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Internal medicine resident perspectives on scoring USMLE as pass/fail
Journal article   Open access   Peer reviewed

Internal medicine resident perspectives on scoring USMLE as pass/fail

Sara L. Wallach, Christopher Williams, Robert T. Chow, Nagesh Jadhav, Sapna Kuehl, Jaya M. Raj and Richard Alweis
Journal of community hospital internal medicine perspectives, v 10(5), pp 381-385
02 Sep 2020
PMID: 33235666
url
https://doi.org/10.1080/20009666.2020.1796366View
Published, Version of Record (VoR)CC BY-NC V4.0 Open

Abstract

General & Internal Medicine Life Sciences & Biomedicine Medicine, General & Internal Science & Technology
Background: The scoring rubric on the USMLE Step 1 examination will be changing to pass/fail in January 2022. This study elicits internal medicine resident perspectives on USMLE pass/fail scoring at the national level. Objective: To assess internal medicine resident opinions regarding USMLE pass/fail scoring and examine how variables such as gender, scores on USMLE 1 and 2, PGY status and type of medical school are associated with these results. Methods: In the fall of 2019, the authors surveyed current internal medicine residents via an on-line tool distributed through their program directors. Respondents indicated their Step 1 and Step 2 Clinical Knowledge scores from five categorical ranges. Questions on medical school type, year of training year, and gender were included. The results were analyzed utilizing Pearson Chi-square testing and multivariable logistic regression. Results: 4012 residents responded, reflecting 13% of internal medicine residents currently training in the USA. Fifty-five percent of respondents disagreed/strongly disagreed with pass/fail scoring and 34% agreed/strongly agreed. Group-based differences were significant for gender, PGY level, Step 1 score, and medical school type; a higher percentage of males, those training at the PGY1 level, and graduates of international medical schools (IMGs) disagreed with pass/fail reporting. In addition, high scorers on Step 1 were more likely to disagree with pass/fail reporting than low scoring residents Conclusion; Our results suggest that a majority of internal medicine residents, currently training in the USA prefer that USMLE numerical scoring is retained and not changed to pass/fail.

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Domestic collaboration
Web of Science research areas
Health Care Sciences & Services
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