The association of USMLE Step 1 and Step 2 CK scores with residency match specialty and location

Gauer, Jacqueline L; Jackson, J. Brooks

doi:10.1080/10872981.2017.1358579

Cited by 84 publications

(75 citation statements)

References 24 publications

(26 reference statements)

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“…In other words, learners with more honors grades and higher Step 1 scores had matched into higher ranked programs. This finding is consistent with the 2017 Gauer and Jackson study [9], which found that Step 1 scores are significantly associated with specialty match.…”

Section: Discussionsupporting

confidence: 91%

Is it a match? a novel method of evaluating medical school success

Chang

Nagler

Rudd

et al. 2018

Medical Education Online

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Background: Medical education program evaluation allows for curricular improvements to both Undergraduate (UME) and Graduate Medical Education (GME). UME programs are left with little more than match rates and self-report to evaluate success of graduates in The Match.Objective: This manuscript shares a novel method of program evaluation through a systematic assessment of Match outcomes.Design: Surveys were developed and distributed to Program Training Directors (PTDs) at our institution to classify residency programs into which our UME graduates matched using an ordinal response scale and open-ended responses. Outcomes-based measures for UME graduates were collected and analyzed. The relationship between PTD survey data and UME graduates’ outcomes were explored. Open-ended response data were qualitatively analyzed using iterative cycles of coding and identifying themes.Results: The PTD survey response rate was 100%. 71% of our graduates matched to programs ranked as ‘elite’ (36%) or ‘top’ (35%) tier. The mean total number of ‘Honors’ grades achieved by UME graduates was 2.6. Data showed that graduates entering elite and top GME programs did not consistently earn Honors in their associated clerkships. A positive correlation was identified between USMLE Step 1 score, number of honors, and residency program rankings for a majority of the programs. Qualitative analysis identified research, faculty, and clinical exposure as necessary characteristics of ‘elite’ programs:. Factors considered by PTDs in the rating of programs included reputation, faculty, research, national presence and quality of graduates.Conclusions: This study describes a novel outcomes-based method of evaluating the success of UME programs. Results provided useful feedback about the quality of our UME program and its ability to produce graduates who match in highly-regarded GME programs. The findings from this study can benefit Clerkship Directors, Student Affairs and Curriculam Deans, and residency PTDs as they help students determine their competitiveness forspecialties and specific residency programs.

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Section: Discussionsupporting

confidence: 91%

Is it a match? a novel method of evaluating medical school success

Chang

Nagler

Rudd

et al. 2018

Medical Education Online

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“…The emphasis placed on this examination score for the selection of a residency is understood from the beginning of medical school. This is especially true for those students desiring to match into their first-choice of residency or highly competitive specialties (Gauer and Jackson, 2017;Mitsouras, et al, 2019). A recent study demonstrated (Mitsouras, et al, 2019) that a difference in COMLEX and USMLE scores was more pronounced for those students matching into highly competitive specialties rather than into first choice, with a larger difference in mean scores between students matching into specialties of high versus low competitiveness, than between students matching into their first versus non first choice residency (Mitsouras, et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

How Influences on Residency Choice Change Through Medical School

Greco¹,

Koehler²,

Blazey³

et al. 2020

MedEdPublish

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Purpose: To attract medical students (MS) to primary care, administrators must understand what impacts students to select a certain area of medicine. This study elucidates these influences and how they change throughout four years. Methods:A survey was administered to first-year (Group-I) and fourth-year (Group-II) MS at New York Institute of Technology College of Osteopathic Medicine (NYIT-COM). Questions sought to understand what factors influence student's residency choice.Results: There were 258 respondents, 184 responses (71.0%) were from Group-I and 75 (29.0%) were from Group-II. Academic performance and board scores had a greater impact on career choice for Group-I (83.2%) than Group-II (13.3%). Perceived status among colleagues had a greater negative influence on Group-II (13.7 %) than Group-I (2.90 %). Opportunity to care for patients and their families had an increased negative influence on Group-II (11.1%) than Group-I (0.6 %). Conclusions:Upon entering medical school, academic performance had a greater influence on residency choice than it did 4th year after exams were completed. Compared to 1st year MS, the ability to care for patients and families, with perceived status among colleagues is a deterring factor to 4th year MS choice of residency.

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“…Step 3 is taken during the first year of residency and evaluates the application of medical knowledge to the supervised practice of medicine. Of these, Step 1 scores have been shown to play an important role in residency selection by standardizing academic achievements of students from different schools, in predicting success in clinical clerkships and Step 2 examinations, and in board examinations taken during residencies [3][4][5][6][7][8][9]. Therefore, parameters influencing student performance on Step 1 examinations such as the Medical College Admission Test (MCAT) and related preparatory materials are of interest to both students as well as medical schools.…”

Section: Introductionmentioning

confidence: 99%

Correlation of Medical College Admission Test Scores and Self-assessment Materials with the United States Medical Licensing Examination Step 1 Performance

Seal

Koek

Sharma

2020

Cureus

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Candidates' performance on the United States Medical Licensing Examination (USMLE) Step 1 examination had been correlated with the Medical College Admission Test (MCAT). However, in 2015, a new MCAT format was released and its correlation with Step 1 remains to be fully analyzed. Preparation for Step 1 typically involves purchasing and perusing practice tests from the National Board of Medical Examiners (NBME) and UWorld; however, their predictive value to performance on Step 1 remains to be ascertained, especially with the release of five new NBME practice tests. Additionally, there is a need for accurately predicting Step 1 scores to self-evaluate study progress and reduce student anxiety. Rationale Program directors rank USMLE Step 1 scores as the number one criterion in selecting interviewees for residency. Step 1 scores are more important than Step 2 scores, Dean's letter, or other letters of recommendation in determining the overall ranking of a candidate after interviews. Hypotheses The authors hypothesized that the new MCAT scores correlated positively with Step 1 scores and that the new NBME practice tests were more predictive of performance on Step 1 as compared to old NBME tests. Methods Linear regression analysis followed by either analysis of variance (ANOVA) or Student's t-tests were used to analyze 399 responses. Data obtained was used to update an existing Step 1 score predictor, which was then validated. Results A positive correlation between the MCAT (average score: 510.1 ± 6.3) and Step 1 scores (average score: 246.1 ± 14.2) was observed. While new NBME practice tests were more predictive of Step 1 scores than old NBME tests, UWorld test scores were the most predictive. Students who practiced with the new NBME practice tests scored significantly higher than students who did not use them. However, students using any of the UWorld practice tests did significantly better than students who practiced using only NBME practice tests but not UWorld practice tests. Ironically, NBME 16, the second-most correlative test to Step 1 performance, is no longer available for purchase. Overall, taking six or more practice tests significantly enhanced Step 1 scores; the optimal number of tests 1 2 3

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The association of USMLE Step 1 and Step 2 CK scores with residency match specialty and location

Cited by 84 publications

References 24 publications

Is it a match? a novel method of evaluating medical school success

Is it a match? a novel method of evaluating medical school success

How Influences on Residency Choice Change Through Medical School

Correlation of Medical College Admission Test Scores and Self-assessment Materials with the United States Medical Licensing Examination Step 1 Performance

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