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A comparison of orthopaedic surgery and internal medicine perceptions of USMLE Step 1 pass/fail scoring

BACKGROUND: United States Medical Licensing Examination Step 1 will transition from numeric grading to pass/fail, sometime after January 2022. The aim of this study was to compare how program directors in orthopaedics and internal medicine perceive a pass/fail Step 1 will impact the residency applic...

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Autores principales: Mun, Frederick, Scott, Alyssa R., Cui, David, Lehman, Erik B., Jeong, Seong Ho, Chisty, Alia, Juliano, Paul J., Hennrikus, William L., Hennrikus, Eileen F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8091716/
https://www.ncbi.nlm.nih.gov/pubmed/33941167
http://dx.doi.org/10.1186/s12909-021-02699-4
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author Mun, Frederick
Scott, Alyssa R.
Cui, David
Lehman, Erik B.
Jeong, Seong Ho
Chisty, Alia
Juliano, Paul J.
Hennrikus, William L.
Hennrikus, Eileen F.
author_facet Mun, Frederick
Scott, Alyssa R.
Cui, David
Lehman, Erik B.
Jeong, Seong Ho
Chisty, Alia
Juliano, Paul J.
Hennrikus, William L.
Hennrikus, Eileen F.
author_sort Mun, Frederick
collection PubMed
description BACKGROUND: United States Medical Licensing Examination Step 1 will transition from numeric grading to pass/fail, sometime after January 2022. The aim of this study was to compare how program directors in orthopaedics and internal medicine perceive a pass/fail Step 1 will impact the residency application process. METHODS: A 27-item survey was distributed through REDCap to 161 U.S. orthopaedic residency program directors and 548 U.S. internal medicine residency program directors. Program director emails were obtained from the American Medical Association’s Fellowship and Residency Electronic Interactive Database. RESULTS: We received 58 (36.0%) orthopaedic and 125 (22.8%) internal medicine program director responses. The majority of both groups disagree with the change to pass/fail, and felt that the decision was not transparent. Both groups believe that the Step 2 Clinical Knowledge exam and clerkship grades will take on more importance. Compared to internal medicine PDs, orthopaedic PDs were significantly more likely to emphasize research, letters of recommendation from known faculty, Alpha Omega Alpha membership, leadership/extracurricular activities, audition elective rotations, and personal knowledge of the applicant. Both groups believe that allopathic students from less prestigious medical schools, osteopathic students, and international medical graduates will be disadvantaged. Orthopaedic and internal medicine program directors agree that medical schools should adopt a graded pre-clinical curriculum, and that there should be a cap on the number of residency applications a student can submit. CONCLUSION: Orthopaedic and internal medicine program directors disagree with the change of Step 1 to pass/fail. They also believe that this transition will make the match process more difficult, and disadvantage students from less highly-regarded medical schools. Both groups will rely more heavily on the Step 2 clinical knowledge exam score, but orthopaedics will place more importance on research, letters of recommendation, Alpha Omega Alpha membership, leadership/extracurricular activities, personal knowledge of the applicant, and audition electives. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-021-02699-4.
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spelling pubmed-80917162021-05-04 A comparison of orthopaedic surgery and internal medicine perceptions of USMLE Step 1 pass/fail scoring Mun, Frederick Scott, Alyssa R. Cui, David Lehman, Erik B. Jeong, Seong Ho Chisty, Alia Juliano, Paul J. Hennrikus, William L. Hennrikus, Eileen F. BMC Med Educ Research BACKGROUND: United States Medical Licensing Examination Step 1 will transition from numeric grading to pass/fail, sometime after January 2022. The aim of this study was to compare how program directors in orthopaedics and internal medicine perceive a pass/fail Step 1 will impact the residency application process. METHODS: A 27-item survey was distributed through REDCap to 161 U.S. orthopaedic residency program directors and 548 U.S. internal medicine residency program directors. Program director emails were obtained from the American Medical Association’s Fellowship and Residency Electronic Interactive Database. RESULTS: We received 58 (36.0%) orthopaedic and 125 (22.8%) internal medicine program director responses. The majority of both groups disagree with the change to pass/fail, and felt that the decision was not transparent. Both groups believe that the Step 2 Clinical Knowledge exam and clerkship grades will take on more importance. Compared to internal medicine PDs, orthopaedic PDs were significantly more likely to emphasize research, letters of recommendation from known faculty, Alpha Omega Alpha membership, leadership/extracurricular activities, audition elective rotations, and personal knowledge of the applicant. Both groups believe that allopathic students from less prestigious medical schools, osteopathic students, and international medical graduates will be disadvantaged. Orthopaedic and internal medicine program directors agree that medical schools should adopt a graded pre-clinical curriculum, and that there should be a cap on the number of residency applications a student can submit. CONCLUSION: Orthopaedic and internal medicine program directors disagree with the change of Step 1 to pass/fail. They also believe that this transition will make the match process more difficult, and disadvantage students from less highly-regarded medical schools. Both groups will rely more heavily on the Step 2 clinical knowledge exam score, but orthopaedics will place more importance on research, letters of recommendation, Alpha Omega Alpha membership, leadership/extracurricular activities, personal knowledge of the applicant, and audition electives. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-021-02699-4. BioMed Central 2021-05-03 /pmc/articles/PMC8091716/ /pubmed/33941167 http://dx.doi.org/10.1186/s12909-021-02699-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Mun, Frederick
Scott, Alyssa R.
Cui, David
Lehman, Erik B.
Jeong, Seong Ho
Chisty, Alia
Juliano, Paul J.
Hennrikus, William L.
Hennrikus, Eileen F.
A comparison of orthopaedic surgery and internal medicine perceptions of USMLE Step 1 pass/fail scoring
title A comparison of orthopaedic surgery and internal medicine perceptions of USMLE Step 1 pass/fail scoring
title_full A comparison of orthopaedic surgery and internal medicine perceptions of USMLE Step 1 pass/fail scoring
title_fullStr A comparison of orthopaedic surgery and internal medicine perceptions of USMLE Step 1 pass/fail scoring
title_full_unstemmed A comparison of orthopaedic surgery and internal medicine perceptions of USMLE Step 1 pass/fail scoring
title_short A comparison of orthopaedic surgery and internal medicine perceptions of USMLE Step 1 pass/fail scoring
title_sort comparison of orthopaedic surgery and internal medicine perceptions of usmle step 1 pass/fail scoring
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8091716/
https://www.ncbi.nlm.nih.gov/pubmed/33941167
http://dx.doi.org/10.1186/s12909-021-02699-4
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