Medical licensing exams, which are governed by organizations such as the NBME, are critical to ensuring that only qualified professionals can treat patients. These exams serve as a gatekeeping mechanism, ensuring that doctors possess the knowledge, skills, and judgment required to provide high-quality care. Richard Katz, NBME, has played a pivotal role in refining these exams, making them more aligned with the demands of modern medical practice. His leadership has been instrumental in ensuring that the medical exams continue to evolve, incorporating new approaches to better evaluate a candidate's readiness to practice in today’s dynamic healthcare environment.