The Step 1 exam is going pass-fail. Now what?

Now that USMLE Step1 is going pass fail, this is going to change the entire dynamic of residency. This video is an open reflection based on what will change.

SOURCE FOR THIS VIDEO: https://www.aamc.org/news-insights/st...

I also published a detailed video on how Program Directors will react to this change (based on existing data). This video is titled: What do Program Directors Think of USMLE P/F? (RECENT DATA RELEASE!). Here is the link:    • What do Program Directors Think of USMLE P...  


Source for the aforementioned video: https://www.aamc.org/news-insights/st...

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The USMLE (United States Medical Licensing Examination) Step 1 is a necessary hurdle that medical students must surpass, typically during their second year of medical school. The one-day exam tests students on basic science principles, specifically behavioral science, microbiology, physiology, and anatomy.

Conclusions (Again directly from the paper): With the quantitative changes to USMLE, PDs may be encouraged to consider other application components. Although only PDs from nonprimary care specialties reported that the personal statement will become more important, PDs across specialties will consider leadership experience and academic awards or honor society membership as more important. The latter finding is particularly important as rising concern regarding racial disparities in the Alpha Omega Alpha (AΩA) Honor Medical Society membership has led medical schools to reevaluate their AΩA affiliations. Reduced competition and improved student wellness are commonly cited benefits of pass/fail scoring.4 However, the vast majority of PDs responded that they would increase emphasis on Step 2 CK and NBME subject examinations, suggesting that PDs remain resolute in using standardized scores when reviewing applications. Without Step 2 CS and numerical scores for Step 1, heightened academic pressure may be placed on students to perform well on Step 2 CK as the only standardized metric.

AMA's FAQ (https://www.ama-assn.org/residents-st... What will replace Step 1 as a differentiator? (reinforced by this video!)

Without the USMLE score as a metric, trusted quantitative and qualitative assessments of a candidate’s competencies and unique characteristics will be tracked in other ways. Other elements of a prospective resident’s application, such as the medical student performance evaluation (MSPE, aka “dean’s letter”), may take on a new importance.

00:00-00:23 - Introduction

00:23-02:49 - Background on the USMLE STEP1 Change

02:49-03:53 - Is STEP2CK the Future?

03:53-08:16 - What Else even Matters?

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