Clarity
Some people here seem to be mixing visual flying skills with manual flying skills. Manual in IMC with an engine out, (or two), a hefty x-wind, and approach to minima need to be able to think, scan, AND handfly on instruments until decision. I am not sure handflying up to 15000 and down from 15000 is a great help. Sim checks my skills every 6 months, and needs to be passed.