Comprehensive Clinical Skills Exam for MD Students

Stage Three: Individualized Exploration Comprehensive Clinical Skills Exam for MD Students
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Stage Three: Individualized Exploration Comprehensive Clinical Skills Exam for MD Students

After completing core clerkships, NYU School of Medicine MD students take our comprehensive clinical skills exam, in which patient encounters are used to assess your skills in communication, taking patient histories, performing physical exams, and clinical reasoning.

The exam also assesses the success of changes and innovations to the medical school curriculum and solicits student recommendations regarding future improvements. 

This evaluation is modeled after the clinical skills portion of your licensure exam, the U.S. Medical Licensing Examination® (USMLE®) Step 2 CS. The comprehensive clinical skills exam consists of 8 mock patient encounters, each approximately 15 minutes in duration. Clerkship directors choose patient cases to reflect core clinical concepts and skills you learn during clinical rotations. “Patients” are trained evaluators, who use behavioral checklists to assess your performance.

After each patient encounter, you are given 10 minutes to write a patient note that summarizes your findings and lists your top 3 possible diagnoses in your differential diagnosis, with supporting evidence for each. Other exam components include interpreting clinical test results and collaborating with a nurse.

Trained faculty members employ the RIME (reporter, interpreter, manager, and evaluator) framework, a standardized tool used in many U.S. medical schools, to gauge your exam performance. An executive committee then reviews exam results and scores each student either pass or fail.

Remediation services are available as required, after which students may retake the exam.