This exam is a terrible measure of what is needed to be a competent and thorough clinical psychologist. This exam is not a measure of knowledge needed for most aspects of the psychology profession. 100% of the work I do is with individuals with severe and persistent mental illness who are involved in the legal system (competency, sanity), and almost no questions on this exam, with the exception of maybe 2 or 3 had anything to do with the skills I need to do my everyday job. The exam should be eliminated, but in the meantime, lowering the passing score to 400 is a more than reasonable request.