The AAFP recognizes the importance of medical school graduate competency in the performance of patient evaluation that includes a medical history and physician examination. The AAFP also supports the comprehensive assessment of clinical skills through the use of standardized patient encounter simulations. If medical schools cannot consistently provide an objective assessment of clinical skills, then other resources should be used to assure graduate competence.
The US Medical Licensing Examination (USMLE) Clinical Skills Assessment Examination should be both affordable and conveniently accessible to all medical students. Performance standards and consistent reproducibility of USMLE Clinical Skills Assessment Examination results should be publicly available, and regularly updated, along with outcomes data confirming the effectiveness of the examination’s capacity to document competence. (2010 COD)