1. The Change of USMLE Step 1 to Pass/Fail: Perspectives of the Surgery Program Director
- Author
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Brian C. Drolet, Alan T. Makhoul, Nishant Ganesh Kumar, and Matthew E. Pontell
- Subjects
medicine.medical_specialty ,Students, Medical ,education ,030230 surgery ,Step 1 ,Pass ,Article ,Education ,03 medical and health sciences ,Program director ,0302 clinical medicine ,Surveys and Questionnaires ,Humans ,Medicine ,University medical ,030212 general & internal medicine ,Grading (education) ,Schools, Medical ,Disadvantage ,Medical education ,Apprehension ,business.industry ,Internship and Residency ,Vascular surgery ,United States ,Student assessment ,Fail ,Cardiothoracic surgery ,Surgery ,Educational Measurement ,medicine.symptom ,business ,USMLE - Abstract
Objective This study sought to evaluate the perspectives of surgical program directors regarding the change of USMLE Step 1 to pass/fail grading. Design Validated electronic survey. Setting Vanderbilt University Medical Center Department of Plastic Surgery. Participants Program directors of all ACMGE-accredited General Surgery, Integrated Vascular Surgery, Integrated Thoracic Surgery, and Integrated Plastic Surgery residency programs. Results The overall response rate was 55.5%. Most PDs (78.1%) disagreed with the scoring change. Only 19.6% believe this change will improve medical student well-being. For 63.5% of PDs, medical school pedigree will become more important, and 52.7% believe it will place international medical graduates at a disadvantage. Only 6.2% believe Step 2 CK should also be pass/fail, while 88.7% will increase the weight of Step 2 CK and 88.4% will now require Step 2 CK score submission with the electronic residency application service. Conclusions While well-intentioned, changing USMLE Step 1 to pass/fail may have unintended consequences and may disadvantage certain groups of applicants. The emphasis on Step 1, and resulting test-taking apprehension, will likely shift to Step 2 CK. Proponents of equitable evaluation should direct their efforts toward increasing, not decreasing, the number of objective measures available for student assessment.
- Published
- 2021