Medical Student Attitudes toward USMLE Step 1 and Health Systems Science - A Multi-Institutional Survey

被引：16

作者：

Carmody, J. Bryan ^{[1
]}

Green, Lauren M. ^{[2
]}

Kiger, Patti G. ^{[1
]}

Baxter, Jared D. ^{[3
]}

Cassese, Todd ^{[4
]}

Fancher, Tonya L. ^{[5
]}

George, Paul ^{[6
]}

Griffin, Erin J. ^{[7
]}

Haywood, Yolanda C. ^{[8
]}

Henderson, David ^{[9
]}

Hueppchen, Nancy A. ^{[10
]}

Karras, David J. ^{[11
]}

Hunderfund, Andrea N. Leep ^{[12
]}

Lindsley, Janet E. ^{[13
]}

McGuire, Paul G. ^{[14
]}

Meholli, Mimoza ^{[4
]}

Miller, Chad S. ^{[15
]}

Monrad, Seetha U. ^{[16
]}

Nelson, Kari L. ^{[3
]}

Olson, Kristin A. ^{[17
]}

Pahwa, Amit K. ^{[18
]}

Starr, Stephanie R. ^{[19
]}

Tunkel, Allan R. ^{[20
]}

Van Eck, Richard N. ^{[21
]}

Youm, Julie H. ^{[22
]}

Ziring, Deborah J. ^{[23
]}

Rajasekaran, Senthil K. ^{[24
]}

机构：

[1] Eastern Virginia Med Sch, Dept Pediat, Norfolk, VA 23501 USA

[2] Eastern Virginia Med Sch, EVMS Sentara Healthcare Analyt & Delivery Sci Ins, Norfolk, VA 23501 USA

[3] Univ Nebraska Med Ctr, Off Undergrad & Grad Med Educ, Omaha, NE USA

[4] Yeshiva Univ Albert Einstein Coll Med, Dept Med, 1300 Morris Pk Ave, Bronx, NY 10461 USA

[5] Univ Calif Davis, Dept Internal Med, Sacramento, CA 95817 USA

[6] Brown Univ, Warren Alpert Med Sch, Dept Family Med, Providence, RI 02912 USA

[7] Univ Calif Davis, Off Med Educ, Sacramento, CA 95817 USA

[8] George Washington Univ, Sch Med & Hlth Sci, Dept Emergency Med, Washington, DC 20052 USA

[9] Univ Connecticut, Sch Med, Dept Family Med, Farmington, CT USA

[10] Johns Hopkins Med Inst, Gynecol & Obstet, Baltimore, MD USA

[11] Temple Univ, Lewis Katz Sch Med, Dept Emergency Med, Philadelphia, PA 19122 USA

[12] Mayo Clin Rochester, Dept Neurol, Rochester, MN USA

[13] Univ Utah, Sch Med, Dept Biochem, Salt Lake City, UT USA

[14] Univ New Mexico, Sch Med, Dept Cell Biol & Physiol, Albuquerque, NM 87131 USA

[15] St Louis Univ, Sch Med, St Louis, MO USA

[16] Univ Michigan, Dept Internal Med, Ann Arbor, MI 48109 USA

[17] Univ Calif Davis, Dept Pathol & Lab Med, Sacramento, CA 95817 USA

[18] Johns Hopkins Univ, Sch Med, Dept Pediat, Dept Med, Baltimore, MD 21205 USA

[19] Mayo Clin, Dept Pediat & Adolescent Med, Rochester, MN USA

[20] Brown Univ, Warren Alpert Med Sch, Sect Med Educ, Providence, RI 02912 USA

[21] Univ North Dakota, Sch Med & Hlth Sci, Dept Med Educ, Grand Forks, ND USA

[22] Univ Calif Irvine, Off Med Educ, Irvine, CA USA

[23] Thomas Jefferson Univ, Acad Affairs, Sidney Kimmel Med Coll, Philadelphia, PA 19107 USA

[24] Wayne State Univ, Sch Med, Med Acad & Sch Programs, 320 E Canfield, Detroit, MI 48201 USA

来源：

TEACHING AND LEARNING IN MEDICINE | 2021年 / 33卷 / 02期

关键词：

Medical education; USMLE; HSS; survey;

D O I：

10.1080/10401334.2020.1825962

中图分类号：

G40 [教育学];

学科分类号：

040101 ; 120403 ;

摘要：

Phenomenon: Because of its importance in residency selection, the United States Medical Licensing Examination Step 1 occupies a critical position in medical education, stimulating national debate about appropriate score use, equitable selection criteria, and the goals of undergraduate medical education. Yet, student perspectives on these issues and their implications for engagement with health systems science-related curricular content are relatively underexplored. Approach: We conducted an online survey of medical students at 19 American allopathic medical schools from March-July, 2019. Survey items were designed to elicit student opinions on the Step 1 examination and the impact of the examination on their engagement with new, non-test curricular content related to health systems science. Findings: A total of 2856 students participated in the survey, representing 23.5% of those invited. While 87% of students agreed that doing well on the Step 1 exam was their top priority, 56% disagreed that studying for Step 1 had a positive impact on engagement in the medical school curriculum. Eighty-two percent of students disagreed that Step 1 scores should be the top item residency programs use to offer interviews. When asked whether Step 1 results should be reported pass/fail with no numeric score, 55% of students agreed, while 33% disagreed. The majority of medical students agreed that health systems science topics were important but disagreed that studying for Step 1 helped learn this content. Students reported being more motivated to study a topic if it was on the exam, part of a course grade, prioritized by residency program directors, or if it would make them a better physician in the future. Insights: These results confirm the primacy of the United States Medical Licensing Examination Step 1 exam in preclinical medical education and demonstrate the need to balance the objectives of medical licensure and residency selection with the goals of the broader medical profession. The survey responses suggest several potential solutions to increase student engagement in health systems science curricula which may be especially important after Step 1 examination results are reported as pass/fail.

引用

页码：139 / 153

页数：15

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