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DOI: 10.1055/s-0040-1718568
Ophthalmology Program Director Perspectives of Scoring Step 1 Pass/Fail
Abstract
Background Scoring for the United States Medical Licensing Examination (USMLE) Step 1 was recently announced to be reported as binary as early as 2022. The general perception among program directors (PDs) in all specialties has largely been negative, but the perspective within ophthalmology remains uncharacterized.
Objective This article characterizes ophthalmology residency PDs' perspectives regarding the impact of pass/fail USMLE Step 1 scoring on the residency application process.
Methods A validated 19-item anonymous survey was electronically distributed to 111 PDs of Accreditation Council for Graduate Medical Education-accredited ophthalmology training programs.
Results Fifty-six PDs (50.5%) completed the survey. The median age of respondents was 48 years and the majority were male (71.4%); the average tenure as PD was 7.1 years. Only 6 (10.7%) PDs reported the change of the USMLE Step 1 to pass/fail was a good idea. Most PDs (92.9%) indicated that this will make it more difficult to objectively compare applicants, and many (69.6%) did not agree that the change would improve medical student well-being. The majority (82.1%) indicated that there will be an increased emphasis on Step 2 Clinical Knowledge (CK) scores, and many (70.4%) felt that medical school reputation will be more important in application decisions.
Conclusion Most ophthalmology PDs who responded to the survey do not support binary Step 1 scoring. Many raised concerns regarding shifted overemphasis on Step 2 CK, uncertain impact on student well-being, and potential to disadvantage certain groups of medical students including international medical graduates. These concerns highlight the need for reform in the ophthalmology application process.
Keywords
medical education - residency selection - SF match - match process - USMLE - Step 1 - program directorsPublication History
Received: 23 June 2020
Accepted: 03 September 2020
Article published online:
26 November 2020
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Match SF. Ophthalmology Residency Match Summary Report. 2019 . Available at: https://www.sfmatch.org/PDFFilesDisplay/Ophthalmology_Residency_Stats_2019.pdf. Accessed May 5, 2020
- 2 National Resident Matching Program, Characteristics of U.S. Allopathic Seniors Who Matched to Their Preferred Specialty in the 2018 Main Residency Match. October 2019
- 3 Nallasamy S, Uhler T, Nallasamy N, Tapino PJ, Volpe NJ. Ophthalmology resident selection: current trends in selection criteria and improving the process. Ophthalmology 2010; 117 (05) 1041-1047
- 4 Behunin N, Hill C, Lotpifour M, Scott IU. The ophthalmology residency program director survey: applicant qualities affecting the invitation to interview and rank position. Invest Ophthalmol Vis Sci 2017; 58 (08) 5052
- 5 Makhoul AT, Pontell ME, Ganesh Kumar N, Drolet BC. Objective measures needed - program directors' perspectives on a pass/fail USMLE Step 1. N Engl J Med 2020; 382 (25) 2389-2392
- 6 Andolsek KM. One small step for Step 1. Acad Med 2019; 94 (03) 309-313
- 7 Summary Report and Preliminary Recommendations from the Invitational Conference on USMLE Scoring (InCUS), March 11–12; 2019, United States Medical Licensing Examination. Accessed March 29, 2020
- 8 Rubright JD, Jodoin M, Barone MA. Examining demographics, prior academic performance, and United States Medical Licensing Examination scores. Acad Med 2019; 94 (03) 364-370
- 9 Gauer JL, Jackson JB. Relationships of demographic variables to USMLE physician licensing exam scores: a statistical analysis on five years of medical student data. Adv Med Educ Pract 2018; 9: 39-44
- 10 Yousuf SJ, Jones LS. Ophthalmology residency match outcomes for 2011. Ophthalmology 2012; 119 (03) 642-646
- 11 Lee AG, Golnik KC, Oetting TA. et al. Re-engineering the resident applicant selection process in ophthalmology: a literature review and recommendations for improvement. Surv Ophthalmol 2008; 53 (02) 164-176