Key points are not available for this paper at this time.
BACKGROUND: To examine the effects of (1) examinee gender on United States Medical Licensing Examination (USMLE) Step 1 performance, (2) examinee gender on the relationships between prematriculation measures and Step 1 performance, and (3) medical school characteristics on the relationships between examinee characteristics and Step 1 performance. METHOD: A series of hierarchical linear models (examinees-nested-in-schools) was conducted predicting Step 1 scores. The sample included 66,412 examinees from 133 U.S. Liaison Committee on Medical Education-accredited medical schools/campuses. RESULTS: Controlling for prematriculation measures, men outperformed women slightly on Step 1. Undergraduate science grade point averages were more associated with Step 1 performance for women than men. Schools with higher mean Medical College Admission Test (MCAT) science scores had higher mean Step 1 scores, and MCAT science scores were slightly more associated with Step 1 performance for students from schools with higher percentages of female students. CONCLUSIONS: Patterns of gender-related performance differences on Step 1 generally mirrored those reported in earlier research. School-level variables provided some additional insight into these relationships, but additional research is needed to fully understand why men and women perform differently on the USMLE.
Cuddy et al. (Fri,) studied this question.