This exam is by no means a measure of competence, but indeed a measure of how well you can study to master it. Years of coursework and practicum experiences prepares you to be a well rounded clinician, not how well you can determine the likeness of waist to hip ratio for the male gaze. During this mental health epidemic, with a lack of professionals to meet the needs of the community, change is imperative within our field. It starts with this process in changing the score required for licensure which will then, emphasize equity and increased access to care.