Why did I fail COMLEX-USA Level 2-PE when my medical school grades, test scores, COMLEX-USA Level 1 or Level 2-CE scores, and/or my clerkship scores are very good?
Numerous published studies show that there is only a very modest correlation between COMLEX-USA Level 2-PE (and other national clinical skills examinations) and other measures of academic performances (e.g., academic grades in medical school years 1 and 2, COMLEX-USA multiple choice cognitive examinations such as Level 1, Level 2-CE, USMLE scores, MCAT scores, and clerkship grades). Consequently, the fact that a student may have performed satisfactorily or even quite well in an academic or other setting may not predict achievement in clinical skills. There is extensive literature that documents the low correlation between clerkship global rating forms and other academic measures (e.g., Multiple Choice Question- MCQ- examinations) as well as with national clinical skills examinations including COMLEX-USA Level 2-PE. Indeed, a significant part of the reason the clinical skills examination exists is that cognitive knowledge is measured principally by MCQ examinations, whereas clinical ski
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