Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, Michigan.
Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, Michigan.
J Surg Educ. 2024 Oct;81(10):1428-1436. doi: 10.1016/j.jsurg.2024.06.019. Epub 2024 Jul 22.
To investigate interview and match outcomes of medical students who received pass/fail USMLE reporting vs medical students with numeric scoring during the same period.
Retrospective analysis of a cross-sectional survey-based study.
United States 2023 residency match.
Medical student applicants in the 2023 residency match cycle who responded to the Texas Seeking Transparency in Application to Residency (STAR) survey.
Among 6756 applicants for the 2023 match, 496 (7.3%) took USMLE Step 1 with pass/fail reporting. Pass/fail reporting was associated with lower USMLE Step 2-CK scores (245.9 vs 250.7), fewer honored clerkships (2.4 vs 3.1), and lower Alpha Omega Alpha membership (12.5% vs 25.2%) (all p < 0.001). Applicants with numeric USMLE Step 1 scores received more interview offers after adjusting for academic performance (beta coefficient 1.04 (95% CI 0.28-1.79); p = 0.007). Numeric USMLE Step 1 scoring was associated with more interview offers in nonsurgical specialties (beta coefficient 1.64 [95% CI 0.74-2.53]; p < 0.001), but not in general surgery (beta coefficient 3.01 [95% CI -0.82 to 6.84]; p = 0.123) or surgical subspecialties (beta coefficient 1.92 [95% CI -0.78 to 4.62]; p = 0.163). Numeric USMLE Step 1 scoring was not associated with match outcome.
Applicants with numeric USMLE Step 1 scoring had stronger academic profiles than those with pass/fail scoring; however, adjusted analyses found only weak associations with interview or match outcomes. Further research is warranted to assess longitudinal outcomes.
调查在同期接受通过/失败 USMLE 报告的医学生与接受数字评分的医学生的面试和匹配结果。
基于横断面调查的研究的回顾性分析。
2023 年美国住院医师匹配。
对 2023 年住院医师匹配周期的德克萨斯州寻求住院医师申请透明度（STAR）调查做出回应的医学生申请人。
在 2023 年匹配的 6756 名申请人中，有 496 名（7.3%）参加了 USMLE 第 1 步的通过/失败报告。通过/失败报告与较低的 USMLE 第 2 步-CK 分数（245.9 与 250.7）、较少的荣誉实习（2.4 与 3.1）和较低的 Alpha Omega Alpha 会员（12.5%与 25.2%）相关（均<0.001）。在调整学业成绩后，接受数字 USMLE 第 1 步评分的申请人收到了更多的面试邀请（β系数 1.04（95%CI 0.28-1.79）；p=0.007）。数字 USMLE 第 1 步评分与非外科专业的更多面试邀请相关（β系数 1.64（95%CI 0.74-2.53）；p<0.001），但与普通外科（β系数 3.01（95%CI -0.82 至 6.84）；p=0.123）或外科亚专业（β系数 1.92（95%CI -0.78 至 4.62）；p=0.163）无关。数字 USMLE 第 1 步评分与匹配结果无关。
接受数字 USMLE 第 1 步评分的申请人比接受通过/失败评分的申请人具有更强的学术背景；然而，调整后的分析仅发现与面试或匹配结果的微弱关联。需要进一步研究以评估纵向结果。
