L. Ronner is a fourth-year medical student, Icahn School of Medicine at Mount Sinai, New York, New York; ORCID: http://orcid.org/0000-0002-2310-5345.
L. Linkowski is director of programs and resources for academic excellence, Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York.
Acad Med. 2020 Sep;95(9):1329-1331. doi: 10.1097/ACM.0000000000003220.
Reddit is a popular content aggregator and discussion website that plays an important role in shaping medical student culture and study habits. The forum r/medicalschool, in particular, provides a distilled view into contemporary U.S. medical students' attitudes and deteriorating relationship to their home institutions' educators and curricula. As a national discussion on United States Medical Licensing Examination Step 1 reform emerges, the role of forums like r/medicalschool in shaping a "Step 1 climate" via the design and dissemination of prescriptive Step 1 study regimens based on commercially available resources and crowdsourced flash card decks goes largely unseen and undiscussed by medical educators. This Invited Commentary aims to introduce medical educators to these forums, highlight the common attitudes borne out of them, and contextualize one popular proposal for Step 1 reform-shifting to a pass/fail exam-within the author's experience as an online forum insider.
Reddit 是一个广受欢迎的内容聚合器和讨论网站，它在塑造医学生文化和学习习惯方面发挥着重要作用。特别是论坛 r/medicalschool，提供了一个深入了解当代美国医学生的态度和他们与所在机构教育者和课程之间恶化的关系的视角。随着美国医师执照考试第 1 步改革的全国性讨论的出现，像 r/medicalschool 这样的论坛通过设计和传播基于商业资源和众包抽认卡的规定性第 1 步学习方案，在塑造“第 1 步氛围”方面的作用在很大程度上没有被医学教育者看到和讨论。这篇特邀评论旨在向医学教育者介绍这些论坛，强调从中产生的常见态度，并结合作者作为在线论坛内部人士的经验，将第 1 步改革的一个热门提议——转向通过/不通过考试——置于背景之中。
