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Program directors evaluate how the USMLE Step 1 pass/fail change impacts student assessment, suggesting a need for holistic approaches.
The added emphasis on Step 2 CK scores, NBME shelf exam scores, a student's medical institution, and class rank may cloud the positive impacts of this change, providing an opportunity for programs to evaluate students more holistically. .
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Patel et al. (2026) studied this question.
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