The Step 1 exam is going pass-fail. Now what?

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Now that USMLE Step1 is going pass fail, this is going to change the entire dynamic of residency. This video is an open reflection based on what will change.

Snapchat (literally me being extra af): @prerakcity

The USMLE (United States Medical Licensing Examination) Step 1 is a necessary hurdle that medical students must surpass, typically during their second year of medical school. The one-day exam tests students on basic science principles, specifically behavioral science, microbiology, physiology, and anatomy.

Conclusions (Again directly from the paper): With the quantitative changes to USMLE, PDs may be encouraged to consider other application components. Although only PDs from nonprimary care specialties reported that the personal statement will become more important, PDs across specialties will consider leadership experience and academic awards or honor society membership as more important. The latter finding is particularly important as rising concern regarding racial disparities in the Alpha Omega Alpha (AΩA) Honor Medical Society membership has led medical schools to reevaluate their AΩA affiliations. Reduced competition and improved student wellness are commonly cited benefits of pass/fail scoring.4 However, the vast majority of PDs responded that they would increase emphasis on Step 2 CK and NBME subject examinations, suggesting that PDs remain resolute in using standardized scores when reviewing applications. Without Step 2 CS and numerical scores for Step 1, heightened academic pressure may be placed on students to perform well on Step 2 CK as the only standardized metric.

Without the USMLE score as a metric, trusted quantitative and qualitative assessments of a candidate’s competencies and unique characteristics will be tracked in other ways. Other elements of a prospective resident’s application, such as the medical student performance evaluation (MSPE, aka “dean’s letter”), may take on a new importance.

00:00-00:23 - Introduction

00:23-02:49 - Background on the USMLE STEP1 Change

02:49-03:53 - Is STEP2CK the Future?

03:53-08:16 - What Else even Matters?

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In a 20 years period, this man will be an associate board member at pfizer, unitedhealth, and humana. write a memoir about his work as the former FDA commissioner. be a special partner at a venture capital firm. and will regularly appear at CNBC as the chief medical correspondent. You guys better pay close attention to his advices.

alieceadamsn
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Perfect 👌
Thank you for your valuable advice

saharsuliman
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Great video and very well docummented… let me ask you something. What do you think will happen with someone who passed the USMLE 1 but with a poor score? At the time this student apply to Residency what will be most relevant in terms of the USMLE 1, the score or just the fact he just passed?
This IMG student it is not sure what to do. Maybe go ahead with the process, or maybe wait 7 years and try again…

CsariteZultanite
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The USMLE test is really frustrating, I can't believe I failed again after studying so much🥺🥺😓😭😭

De-Zay
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USMLE has been very frustrating to me lately. Have written so many times but keep failing 🥺🥺

De-Zay
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Additionally, any tips for IMGs?
Also, I have watched a few of your videos before and they’re very helpful. Keep ‘em coming!

cutedoc
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Hey Prerak, thanks so much for this video, it was super helpful! Do you have any advice about how to choose between medical schools?

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