Context and setting The clinical performance examination (CPX) is an eight-station, high-stakes examination in which standardised patients (SPs) assess early Year 4 medical students' competence in clinical and communication skills. The CPX prepares students for the national licensing examination using SPs and ensures clinical competence prior to graduate medical training.Why the idea was necessary Each year, the CPX identifies students with severe deficiencies in history taking, physical examination or communication skills. Few remedial training programmes exist to help students improve their performance.
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