The US Residency Selection Process After the United States Medical Licensing Examination Step 1 Pass/Fail Change: Overview for Applicants and Educators.
admission
assessment
postgraduate training
selection
standardized testing
Journal
JMIR medical education
ISSN: 2369-3762
Titre abrégé: JMIR Med Educ
Pays: Canada
ID NLM: 101684518
Informations de publication
Date de publication:
06 Jan 2023
06 Jan 2023
Historique:
received:
05
02
2022
accepted:
29
11
2022
revised:
11
10
2022
entrez:
6
1
2023
pubmed:
7
1
2023
medline:
7
1
2023
Statut:
epublish
Résumé
The United States Medical Licensing Examination (USMLE) Step 1, arguably the most significant assessment in the USMLE examination series, changed from a 3-digit score to a pass/fail outcome in January 2022. Given the rapidly evolving body of literature on this subject, this paper aims to provide a comprehensive review of the historical context and impact of this change on various stakeholders involved in residency selection. For this, relevant keyword-based searches were performed in PubMed, Google Scholar, and Scopus to identify relevant literature. Given the unique history of USMLE Step 1 in the US residency selection process and the score's correlation with future performance in board-certifying examinations in different specialties, this scoring change is predicted to significantly impact US Doctor of Medicine students, US Doctor of Osteopathic Medicine students, international medical graduates, and residency program directors, among others. The significance and the rationale of the pass/fail change along with the implications for both residency applicants and educators are also summarized in this paper. Although medical programs, academic institutions, and residency organizing bodies across the United States have swiftly stepped up to ensure a seamless transition and have attempted to ensure equity for all, the conversion process carries considerable uncertainty for residency applicants. For educators, the increasing number of applications conflicts with holistic application screening, leading to the expected greater use of objective measures, with USMLE Step 2 Clinical Knowledge likely becoming the preferred screening tool in lieu of Step 1.
Identifiants
pubmed: 36607718
pii: v9i1e37069
doi: 10.2196/37069
pmc: PMC9862334
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e37069Informations de copyright
©Ahmad Ozair, Vivek Bhat, Donald K E Detchou. Originally published in JMIR Medical Education (https://mededu.jmir.org), 06.01.2023.
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