Orthopedics. 2022 Jan-Feb;45(1):e30-e34. doi: 10.3928/01477447-20211124-08. Epub 2021 Dec 2.
The United States Medical Licensing Examination (USMLE) Step 1 examination will transition from graded to pass/fail scoring starting no earlier than January 2022. Orthopedic surgery residency programs will need to adapt to these changes. The goal of this study was to investigate the perceptions of orthopedic surgery residency program directors on the change of Step 1 from a graded to a pass/fail examination. We also investigated how the change would affect the other factors that are typically considered in the selection of orthopedic surgery residents. A survey was distributed to 161 directors of allopathic orthopedic surgery programs. Contact information was obtained from a national database. Of those contacted, 75 (46.6%) program directors responded. Most (85.3%) did not support the pass/fail change. Most believe that greater importance will be placed on the Step 2 Clinical Knowledge examination (96.0%), audition elective with their department (84.0%), personal knowledge of the applicant (78.7%), grades (74.7%), letters of recommendation from recognizable orthopedic surgeons (74.7%), and Alpha Omega Alpha status (69.3%). Most also believe that this change will advantage allopathic students who attend highly regarded schools (58.7%). Most of the program directors support a graded preclinical curriculum (69.3%) and caps on the number of orthopedic surgery residency applications (70.7%). Although most orthopedic surgery program directors disagree with the change to a pass/fail Step 1 examination, residency programs will need to reevaluate how they screen applicants for an interview once the scored Step 1 is no longer available. With this change, other factors, such as Step 2 score, audition rotations, and grades in clerkships, will be emphasized more heavily. [. 2022;45(1):e30-e34.].
美国医师执照考试（USMLE）第 1 步考试将从分级制改为通过/不通过计分制，最早不早于 2022 年。骨科住院医师培训计划需要适应这些变化。本研究的目的是调查骨科住院医师培训计划主任对第 1 步从分级考试改为通过/不通过考试的看法。我们还研究了这一变化将如何影响在选择骨科住院医师时通常考虑的其他因素。向所有骨科专业的 161 名主任发放了一份调查。从一个国家数据库中获取了联系人信息。在联系到的人中，有 75 人（46.6%）的主任做出了回应。大多数（85.3%）不支持通过/不通过的改变。大多数人认为第 2 步临床知识考试（96.0%）、与他们科室的试听选修课程（84.0%）、申请人的个人知识（78.7%）、成绩（74.7%）、来自知名骨科医生的推荐信（74.7%）和 Alpha Omega Alpha 身份（69.3%）将更加重要。大多数人还认为，这种变化将有利于就读于声誉良好的学校的医学生（58.7%）。大多数骨科住院医师培训计划主任支持分级的基础临床课程（69.3%）和骨科住院医师培训申请数量上限（70.7%）。尽管大多数骨科住院医师培训计划主任不同意第 1 步考试改为通过/不通过考试，但一旦不再提供评分的第 1 步考试，住院医师培训计划将需要重新评估他们如何筛选参加面试的申请人。随着这一变化，第 2 步成绩、试听轮转和实习成绩等其他因素将更加受到重视。
