The CCX (Clinical Competency Examination) is a clinical skills/reasoning exam that uses standardized patient encounters followed by computer-based documentation and clinical reasoning. CCX exams are administered throughout the curriculum:

  • at the middle and end of each Unit in Year 1,
  • at the end of each Unit in Year 2,
  • at the end of each Pediatric and Psychiatry core rotation (Internal Medicine has End-of-Clerkship standardized patient exams, but they do not include the CCX post-encounter), and
  • in the Summative Clinical Competency Examination (SCCX), in Year 3 after students complete their clinical rotations.

A sample case (J Keller) can be used for orientation and practice is available to Y1 - Y3 students.  This website is designed to contain additional instructions and materials necessary and/or helpful to those preparing to take CCX exams.


CCX in Year 2:

  • Year 2 CCX information can be found in the present unit folder in D2L.


CCX in Year 3:

  • Y3 CCX information can be found in the Pediatric and Psychiatry core link.  See below for Summative CCX information.