In high school, I had the SATs so I could get into a good college. In college, it was the MCATs so I could get into a good medical school. During medical school is was the USMLEs (3 different steps) so that you could get a good residency. During surgery training, it was the general surgery boards (two parts - a written and oral) so that I could get a good fellowship. Now the Thoracic boards (again two parts), so that I can keep my license and job.
Things I know for sure: the tests keep getting harder, longer, more expensive and with more risk on the line. The other thing I know for sure: I am SICK OF TAKING TESTS!
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