I should probably mention briefly that I passed both parts of Step 2 (for US medical licensing boards). The test wasn't nearly as frightening as Step 1, but it did have two lengthy parts:
Step 2 CK = Clinical Knowledge. This test was a multiple choice, 9 hour long exam meant to gauge if we'd absorbed anything over the past 3 years of med school. We get a numerical score that most residency programs want to see before they decide if they will grant us an interview.
Step 2 CS = Clinical Skills. This test involved 8 hours of talking to standardized ("fake") patients. This exam is strictly pass/fail and we don't receive a score for it at all. 2/3 of the score assesses if we speak English and can communicate effectively. I was not too concerned about preparing for this exam (99% of OSU students pass on their first attempt).
The worst part of these exams was the cost (~$1700 between the two of them). My biggest fear of failing them involved having to pay those fees again!
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