056/NEJMp1213760.
[5] Winward ML, Lipner RS, Johnston MM, et al. The relationship between communication scores from the USMLE Step 2 Clinical Skills Examination and communication ratings for first-year internal medicine residents[J]. Acad Med, 2013,88(5):693-698. DOI: 10.1097/ACM.0b013e31828b2df1.
[6] Baker TK. The End of Step 2 CS should be the beginning of a new approach to Clinical Skills Assessment[J]. Acad Med, 2021,96(9):1239-1241. DOI: 10.1097/ACM.0000000000004187.
[7] Kogan JR, Hauer KE, Holmboe ES. The dissolution of the Step 2 Clinical Skills Examination and the duty of medical educators to step up the effectiveness of Clinical Skills Assessment[J]. Acad Med, 2021,96(9):1242-1246. DOI: 10.1097/ACM.0000000000004216.
[8] FSMB. FSMB Current Annual Report[EB/OL].(2021-08-09)[2021-08-26].https://www.fsmb.org/SysSiteAssets/advocacy/publications/fsmb-current-annual-report.pdf.
[9] ECFMG. Requirements for ECFMG Certification for 2022 Match[EB/OL].(2021-08-12)[2021-08-26].https://www.ecfmg.org/certification-requirements-2022-match/
[10]Katsufrakis PJ, Chaudhry HJ. Evolution of Clinical Skills Assessment in the USMLE: looking to the future after Step 2 CS discontinuation[J]. Acad Med, 2021,96(9):1236-1238. DOI: 10.1097/ACM.0000000000004214.
[11] American Educational Research Association, American Psychological Association, National Council on Measurement in Education, et al. Standards for educational and psychological testing[M]. Washington, DC: American EducationalResearch Association, 2014.
[12]Lockyer J, Carraccio C, Chan MK, et al. Core principles of assessment in competency-based medical education[J]. Med Teach, 2017,39(6):609-616. DOI: 10.1080/0142159X.2017.1315082.
