US Medical Student Perspectives on the Impact of a Pass/Fail USMLE Step 1

被引:31
作者
Girard, Alisa O. [1 ,2 ]
Qiu, Cecil [1 ]
V. Lake, Isabel [1 ]
Chen, Jonlin [1 ]
Lopez, Christopher D. [1 ]
Yang, Robin [1 ]
机构
[1] Johns Hopkins Univ, Dept Plast & Reconstruct Surg, Sch Med, 601 North Caroline St,Suite 8161, Baltimore, MD 21287 USA
[2] Rutgers Robert Wood Johnson Med Sch, Div Plast Surg, Piscataway, NJ USA
关键词
USMLE Step 1; Pass; fail; Residency appli-cation; Medical student; Education; Match; AMERICAN BOARD; PERFORMANCE; PREDICTORS; SCORES;
D O I
10.1016/j.jsurg.2021.09.010
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
OBJECTIVE: The purpose of this study is to (1) gather US medical student attitudes regarding pass or fail score reporting of the USMLE Step 1 exam and (2) investigate the impact of this new policy on specialty interest and redistribution of efforts to enhance individual competitiveness. DESIGN: This is a cross-sectional analysis of US medical students surveyed from July to October 2020. Surveys were administered on social media and via medical school email list serv. Data were analyzed using Student t test and Chi-squared statistic, alpha = 0.01. SETTING: Data analysis was conducted at Johns Hopkins University in Baltimore, Maryland. PARTICIPANTS: This study included a sample of 852 students enrolled in US medical schools. RESULTS: The plurality of students (39.0%) was in favor of the new policy; 30.9% of students were opposed. Students interested in highly competitive specialties (HCS) and students who scored 240 or higher on Step 1 ("high scorers") were more likely to oppose the policy compared with HCS-disinterested students and students who scored below 240 ("sub-240 scorers"). If students were to hypothetically take Step 1 with pass or fail scoring, most students report that they would dedicate less time studying than they had for the numerical exam (72.7%) and more time preparing for Step 2 CK (70.5%) and conducting research in HCS (59.6%). Sub-240 scorers would be more likely to apply to a more competitive specialty (44.4%). Nearly half of HCS-interested post-Step 1 students would be more likely to dual apply (48.7%), the majority of which were also high scorers (89.5%). CONCLUSIONS: Students expressed polarized opinions regarding pass or fail Step 1 score reporting. Time spent studying for Step 1 may be displaced toward Step 2 CK and research. Residency programs in both HCS and nonHCS can expect an increase in applicant pool size and diversity. ( J Surg Ed 79:397-408. (c) 2021 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.)
引用
收藏
页码:397 / 408
页数:12
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