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The Step 2 CS exam is a clinical skills exam that evaluates a candidate's ability to communicate with patients, conduct physical exams, and document medical histories. USMLE exam is taken in person and is administered at one of six testing centers in the United States.

Reference: http://www.usmle.org/step-1/#question-formats

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USMLE is a high-stakes exam that requires extensive preparation and study. Many physicians spend months or even years preparing for the exam to ensure that they are adequately prepared. USMLE exam is designed to test not only a physician’s knowledge of clinical science but also their ability to apply that knowledge in real-world scenarios.

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