![]() What are the pros and cons of this change, and which stakeholders will be most affected by it? Pros of the New Pass/Fail Step 1 of USMLE Yeesh - that language is the definition of ‘boilerplate’ - what’s really going on here? The USMLE co-sponsors also believe that moving to pass/fail reporting of Step 1 while retaining a scored Step 2 CK represents a positive step toward system-wide change, while limiting large-scale disruption to the overall educational and licensing environment.” The FSMB and NBME believe that changing Step 1 score reporting to pass/fail can help reduce some of the current overemphasis on USMLE performance, while also retaining the ability of medical licensing authorities to use the exam for its primary purpose of medical licensure eligibility. Specific consideration was placed on supporting the educational engagement and overall experience of medical students – and on increasing the dialogue about how multiple assessments of competency could best be utilized by stakeholders in medical regulation and medical education. The views of all stakeholders were considered throughout the score reporting discussions. “In reaching this decision, various score reporting options were considered, including maintaining the status quo (i.e., no change to score reporting). The Invitational Conference on USMLE Scoring (InCUS), which drew upon input from the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME), was rather vague in its published statement that describes the motivation behind the change: But if you’ll be taking Step 1 after January 1st, 2022, your Step 2 score, shelf exam, medical school, and grades have just become far more significant. If you’ll be taking Step 1 before January 2022, this decision will have little to no impact on you. In the past, it has been scored on a scale of 0-300, with 230 being an average score and 250+ being considered above average. Step 1 assesses a medical student’s knowledge of the basic foundational sciences. If you did not use the resource, please leave that row blank.įinding: The most popular resources used were First Aid, Pathoma, Sketchy Micro, Sketchy Pharm and UWorld Question Bank.On February 12th, it was announced that Step 1 of the United States Medical Licensing Exam (USMLE) will now be graded on a pass/fail basis, as opposed to a numerical score.Īccording to the official announcement, the change will be phased in over the next 11-24 months. Please indicate the degree to which you completed each resource. Students who completed more unique practice questions scored better on Step 1, even after controlling for their exam performance in Phase 1. Please enter your best estimate as a single number (no ranges).įinding: The number of unique practice questions completed was positively and significantly associated with Step 1 score. ![]() Do not include second passes or repeated questions. In total, approximately how many UNIQUE practice questions did you complete? Include UWorld, Kaplan, Rx, AMBOSS, practice tests and other Qbanks. Students who studied 12 hours or more did not score significantly higher on the exam than those who studied for fewer hours.ĭid you stay in Chicago/on campus or go home for dedicated study time?įinding: Location of dedicated study time was not significantly associated with Step 1 score. How many hours per day, on average, did you study during dedicated study time?įinding: Hours spent studying per day during dedicated was not significantly associated with Step 1 score. For example, you might have used First Aid early on to help with a unit exam, but not for specifically for Step 1 prep.)įinding: The majority of survey respondents started specifically preparing for Step 1 during winter break or the spring of M2 year, before the start of dedicated. When did you first start studying for Step 1? (When did you have a change of study habit or begin using a resource specifically meant to prepare you for Step 1? It does not have to coincide with when you first starting using Step 1 resources. The average Step 1 score of survey respondents was 244, which is higher than the average score of the entire cohort (240). The response rate was 66 percent (111/169). They also gave permission to merge their survey responses with their Step 1 score. Students were invited to complete the survey after they had taken the exam. The USMLE Step 1 survey was administered to 169 students in the Class of 2020 between April and July 2018.
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