I am sorry to all of you. Everything I read about this makes me angrier and angrier, and I am graduating this year and don't have to even take it. I find it a complete waste of time, money, and resources. At my school, we do a bunch of standardized patient exams and interviews as part of the third year and second year curriculum. Any school that doesn't teach you how to do physical exams probably should not be a medical school. I simply cannot understand why the USMLE or NBME or AMA or whoever is responsible for this crap can't trust the med schools to administer some kind of similar test (mine already does). For those who don't know, Step II CS is a new test that will be required of all med students before graduation. The regular Step II is a day long test, similar to Step I except in question content, and will still be required, taken at any one of a number of test centers, requiring a fee, etc. The CS is an addition to this, requiring students to perform interviews and physical exams on standardized patients. Similar to what foreign grads have had to go through for years. I guess I understand this reason for the test because the US wants to make sure foreign grads can perform as physicians. But making US grads do this? Obscene. More info at: http://www.usmle.org/news/cse.htm Some of the more objectionable parts of the exam: 1) It costs $975. I am surprised they didn't just make it $999. I mean, having it cost only 3 figures, what a bargain! 2) It will only be given in a few sites around the country, unlike the written which you can take at many places, usually very close to where you go to school. Philly, Atlanta, LA, Houston, Chicago. That's right, sportsfans, every med student from DC north to Boston will have to go to Philly. And of course, I assume that there will be limited space and the test centers will be woefully unprepared for the numbers of students they have to accomodate (this is a given). They will probably try to make a pathetic attempt to pacify students by offering a $5 hotel room discount or something. 3) No travel discounts or vouchers will be provided by the administrators. Maybe med schools will help out their own students, but doubtful. 4) It is an all day (well, 7-8 hours anyway) test. 5) They provide lunch, another obvious sign that they know they are doing a bad thing. Probably will be wrap sandwiches or awful sheet-pizza. 6) You will probably fail this test, after paying $1000, another $1000 to travel there, as well as going through the hassle, if you don't wash your hands or introduce yourself properly. Bite me. This is a crock. As I said, if the NBME or AAMC or whoever doesn't trust US med schools to teach their students to perform a proper H & P, they need to work on some other stuff not devising another moneymaking test. Good luck getting through med school if you can't do a proper H&P. I have no doubt lots of people will fail this test for silly and unfair reasons. I will get out my rosary and my St Jude medal for you all. If I had to take this test, I would seriously consider leading a bunch of med students in a boycott of this test, or at least a massive protest campaign.