Potential Harm of Elimination of Score Reporting for the United States Medical Licensing Examination Step 1 Examination to Anesthesiology Residency Selection

Markham, Travis; Haan, Johanna Blair de; Guzman-Reyes, Sara; Brollier, Lauren D; Campbell, Amber N; Pivalizza, Evan G.

doi:10.1213/ane.0000000000005235

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…Exam-related anxiety is likely only to increase, as candidates now only have one chance to obtain a top score; this change has also removed the chance to demonstrate an improvement in scoring from Step 1 to Step 2 CK. A shift to a greater emphasis on performing well on Step 2 CK, which is taken later in medical school, has been hypothesized to adversely impact US-MD and US-DO performance in clinical rotations [ 31 ]. Importantly, given that IMGs have historically relied on high Step 1 scores for demonstrating their competitiveness in the residency match, the potential impact of this change cannot be overstated.…”

Section: Impact Of the Usmle Step 1 Scoring Change On Applicantsmentioning

confidence: 99%

The US Residency Selection Process After the United States Medical Licensing Examination Step 1 Pass/Fail Change: Overview for Applicants and Educators

Ozair¹,

Bhat²,

Detchou³

2023

JMIR Med Educ

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The United States Medical Licensing Examination (USMLE) Step 1, arguably the most significant assessment in the USMLE examination series, changed from a 3-digit score to a pass/fail outcome in January 2022. Given the rapidly evolving body of literature on this subject, this paper aims to provide a comprehensive review of the historical context and impact of this change on various stakeholders involved in residency selection. For this, relevant keyword-based searches were performed in PubMed, Google Scholar, and Scopus to identify relevant literature. Given the unique history of USMLE Step 1 in the US residency selection process and the score’s correlation with future performance in board-certifying examinations in different specialties, this scoring change is predicted to significantly impact US Doctor of Medicine students, US Doctor of Osteopathic Medicine students, international medical graduates, and residency program directors, among others. The significance and the rationale of the pass/fail change along with the implications for both residency applicants and educators are also summarized in this paper. Although medical programs, academic institutions, and residency organizing bodies across the United States have swiftly stepped up to ensure a seamless transition and have attempted to ensure equity for all, the conversion process carries considerable uncertainty for residency applicants. For educators, the increasing number of applications conflicts with holistic application screening, leading to the expected greater use of objective measures, with USMLE Step 2 Clinical Knowledge likely becoming the preferred screening tool in lieu of Step 1.

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Section: Impact Of the Usmle Step 1 Scoring Change On Applicantsmentioning

confidence: 99%

The US Residency Selection Process After the United States Medical Licensing Examination Step 1 Pass/Fail Change: Overview for Applicants and Educators

Ozair¹,

Bhat²,

Detchou³

2023

JMIR Med Educ

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show abstract

“…1–5 With the USMLE Step 1 transition to pass/fail in 2022, there is uncertainty as to how other application components will inform selection decisions, creating a challenging environment for both students and advisers. 6–9 Several specialty-specific reports indicated that letters of recommendation, USMLE Step 2 scores, and the medical school performance evaluation would be highly valued going forward. 10–14 However, several studies report conflicting predictive values of these and other criteria on trainee success.…”

mentioning

confidence: 99%

Residency Program Directors’ Views on Research Conducted During Medical School: A National Survey

Wolfson¹,

Fairchild

Bahner³

et al. 2023

Academic Medicine

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Purpose With the United States Medical Licensing Examination Step 1 transition to pass/fail in 2022, uncertainty exists regarding how other residency application components, including research conducted during medical school, will inform interview and ranking decisions. The authors explore program director (PD) views on medical student research, the importance of disseminating that work, and the translatable skill set of research participation. Method Surveys were distributed to all U.S. residency PDs and remained open from August to November 2021 to query the importance of research participation in assessing applicants, whether certain types of research were more valued, productivity measures that reflect meaningful research participation, and traits for which research serves as a proxy. The survey also queried whether research would be more important without a numeric Step 1 score and the importance of research vs other application components.

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Potential Harm of Elimination of Score Reporting for the United States Medical Licensing Examination Step 1 Examination to Anesthesiology Residency Selection

Cited by 2 publications

References 12 publications

The US Residency Selection Process After the United States Medical Licensing Examination Step 1 Pass/Fail Change: Overview for Applicants and Educators

The US Residency Selection Process After the United States Medical Licensing Examination Step 1 Pass/Fail Change: Overview for Applicants and Educators

Residency Program Directors’ Views on Research Conducted During Medical School: A National Survey

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