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{
    "pk": 14753,
    "title": "Emergency Medicine Program Directors’ Perspectives on Changes to Step 1 Scoring: Does It Help or Hurt Applicants?",
    "subtitle": null,
    "abstract": "Introduction:\n The United States Medical Licensing Examination (USMLE) Step 1 score is one of the few standardized metrics used to objectively review applicants for residency. In February 2020 the USMLE program announced that the numerical Step 1 scoring would be changed to a binary (Pass/Fail) system. In this study we sought to characterize how this change in score reporting will impact the application review process for emergency medicine (EM) program directors (PD). \nMethods:\n In March 2020 we electronically distributed a validated anonymous survey to EM PDs at 236 US EM residency programs accredited by the Accreditation Council for Graduate Medical Education. Results: Of 236 EM PDs, 121 responded (51.3% response rate). Overall, 72.7% believed binary Step 1 scoring would make the process of objectively comparing applicants more difficult. A minority (19.8%) believed it was a good idea, and 33.1% felt it would improve medical student well-being. The majority (88.4%) reported that they will increase their emphasis on Step 2 Clinical Knowledge (CK) for resident selection, and 85% plan to require Step 2 CK scores at application submission time. \nConclusion:\n Our study suggests most EM PDs disapprove of the new Step 1 scoring. As more objective data is peeled away from the residency application, EM PDs will be left to rely more heavily on the few remaining measures, including Step 2 CK and standardized letters of evaluation. Further changes are needed to promote equity and improve the overall quality of the application process for students and PDs.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Step 1, Step 2, USMLE, ERAS"
        }
    ],
    "section": "Education Special Issue - Original Research (Limit 3500 words)",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4md4x5n2",
    "frozenauthors": [
        {
            "first_name": "Gabriella",
            "middle_name": "E.",
            "last_name": "Glassman",
            "name_suffix": "",
            "institution": "Vanderbilt University Medical Center, Department of Plastic Surgery, Nashville, Tennessee",
            "department": "None"
        },
        {
            "first_name": "Jennifer",
            "middle_name": "",
            "last_name": "Black",
            "name_suffix": "",
            "institution": "Meharry Medical College, Pharmacy Department, Nashville, Tennessee",
            "department": "None"
        },
        {
            "first_name": "Nicole",
            "middle_name": "Streiff",
            "last_name": "McCoin",
            "name_suffix": "",
            "institution": "Ochsner Medical Center, Department of Emergency Medicine, New Orleans, Louisiana",
            "department": "None"
        },
        {
            "first_name": "Brian",
            "middle_name": "C.",
            "last_name": "Drolet",
            "name_suffix": "",
            "institution": "Vanderbilt University Medical Center, Department of Plastic Surgery, Nashville, Tennessee; Vanderbilt University Medical Center, Department of Biomedical Informatics, Nashville, Tennessee",
            "department": "None"
        }
    ],
    "date_submitted": "2020-12-09T23:38:31Z",
    "date_accepted": "2020-12-09T23:38:31Z",
    "date_published": "2021-12-20T23:26:04Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/14753/galley/7506/download/"
        }
    ]
}