Mayo Clinic Department of Surgery, Rochester, Minnesota.
Mayo Clinic Department of Surgery, Rochester, Minnesota.
J Surg Educ. 2022 Mar-Apr;79(2):349-354. doi: 10.1016/j.jsurg.2021.10.007. Epub 2021 Nov 11.
In 2022, United States Medical Licensing Examination (USMLE) Step 1 scores will become pass/fail. This may be problematic, as residency programs heavily rely on USMLE Step 1 scores as a metric when determining interview invitations. This study aimed to assess candidate application metrics associated with USMLE Step 1 scores to offer programs new cues for stratifying applicants.
Retrospective cohort study analyzing interviewed applicants to one general surgery residency program in 2019 and 2020. Applicant data analyzed included USMLE Step 1 scores, number of publications, clerkship scores, letter of recommendation scores (out of 2, scored by 0.25 interval), interview overall score (out of 5, scored by integer level), and standardized question score (out of 10). Each year, applicant's answers to one standardized behavioral question during their interview were scored by interviewers.
Tertiary medical center, academic general surgery residency program.
Interviewed applicants at one general surgery residency program whose applications contained complete demographic information (203 out of 247).
Multiple Linear Regression revealed that higher surgical clerkship (β = 0.19, p = 0.006) and higher standardized interview question (β = 0.32, p < 0.001) scores were positively associated with applicant USMLE Step 1 score (F[7, 195] = 6.61, p < 0.001, R2 = 0.19). Letter of recommendation score, number of peer reviewed publications, gender, race, and applicant type (preliminary/categorical) were not associated with USMLE Step 1 scores.
With USMLE Step 1 scores transitioning to pass/fail, surgical residency programs need new selection heuristics. Surgery clerkship scores and standardized behavioral questions answered by applicants prior to the interview could provide a holistic view of applicants and help programs better stratify candidates without USMLE Step 1 scores.
2022 年，美国医师执照考试（USMLE）Step1 成绩将变为通过/不通过。这可能会产生问题，因为住院医师项目在决定面试邀请时，严重依赖 USMLE Step1 成绩作为衡量标准。本研究旨在评估与 USMLE Step1 成绩相关的候选人申请指标，为项目提供新的线索，以便对申请人进行分层。
回顾性队列研究，分析 2019 年和 2020 年一个普通外科住院医师项目的面试申请人。分析的申请人数据包括 USMLE Step1 成绩、出版物数量、实习成绩、推荐信成绩（满分 2 分，以 0.25 分间隔评分）、面试总分（满分 5 分，整数评分）和标准化问题分数（满分 10 分）。每年，面试者都会根据面试者的回答对一个标准化行为问题进行评分。
三级医疗中心，学术普通外科住院医师项目。
在一个普通外科住院医师项目中面试的申请人，其申请包含完整的人口统计信息（247 人中的 203 人）。
多元线性回归显示，较高的外科实习（β=0.19，p=0.006）和较高的标准化面试问题（β=0.32，p<0.001）分数与申请人的 USMLE Step1 成绩呈正相关（F[7,195]=6.61，p<0.001，R2=0.19）。推荐信分数、同行评议出版物数量、性别、种族和申请人类型（预考/分类）与 USMLE Step1 分数无关。
随着 USMLE Step1 成绩变为通过/不通过，外科住院医师项目需要新的选择启发式方法。外科实习成绩和申请人在面试前回答的标准化行为问题可以全面了解申请人情况，并帮助项目在没有 USMLE Step1 成绩的情况下更好地对候选人进行分层。
