C3NY Step 2 CS PrepC3NY, the Clinical Competence Center of New York, is headquartered in New York City. We are an independent educational service organization offering international medical graduates, American medical students and physicians a variety of programs using standardized patient methodology, all geared to improving excellence in the clinical competence of medical practitioners. We are specialists in the use of standardized patients (SP’s) to portray patients and evaluate history taking, physical examination, and communication skills in medical professionals.