From the Department of Orthopaedic Surgery, George Washington University Hospital, Washington, DC (Dr. Gu, Dr. Farrar, Dr. Fassihi, Dr. Stake, Ramamurti, Wei, and Dr. Rao), and the Department of Hand Surgery, Hospital for Special Surgery, New York, NY (Dr. Wessel and Dr. Fufa).
J Am Acad Orthop Surg Glob Res Rev. 2021 May 4;5(5):e20.00216. doi: 10.5435/JAAOSGlobal-D-20-00216.
Recently, the Federation of State Medical Boards and the National Board of Medical Examiners, cosponsors of the United States Medical Licensing Examination (USMLE), changed the USMLE Step 1 results from a three-digit score to a pass/fail format. The purpose of this study was to analyze the opinions of program directors (PDs) to predict how the evaluation of orthopaedic surgery residency applicants will change following the change.
A 17-question online survey was distributed to PDs via e-mail. This survey covered program demographics, questions regarding the relative importance of various factors for selection of interviews, and perceived changes and effect of the scoring change. Responses were aggregated and analyzed.
PDs indicated that the three highest scored factors were (1) failure in prior attempts in USMLE/COMLEX examinations (4.7), (2) audition elective/rotation within your department (4.5), and (3) personal prior knowledge of the applicant (4.1). In addition, 38 PDs (81.1%) anticipate that they will require USMLE Step 2 clinical knowledge scores for interview consideration.
Most orthopaedic surgery PDs think that the change in score reporting for the USMLE Step 1 will result in additional requirements and changes in how programs select applicants and do not support the decision.
最近，美国医师执照考试（USMLE）的共同主办方——州医学委员会联合会和国家医师考试委员会，将 USMLE 第 1 步的成绩从三位数改为通过/失败的形式。本研究的目的是分析项目主任（PD）的意见，以预测在考试成绩形式改变后，对骨科住院医师申请人的评估将如何变化。
通过电子邮件向 PD 分发了一份 17 个问题的在线调查。该调查涵盖了项目概况、关于选择面试的各种因素的相对重要性的问题，以及对评分变化的感知变化和影响。对回复进行了汇总和分析。
PD 表示，得分最高的三个因素是（1）在美国医师执照考试/医师执照考试委员会中之前尝试失败（4.7），（2）在您的科室进行试听选修/轮转（4.5），和（3）个人对申请人的先前了解（4.1）。此外，38 名 PD（81.1%）预计他们将需要 USMLE 第 2 步临床知识分数来考虑面试。
大多数骨科 PD 认为 USMLE 第 1 步的分数报告变化将导致额外的要求和项目选择申请人的方式发生变化，他们不支持这一决定。
