Comprehensive Reform and Greater Equity in Applying to Residency—Trainees' Mixed Responses to a Pass/Fail USMLE Step 1 Article Swipe
Nishant Ganesh Kumar
,
Matthew E. Pontell
,
Alan T. Makhoul
,
Brian C. Drolet
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.4300/jgme-d-20-01511.1
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.4300/jgme-d-20-01511.1
Background Pass/fail USMLE Step 1 score reporting may have varying implications for trainees of different demographic and training backgrounds. Objective To characterize the perspectives of a diverse cohort of trainees on the impact of pass/fail Step 1 score reporting. Methods In 2020, 197 US and international medical school deans and 822 designated institutional officials were invited to distribute anonymous electronic surveys among their trainees. Separate surveys for medical students and residents/fellows were developed based on the authors' prior work surveying program directors on this topic. Underrepresented in medicine (UiM) was defined in accordance with AAMC definitions. Descriptive and comparative analyses were performed, and results were considered statistically significant with P < .05. Results A total of 11 633 trainees responded (4379 medical students and 7254 residents/fellows; 3.3% of an estimated 285 000 US trainees). More students favored the score reporting change than residents/fellows (43% vs 31%; P < .001; 95% CI 0–24). Trainees identifying as UiM were more likely to favor the change (50% vs 34%; P < .001; 95% CI 0–32) and to agree it would decrease socioeconomic disparities (44% vs 25%; P < .001; 95% CI 0–38) relative to non-UiM trainees. Nearly twice as many osteopathic and international medical graduate students felt they would be disadvantaged compared to MD students because of pass/fail score reporting (61% vs 31%; P < .001; 95% CI 0–60). Conclusions Trainee perspectives regarding USMLE Step 1 score reporting are mixed. UiM trainees were more likely to favor the score reporting change, while osteopathic and international medical students were less in favor of the change.
Related Topics
Concepts
United States Medical Licensing Examination
Osteopathic medicine in the United States
Medicine
Family medicine
Medical education
Graduate medical education
Medical school
Cohort
Disadvantaged
Equity (law)
Residency training
Alternative medicine
Internal medicine
Accreditation
Pathology
Political science
Continuing education
Law
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4300/jgme-d-20-01511.1
- https://meridian.allenpress.com/jgme/article-pdf/13/5/711/2930649/i1949-8357-13-5-711.pdf
- OA Status
- bronze
- Cited By
- 8
- References
- 12
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3207514018
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3207514018Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.4300/jgme-d-20-01511.1Digital Object Identifier
- Title
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Comprehensive Reform and Greater Equity in Applying to Residency—Trainees' Mixed Responses to a Pass/Fail USMLE Step 1Work title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-10-01Full publication date if available
- Authors
-
Nishant Ganesh Kumar, Matthew E. Pontell, Alan T. Makhoul, Brian C. DroletList of authors in order
- Landing page
-
https://doi.org/10.4300/jgme-d-20-01511.1Publisher landing page
- PDF URL
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https://meridian.allenpress.com/jgme/article-pdf/13/5/711/2930649/i1949-8357-13-5-711.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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bronzeOpen access status per OpenAlex
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https://meridian.allenpress.com/jgme/article-pdf/13/5/711/2930649/i1949-8357-13-5-711.pdfDirect OA link when available
- Concepts
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United States Medical Licensing Examination, Osteopathic medicine in the United States, Medicine, Family medicine, Medical education, Graduate medical education, Medical school, Cohort, Disadvantaged, Equity (law), Residency training, Alternative medicine, Internal medicine, Accreditation, Pathology, Political science, Continuing education, LawTop concepts (fields/topics) attached by OpenAlex
- Cited by
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8Total citation count in OpenAlex
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2025: 1, 2024: 1, 2023: 3, 2022: 3Per-year citation counts (last 5 years)
- References (count)
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12Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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