Abstract
Introduction
After the United States Medical Licensing Examination (USMLE) shifted the Step 1 licensure exam to pass/fail, there have been limited studies to analyze changes in student study strategies.
Material and Methods
Surveys were distributed to third- and fourth-year medical students at the University of Michigan Medical School (UMMS). The response rate was 66%.
Results
The largest proportion (18.81%) of students chose 8 weeks of study time. 40.59% of students increased the length of their study period. To determine time allocated for dedicated study, 37.26% of respondents consulted near-peers who had already taken Step 1. Students also considered prior experiences with standardized tests (15.57%), personal reasons (14.62%), and conversations with school advisors (13.21%). 44.55% of students studied for 9–11 h a day, and 42.57% studied for 5–8 h a day. 52.69% of students scored between 70 and 80% on their final practice NBME test before their Step 1 exam. One hundred percent of respondents passed the exam. Exam non-extenders achieved higher end average practice test scores with shorter study periods. No differences in Step 1 study time or intensity were found when comparing students by intended specialty competitiveness.
Conclusion
Our results demonstrated patterns in study strategies for the new pass/fail Step 1 exam that may prove useful for curriculum design and schedule plan for future cohorts.
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Data Availability
The data that support the findings of this study are not openly available due to reasons of sensitivity and are available from the first author upon reasonable request.
References
Summary Report and Preliminary Recommendations from the Invitational Conference on USMLE Scoring. Invitational Conference on USMLE Scoring (INCUS). 2019. https://www.usmle.org/sites/default/files/2021-08/incus_summary_report.pdf. Accessed 8 April 2024.
Neville AL, Smith BR, de Virgilio C. USMLE Step 1 scoring system change to pass/fail-an opportunity for change. JAMA Surg. 2020;155(12):1093–4.
Gauer JL, Jackson JB. The association of USMLE Step 1 and Step 2 CK scores with residency match specialty and location. Med Educ Online. 2017;22(1):1358579.
Girard AO, Qiu C, Lake IV, Chen J, Lopez CD, Yang R. US Medical student perspectives on the impact of a pass/fail USMLE Step 1. J Surg Educ. 2022;79(2):397–408.
Performance data. 2024. https://www.usmle.org/performance-data. Accessed 8 April 2024.
Mott NM, Kercheval JB, Daniel M. Exploring students’ perspectives on well-being and the change of United States Medical Licensing Examination Step 1 to pass/fail. Teach Learn Med. 2021;33(4):355–65.
Website. Results and data-2022 Main Residency Match-NRMP, May 2022. https://www.nrmp.org/wp-content/uploads/2022/10/2022-Main-Match-Results-and-Data-FINAL.pdf.
Website. 2022 Ophthalmology Residency Match-SF Match, 2022. https://aupo.org/sites/default/files/2022-03/Feb%202022%20Oph%20Residency%20Match%20General%20Stats%20final.pdf.
Wang KR, Shah YB, Simhal RK, et al. The impact of COVID-19 on the urology residency match and geographic proximity of applicants. Urology. 2023;176:21–7.
Burk-Rafel J, Santen SA, Purkiss J. Study behaviors and USMLE Step 1 performance: implications of a student self-directed parallel curriculum. Acad Med. 2017;92(11S Association of American Medical Colleges Learn Serve Lead: Proceedings of the 56th Annual Research in Medical Education Sessions):S67–74.
Acknowledgements
We would like to thank the University of Michigan Medical School administration and Student Council for their support and guidance on this project.
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Wang, J., Crumbley, M.E., Nori, S. et al. Many Paths to the Summit: Survey of Step 1 Study Methods with Pass/Fail Scoring. Med.Sci.Educ. (2024). https://doi.org/10.1007/s40670-024-02072-2
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DOI: https://doi.org/10.1007/s40670-024-02072-2