In order to get a license to practice in the United States, foreign-trained veterinarians must take an exam given by the American Veterinary Association. Only 48 people per year are allowed to take the exam, which is administered at only two universities. The fee for the exam, which must be booked at least 18 months in advance, was recently raised from $2,500 to $6,000. What effects does this clinical competency exam have on the number of veterinarians practicing in the United States? Do you think it improves the quality of veterinary services?