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May 3, 2021BMC Medical EducationOpen Access

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

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Authors

FMFrederick MunUniversity of Nebraska at OmahaASAlyssa ScottSearch InstituteDCDavid CuiMassachusetts Institute of Technology

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Implication

Survey study demonstrates widespread opposition to USMLE Step 1 pass/fail scoring among residency directors, indicating increased reliance on Step 2 scores and subjective metrics.

Key Points

  • To compare how residency program directors in orthopaedic surgery and internal medicine perceive the transition of the USMLE Step 1 exam to pass/fail scoring and its consequences for candidate selection.
  • Administered a 27-item REDCap survey to 161 orthopaedic surgery and 548 internal medicine residency program directors in the United States.
  • Identified recipient contact details through the American Medical Association Fellowship and Residency Electronic Interactive Database.
  • Survey response rates were 36.0% (58 of 161) for orthopaedics and 22.8% (125 of 548) for internal medicine; the majority in both cohorts opposed the pass/fail transition and cited a lack of transparency.
  • Both specialties reported that the Step 2 Clinical Knowledge exam and clerkship grades will gain greater prominence, expressing concern that international, osteopathic, and less prestigious allopathic graduates will be disadvantaged.
  • Orthopaedic program directors were significantly more likely than internal medicine directors to prioritize research, letters of recommendation, Alpha Omega Alpha honor society status, leadership activities, and audition electives.

Cite This Study

Mun et al. (2021) studied this question.

synapsesocial.com/papers/6a17fb36cf49e78c48b4ac0ehttps://doi.org/10.1186/s12909-021-02699-4
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