Lessons of Freakonomics – USMLE Step 2 CS is Excellent at Revenue Generation

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Last time I discussed the book Freakonomics and how it described that people do what they are incentivized to do– often to unintended results. Today I’m going to discuss a recently controversial aspect of medical education where Freakonomics applies, namely the USMLE Step 2 CS (Clinical Skills) exam.

In 2004, “the powers that be” (more on who these powers are later) declared it mandatory that all US medical students must pass this newly created clinical skills examination in order to become licensed.

Wait, you may wonder. Were medical students– our future physicians– not being taught clinical skills before 2004? Were

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