Just wanted to see if anyone out there was familiar with the AOA's (NBOME's) plan to require a practical, hands-on portion of step 3 boards. This is in the planning stages right now and is scheduled to come on-line for the class of 2004. (the NBME is is the process of implementing the same, FMGs already do this) As the AOA design stands right now, this would be administered out of a central city or 3, and the student would be required to get themselves to that city (at their own expense), stay in a hotel (at their own expense) and participate in this test that is expected to cost $800-1200/administration. No question that it is a good idea to assure a baseline level of communication, analysis, and clinical savy among osteopathic physicians, but is this the most (cost and logically) efficient way to do this? We have excellent phsical exam testing rooms with videotaping and microphone equipment right on our campus. Don't forget, in the AOA this is the year of the intern/resident, and last was the year of the student!