2020
DOI: 10.1001/jama.2020.2950
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Medical Education Takes a Step in the Right Direction

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Cited by 25 publications
(20 citation statements)
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“…With changes to step 1 score reporting, research may become an even more emphasized part of an application, as program directors search for additional ways to stratify applicants. 9 The high reported numbers may lead applicants to pursue an additional research year, a strategy which is increasing in surgical subspecialties but is not a universally possible experience due to limiting factors such as financial constraints. 2 An unpaid research year could place significant burden on applicants with family considerations.…”
Section: Discussionmentioning
confidence: 99%
“…With changes to step 1 score reporting, research may become an even more emphasized part of an application, as program directors search for additional ways to stratify applicants. 9 The high reported numbers may lead applicants to pursue an additional research year, a strategy which is increasing in surgical subspecialties but is not a universally possible experience due to limiting factors such as financial constraints. 2 An unpaid research year could place significant burden on applicants with family considerations.…”
Section: Discussionmentioning
confidence: 99%
“…Although the potential for excessively weighting a single assessment remains in play with Step 2 CK, alternative approaches, such as weighted or composite scores incorporating related metrics such as the numerical NBME shelf scores from key rotations (e.g., surgery, neurology, medicine), may have a role in offsetting this bias. 6 Simulation-Based Interviewing Looking outside of neurosurgery, several programs have developed novel tools for resident applicant assessment that may prove useful in our field. One such instrument is simulation-based interviewing, in which the formal resident applicant assessment includes a component of dedicated medical evaluation, with skills such as suturing, imaging interpretation, or laboratory result assessments.…”
Section: Novel Strategies For Identifying Exceptional Candidates Surrmentioning
confidence: 99%
“…Perhaps the most obvious alternative to the Step 1 score is the Step 2 Clinical Knowledge (CK) score, which will continue to be reported as a numerical 3-digit score—at least for the foreseeable future. 2 , 6 , 7 Potential benefits of an increased reliance on Step 2 CK include the familiarity of the scoring system, standardization of the examination across medical schools, and significantly more clinically focused content. To this end, related studies from the internal medicine literature have identified the Step 2 CK examination as the strongest predictor of multimodal resident performance assessments.…”
Section: Novel Strategies For Identifying Exceptional Candidatesmentioning
confidence: 99%
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“…Converting tried and true methods to a new medium will generate unforeseen barriers. PDs will confront additional pressures to enact holistic review methods as they combat racial injustices and the impending elimination of a three digit Step 1 score (Aibana et al, 2019;Katsufrakis and Chaudhry, 2019;Crane, Chang and Azamfirei, 2020). In line with the need for holistic review, the added salience of racial unrest demands a critical analysis of interview programming.…”
Section: Considerations For Program Directorsmentioning
confidence: 99%