The Ohio State University College of Medicine, Meiling Hall, Room 066, 370 West 9th Avenue, Columbus, OH 43210, USA.
Adv Health Sci Educ Theory Pract. 2013 May;18(2):279-89. doi: 10.1007/s10459-012-9371-2. Epub 2012 Apr 7.
This study sought to determine the academic and professional outcomes of medical school graduates who failed the United States Licensing Examination Step 1 on the first attempt. This retrospective cohort study was based on pooled data from 2,003 graduates of six Midwestern medical schools in the classes of 1997-2002. Demographic, academic, and career characteristics of graduates who failed Step 1 on the first attempt were compared to graduates who initially passed. Fifty medical school graduates (2.5 %) initially failed Step 1. Compared to graduates who initially passed Step 1, a higher proportion of graduates who initially failed Step 1 became primary care physicians (26/49 [53 %] vs. 766/1,870 [40.9 %]), were more likely at graduation to report intent to practice in underserved areas (28/50 [56 %] vs. 419/1,939 [ 21.6 %]), and more likely to take 5 or more years to graduate (11/50 [22.0 %] vs. 79/1,953 [4.0 %]). The relative risk of first attempt Step 1 failure for medical school graduates was 13.4 for African Americans, 7.4 for Latinos, 3.6 for matriculants >22 years of age, 3.2 for women, and 2.3 for first generation college graduates. The relative risk of not being specialty board certified for those graduates who initially failed Step 1 was 2.2. Our observations regarding characteristics of graduates in our study cohort who initially failed Step 1 can inform efforts by medical schools to identify and assist students who are at particular risk of failing Step 1.
这项研究旨在确定首次未能通过美国执照考试第 1 步的医学院毕业生的学术和职业成果。这项回顾性队列研究基于来自 1997-2002 年六所中西部医学院的 2003 名毕业生的汇总数据。首次尝试就未能通过第 1 步的毕业生与最初通过的毕业生相比，其人口统计学、学术和职业特征。首次尝试未能通过第 1 步的毕业生中有 50 人（2.5%）。与最初通过第 1 步的毕业生相比，更多首次尝试未能通过第 1 步的毕业生成为初级保健医生（26/49 [53%] 与 766/1,870 [40.9%]），更有可能在毕业时报告打算在服务不足的地区行医（28/50 [56%] 与 419/1,939 [21.6%]），并且更有可能需要 5 年或更长时间才能毕业（11/50 [22.0%] 与 79/1,953 [4.0%]）。对于非洲裔美国毕业生，拉丁裔毕业生，年龄超过 22 岁的新生，女性和第一代大学生，首次尝试第 1 步失败的医学院毕业生的相对风险分别为 13.4、7.4、3.6、3.2 和 2.3。对于那些最初未能通过第 1 步的毕业生，未获得专业委员会认证的相对风险为 2.2。我们对研究队列中首次尝试未能通过第 1 步的毕业生特征的观察结果，可以为医学院识别和帮助那些特别有可能未能通过第 1 步的学生提供信息。
