Lin Lawrence O, Makhoul Alan T, Hackenberger Paige N, Ganesh Kumar Nishant, Schoenbrunner Anna R, Pontell Matthew E, Drolet Brian C, Janis Jeffrey E
Department of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Vanderbilt University School of Medicine, Nashville, Tenn.
Plast Reconstr Surg Glob Open. 2020 Dec 17;8(12):e3266. doi: 10.1097/GOX.0000000000003266. eCollection 2020 Dec.
As early as 2022, United States Medical Licensing Examination Step 1 results will be reported as pass or fail, rather than as 3-digit numeric scores. This survey examines the perspectives of plastic surgery applicants and program directors (PD) regarding this score reporting change.
A 24-item survey was distributed to integrated applicants from the 2018-19 and 2019-20 application cycles. An analogous 28-item survey was sent to integrated and independent plastic surgery training program directors. Data were analyzed using summary tables and marginal homogeneity tests.
164 applicants (33.2%) and 64 PDs (62.1%) completed the survey. Most applicants (60.3%) and PDs (81.0%) were not in favor of the score reporting change. As a result of binary scoring, a majority of respondents anticipate that residency programs will use Step 2 CK scores to screen applicants (applicants: 95.7%, PDs: 82.8%), prioritize students from more prestigious medical schools (applicants: 91.5%, PDs: 52.4%), and that dedicated research time will become more important (applicants: 87.9%, PDs: 45.3%). Most applicants (66.4%) and PDs (53.1%) believe that there will be an increase in plastic surgery applicants. Applicants and PDs anticipate that the top 3 metrics used by programs when deciding to offer an interview will change as a result of binary Step 1 scoring.
Most plastic surgery applicants and PDs do not support the change in United States Medical Licensing Examination Step 1 scoring to pass or fail. The majority believe that other metrics (such as Step 2 CK scores, research experience, and medical school reputation) will become more important in the application process.
早在2022年，美国医师执照考试第一步（USMLE Step 1）的成绩将以通过或不通过来报告，而不是三位数的数字分数。本调查研究了整形外科申请者和项目主任（PD）对这一成绩报告变化的看法。
向2018 - 19年和2019 - 20年申请周期的综合申请者发放了一份包含24个条目的调查问卷。向综合和独立的整形外科培训项目主任发送了一份类似的包含28个条目的调查问卷。使用汇总表和边际同质性检验对数据进行分析。
164名申请者（33.2%）和64名项目主任（62.1%）完成了调查。大多数申请者（60.3%）和项目主任（81.0%）不赞成成绩报告的变化。由于采用二分制评分，大多数受访者预计住院医师项目将使用第二步临床知识考试（Step 2 CK）成绩来筛选申请者（申请者：95.7%，项目主任：82.8%），优先考虑来自更有声望医学院校的学生（申请者：91.5%，项目主任：52.4%），并且专门的研究时间将变得更加重要（申请者：87.9%，项目主任：45.3%）。大多数申请者（66.4%）和项目主任（53.1%）认为整形外科申请者将会增加。申请者和项目主任预计，由于第一步考试采用二分制评分，项目在决定提供面试时使用的前三项指标将会改变。
大多数整形外科申请者和项目主任不支持美国医师执照考试第一步评分改为通过或不通过。大多数人认为其他指标（如第二步临床知识考试成绩、研究经验和医学院声誉）在申请过程中将变得更加重要。
