Choi Peter, Langenau Erik, Roberts Michael, Blalock Travis W
Osteopathic Medicine, Philadelphia College of Osteopathic Medicine, Suwanee, USA.
Family Medicine, Philadelphia College of Osteopathic Medicine, Philadelphia, USA.
Cureus. 2023 Mar 5;15(3):e35801. doi: 10.7759/cureus.35801. eCollection 2023 Mar.
The shift of Step 1 to Pass/Fail has generated several questions and concerns about obtaining residency positions among allopathic and osteopathic students alike. Determining the perspectives of Dermatology Program Directors in regards to post-Step 1 Pass/Fail is critical for students to better prepare for matching into dermatology.
After receiving Institutional Review Board (IRB) exemption status, the program directors were chosen from 144 Accreditation Council for Graduate Medical Education (ACGME) and 27 American Osteopathic Association (AOA) Dermatology programs using contact information from their respective online website databases. An eight-item survey was constructed on a three-point Likert scale, one free text response, and four demographic questions. The anonymous survey was sent out over the course of three weeks with weekly individualized reminder requests for participation.
A total of 54.54% of responders had "Letters of Recommendation" in their top 3. Forty-five percent of responders had "Completed Audition Rotation at Program" in their top 3. And, 38.09% of responders had "USMLE Step 2 CK Scores" in their top 3.
Approximately 50% of responders agreed that all medical students will have more difficulty matching dermatology. Based on the survey study, Dermatology program directors want to focus more on letters of recommendation, audition rotations, and Step 2 CK scores. Because each field seems to prioritize different aspects of an application, students should attempt to gain as much exposure to different fields such as through research and shadowing to narrow down their ideal specialties. Consequently, the student will have more time to tailor their applications to what residency admissions are looking for.
第一步考试改为及格/不及格制引发了诸多问题，并引起了全科医学和骨科医学学生对获得住院医师职位的担忧。确定皮肤科项目主任对于第一步考试改为及格/不及格制的看法，对于学生更好地准备匹配皮肤科住院医师职位至关重要。
在获得机构审查委员会（IRB）豁免资格后，从144个研究生医学教育认证委员会（ACGME）和27个美国骨科协会（AOA）皮肤科项目中，利用各自在线网站数据库中的联系信息挑选项目主任。构建了一份八项调查问卷，采用三点李克特量表、一项自由文本回答和四个人口统计学问题。匿名调查问卷在三周内发出，每周都会单独发送提醒请求参与调查。
共有54.54%的受访者将“推荐信”列为前三项重要因素。45%的受访者将“在该项目完成试听轮转”列为前三项重要因素。并且，38.09%的受访者将“美国医师执照考试第二步临床知识（USMLE Step 2 CK）成绩”列为前三项重要因素。
约50%的受访者认为所有医学生在匹配皮肤科住院医师职位时会面临更大困难。基于这项调查研究，皮肤科项目主任希望更关注推荐信、试听轮转和第二步临床知识考试成绩。由于每个领域似乎都优先考虑申请的不同方面，学生应尝试通过研究和见习等方式更多地接触不同领域，以缩小他们理想的专业范围。因此，学生将有更多时间根据住院医师招生的要求来调整他们的申请。
