The following body of work reveals the necessity and value of clinical skills assessments.
Examining the diagnostic justification abilities of fourth-year medical students
Williams RG, Klamen DL. Academic Medicine. 2012;87(8):1008-1014.
Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination
Bordage G, Meguerditchian AN, Tamblyn R. Academic Medicine. 2013;88(10):1493-1498.
Variations in senior medical student diagnostic justification ability
Williams RG, Klamen DL, Markwell SJ, Cianciolo AT, Colliver JA, Verhulst SJ. Academic Medicine. 2014;89(5):790-798.
Medical board complaints against physicians due to communication: analysis of North Carolina Medical Board data, 2002–2012 (PDF, page 28)
Davignon P, Young A, Johnson D. Journal of Medical Regulation. 2014;100(2):28-31.