The California Consortium for the Assessment of Clinical Competence

The California Consortium for the Assessment of Clinical Competence (CCACC) is a consortium of eight allopathic medical schools in California.

The Consortium began in the 1990s, when the Macy Foundation awarded grants to support six consortia of medical schools for developing and utilizing a standardized patient Clinical Performance Examination. Of these six consortia, the California Consortium is the only one remaining as a consortium.

USC is one of the eight medical schools participating in the Consortium. The five founding schools of the consortia are the medical schools at the University of Southern California, the University of California, Irvine; the University of California, Los Angeles; the University of California, San Diego and Loma Linda University. Three other northern California medical schools have since joined the Consortium. They are the medical schools at the University of California, San Francisco, the University of California, Davis and Stanford University.

The Consortium was established for the purpose of creating and conducting a Clinical Performance Examination (CPX), using standardized patient cases common to all member schools. A common CPX is administered to all medical students at the beginning of their fourth year and this CPX is designed from the agreed upon “exit objectives” of the member schools.
Students from any of the consortium schools are able to take the CPX at any other school in the Consortium, providing flexibility for the students.

It has also enabled collaborative research projects within the schools of the Consortium, leading to peer-reviewed publications.

  1. Park YS, Hyderi A, Heine N,  Nevins A, Lee M, Bordage G, Yudkowsky RValidity Evidence and Scoring Guidelines for Standardized Patient Encounters and Patient Notes from a Multisite Study of Clinical Performance Examinations in Seven Medical Schools. Acad Med. 92(11S):S12-S20, November 2017.
  2. Oza SK, Boscardin CK, Wamsley M, Sznewajs A, May W, Nevins A, Srinivasan M, Hauer KE.  Assessing 3rd year medical students’ interprofessional collaborative practice behaviors during a standardized patient encounter: A multi-institutional, cross-sectional study. Medical Teacher (2014). Posted online on October 14, 2014. (doi:10.3109/0142159X.2014.970628)
  3. Wilkerson L, Fung CC, May W, Elliott D. Assessing patient-centered care: one approach to health disparities education.  J Gen Intern Med. 2010 May;25 Suppl 2:S86-90.