The National Board of Medical Examiners and the Federation of State Medical Boards have announced that the United States Medical Licensure Examination Step 2 Clinical Skills exam is cancelled permanently after questions about its usefulness and a 6-month review. The NBME will work with medical schools to enhance the ongoing assessment of clinical skill readiness. The Educational Commission for Foreign Medical Graduates has been working on alternative pathways for international medical graduates in place of the currently required Step 2 Clinical Skills.